AUGUSTA – Legislation that would require the Maine Bureau of Insurance to clearly specify the criteria used when they evaluate insurance company proposals earned a positive vote Thursday from the Insurance and Financial Services Committee.
The lawmakers noted that the bureau sent out a bulletin recently warning consumers that they should check whether or not their provider or hospital of choice are part of the plan’s network, before finalizing their purchase.
“Our concern is for the health care consumers in the very southern Maine area who may have to switch physicians and travel out-of-town for procedures,” Rykerson said. “This narrow network could also have a significant negative impact on the financial viability of this very critical health care provider and our communities.”
The group is pushing for more scrutiny in the review process by clarifying the criteria under which the plans are evaluated.
“Transparency is needed here,” said Beavers. “The criteria must be fair and applicants should know what they will be judged on. The six hospitals left off of the list should know why. And the people purchasing these plans should know if they can access their provider of choice.”
The bill will now be considered by the full House and Senate.