Blue Cross emergency rooms | WABE 90.1 FM

Blue Cross emergency rooms

Ryan Nabulsi / twinlensatl.com

Anthem Blue Cross Blue Shield of Georgia is enacting a radical new policy on emergency room visits to contain costs.

The insurer, which provides the only Affordable Care Act exchange plan in well over half of Georgia counties, says they’ll carefully scrutinize medical records when its members go to the ER and, if it determines that a reasonable person with the same problem wouldn’t have made the decision to head to the hospital, it won’t pay the bill. Georgia hospitals and ER doctors are decrying the move, as are many consumers.

Brenna Beech / WABE File

The state insurance department says it will monitor the new emergency room policy of Blue Cross and Blue Shield of Georgia “to make sure that it is not abused to the disadvantage of Georgia policyholders.”

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