LATEST NEWS | OCT 12, 2020

Cigna Officially Stops Covering Hospital-Based MR & CT Imaging

Cigna Officially Stops Covering Hospital-Based MR & CT Imaging

As of August 1, 2020, Cigna officially stopped covering most hospital-based MR and CT imaging procedures. The insurer, which is the fourth-largest in the nation, advised its members that freestanding imaging centers offer members a lower cost for medically necessary, non-emergent imaging procedures.

As diagnostic imaging procedures become more advanced and more crucial in healthcare planning while conversely, costs for healthcare continue to rise, freestanding imaging centers emerge as the solid choice for patients looking for cost cutting, convenience and expertise.

Imaging services, specifically MRI and CT, provided in a hospital can cost up to 3 to 5 times as much as the same service provided in a freestanding center. Company officials at Cigna said that some patients could save as much as $1,000 in out-of-pocket expenses for imaging services by opting to visit a freestanding center. And according to one analysis, MRI and CT exams could cost an upward of 149% more at a hospital, compared to a freestanding center.

If you're wondering why it is that the cost discrepancy is so extreme, the answer has to do simply with size. In an article published in USA Today, freestanding centers have the luxury of keeping their costs down because they are providing more focused services, maintaining smaller staff and overhead, and are not required to remain open around the clock every day. Large hospitals have large overhead, and the patient ends up paying for that.

Anthem, which is the second-largest insurer in the country, was first to institute a similar policy change. In 2018, they started denying claims for imaging procedures performed in a hospital radiology department, citing the same cost-related benefits. Cigna's plan allows for a few very specific exceptions for having an MRI or CT exam in a hospital: If the patient is 10 years old or younger, if the patient has an allergy to contrast, or if there are no freestanding centers nearby.

Both Cigna and Anthem have assured their members that they will save significant out-of-pocket expenses by seeking their diagnostic imaging procedures in outpatient centers.

 

Dr. John Crues - RadNet

John Crues MD | RadNet

"As a practicing radiologist, I am pleased that this program is finally being implemented,” Dr. John Crues said about the Cigna update. Dr. Crues is a Medical Director and Vice President of RadNet, and he added: “This is part of a wider program to try to address the rising costs of medical care and improve patients' access to high-quality, convenient care. For far too long the insurance companies have been trying to save money by directing patients to lower quality providers and shifting costs to the patient. Radnet's out-patient imaging centers are far more available and patient friendly than large hospitals, and the charges are far less for the same imaging procedures using state -of-the-art equipment and specialty trained radiologists to interpret the studies."

As a national leader in providing high quality, cost-effective diagnostic imaging services for over 35 years, RadNet is dedicated to advancing early detection of disease and to empowering patients to take charge of their health.

Take Charge of Your Health

There is an evolution happening in healthcare and it is called Patient Empowerment. Making informed decisions about your healthcare is key to living a healthier life. There are many benefits to having radiology services performed in a freestanding outpatient imaging center.
Here are some of those facts:

Cost

Cost

Imaging services provided in a hospital can cost up to 3 to 5 times as much as the same services provided in a freestanding imaging center.

Convenience

Convenience

RadNet is a premier network of outpatient imaging centers providing services in multiple locations, ease of access, appointment setting and less wait time.

Quality

Quality

RadNet adheres to strict protocols across our entire network to ensure that training, safety and quality are always at the forefront of everything we do.

Technology

Technology

RadNet's ongoing mission is to provide advanced imaging modalities, technology innovations, state-of-the-art equipment, and research in order to help patients understand diagnoses and healthcare options.

Experience

Experience

RadNet imaging centers are staffed with radiologists who are fellowship trained, offering subspecialty expertise in a wide array of exams and procedures.

Perspectives

The RadNet Difference

RadNet has been delivering high-quality, cost-effective healthcare for over 35 years, leading the industry as the largest provider of outpatient imaging services in the country. With over 340 centers in 7 states, RadNet remains true to a mission that is patient-centered and committed to the future of healthcare.

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