TakeCare assures members it will cover GMH expenses

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Health Plan Administrator Arven Lojo said TakeCare will continue to pay for health care expenses for its members under the terms of their current insurance plans.

TakeCare Insurance held a news conference at its Tamuning office this morning to reassure its members that their medical expenses would still be covered at Guam Memorial Hospital, even though GMH announced yesterday they would no longer honor the company’s health insurance coverage.

GMH says TakeCare owes the public hospital more than $12 million dating back to 2018.

But TakeCare disputes the amount and says GMH has only sent a letter demanding payment and failed to provide a detailed breakdown of the cost of the medical services the patient received.

Health Plan Administrator Arven Lojo said TakeCare will continue to pay for health care expenses for its members under the terms of their current insurance plans.

“Our communication to our members is if they seek service at GMH and they get the billing from GMH, give that billing to us and we will pay GMH for the eligible covered services that our members are entitled to under the TakeCare plan,” he said.

TakeCare also disputes a claim made by GMH Administrator Lillian Perez-Posadas who told local media that TakeCare paid the public hospital only $188,000 last year.

“That’s not true,” said TakeCare in a release today. TakeCare says they paid GMH more than $8 million last year.

And the insurer says they remain “willing to pay whatever it owes, provided that GMH provides proper billings and documentation.”

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