Regence BlueShield Agreement Frequently Asked Questions
This page covers frequently asked questions about our agreement with Regence BlueShield.
For Patients: Coverage & Access
Has Kootenai Health reached an agreement with Regence?
Yes. Kootenai Health and Regence BlueShield of Idaho have reached a new multi-year contract agreement. Regence members will continue to have in-network access to all Kootenai Health services and providers.
What does this mean for my health care coverage?
Nothing changes for you. If you have Regence insurance, you can continue receiving care at Kootenai Health as an in-network patient. Your appointments, treatments, and ongoing care will continue as scheduled.
Do I need to do anything?
No action is required. Your coverage continues automatically. If you had postponed scheduling an appointment due to uncertainty, you can now schedule with confidence.
Will my doctor still be in-network?
Yes. All Kootenai Health providers and Kootenai Clinic physicians remain in-network for Regence members. This includes primary care, specialists, and hospital services.
What about appointments I already have scheduled?
All existing appointments remain scheduled as planned. There is no disruption to your care.
I postponed care because I was worried about coverage. Can I reschedule now?
Absolutely. Please contact your provider’s office or call our scheduling line to reschedule any appointments you may have postponed. We encourage you not to delay necessary care.
For Patients: About the Negotiation
Why was there a contract dispute?
Health care contracts are periodically renegotiated between hospitals and insurance companies. These negotiations ensure that reimbursement rates fairly reflect the cost of providing care. Kootenai Health advocated for rates that allow us to continue investing in the facilities, services, and staff that our community relies on.
What was Kootenai Health advocating for?
Our priority was twofold: first, protecting patient access so that families wouldn’t lose their in-network options; and second, ensuring fair reimbursement that reflects the true cost of providing high-quality health care in our region. Both are essential to our ability to serve this community for the long term.
Who "won" the negotiation?
Our patients and community won. The most important outcome is that families in northern Idaho retain access to their local health care system. We’re pleased that both organizations found common ground to make that happen.
Will this happen again?
This is a multi-year agreement designed to provide stability for patients. While all health care contracts are periodically renewed, we are committed to working constructively with all insurance partners to avoid disruption to patient care.
For Employers & Benefits Administrators
How does this affect employees on our Regence plan?
Employees with Regence coverage will continue to have in-network access to Kootenai Health. No changes to your benefits administration are required.
Should we communicate anything to our employees?
If your employees were aware of the contract uncertainty, you may wish to share the good news that an agreement has been reached. We are happy to provide template language if helpful. Contact us at [email protected].
We were considering changing insurance carriers. Is that still necessary?
With this agreement in place, Regence members will have continued in-network access to Kootenai Health. We encourage you to evaluate your benefits options based on what’s best for your organization and employees.
For State Employees
I'm a state employee with Regence coverage. Does this affect me?
Yes—this is good news for you. State employees enrolled in the Regence plan through the Idaho Office of Group Insurance will continue to have in-network access to Kootenai Health. No action is required on your part.
General Questions
When does the new agreement take effect?
The new agreement ensures continuous coverage with no gap. Regence members have uninterrupted in-network access to Kootenai Health.
How many people are affected by this agreement?
Approximately 23,000 people with Regence insurance have received care at a Kootenai Health facility in the past 12 months and are affected by this agreement, including state employees and individuals with employer-sponsored or individual Regence plans.
Where can I get more information?
For more information, please contact our patient services team at (208) 625-6228.
