Blue Cross and Blue Shield of Texas

Baylor Scott & White Health (BSWH) is currently negotiating a new contract to cover care for patients with Blue Cross and Blue Shield of Texas (BCBSTX) health insurance. We are working to reach an agreement by July 1, 2024, to keep BCBSTX plan holders in-network for care with our providers and facilities.  Our patients are our top priority, and we are working to minimize any potential disruptions.

Right now, nothing is changing. Patients should continue to visit Baylor Scott & White hospitals, facilities, and providers as they normally would through the month of June. If an agreement is not reached by July 1, 2024, Blue Cross and Blue Shield of Texas (BCBSTX) will be considered out of network for care delivered by Baylor Scott & White Health (BSWH) doctors or facilities for most BCSBTX members. This could mean increased costs for BCBSTX patients who want to continue receiving care from a Baylor Scott & White Health facility or provider.

The agreement between Baylor Scott & White Health and BCBSTX currently will end on July 1, 2024. If a new agreement is not reached prior to that date, and if you are unable to obtain a Continuity of Care exception through BCBSTX, services provided after this date will be considered out of network, and your BCBSTX benefits may not cover your care. Baylor Scott & White can assist you in scheduling your visits in advance of July 1, 2024, and we appreciate your flexibility. (A link to BCBSTX’s Continuity of Care form can be found at the top of this webpage.)

If an agreement is not reached by July 1, 2024, some services may still be covered for a short period of time if they already began and are not yet complete; however, we strongly encourage patients to discuss their care plan with their medical team. Certain patients, including those who are hospitalized or undergoing an active course of treatment before the contract end date, may qualify for Continuity of Care through BCBSTX. If you think you may qualify, call the phone number on the back of your BCBSTX health insurance card today to request a Continuity of Care form and apply. You may also find a link to the Continuity of Care form at the top of this webpage.

If an agreement is not reached by July 1, 2024, you will need to obtain a Continuity of Care exception through BCBSTX; Otherwise, services provided after this date will be considered out of network and your out-of-pocket costs may be greater. (A link to BCBSTX’s Continuity of Care form can be found at the top of this webpage.)

If you experience a medical emergency, you should always visit the nearest emergency department. BCBSTX will pay for services you receive to evaluate and stabilize an emergency medical condition regardless of whether your care is received from an in-network or out-of-network emergency department.

BCBSTX Medicare supplement plans are not included in this negotiation. The following plans are included in this negotiation:

• ParPlan
• Blue Choice PPO
• Blue Essentials
• Blue Advantage HMO
• Blue Premier / High Performance Networks (HPN)
• Blue Cross Medicare Advantage (PPO)
• Blue Cross Medicare Advantage (HMO)
• Managed Medicaid STAR Kids

All Baylor Scott & White locations, including hospitals, urgent care, imaging centers, ambulatory surgery centers and free-standing clinics are included in this negotiation.