PDF Archive

Easily share your PDF documents with your contacts, on the Web and Social Networks.

Share a file Manage my documents Convert Recover Search Help Contact



BCBSTX THR negotiations 02232018 .pdf


Original filename: BCBSTX THR negotiations 02232018.pdf
Author: Lynne White

This PDF 1.5 document has been generated by Microsoft® Word 2010, and has been sent on pdf-archive.com on 23/02/2018 at 21:56, from IP address 208.87.x.x. The current document download page has been viewed 107 times.
File size: 245 KB (2 pages).
Privacy: public file




Download original PDF file









Document preview


February 23, 2018
To: Mario Sinacola employees enrolled in BCBSTX Medical Plans

Subject: Blue Cross Blue Shield of Texas (BCBSTX) and Texas Health Resources (THR)
Important Information Regarding Texas Health Resources and Texas Health
Physicians Group, Dallas Area

The contracts between Blue Cross and Blue Shield of Texas (BCBSTX) and both Texas Health
Resources and Texas Health Physicians Group, together known as Texas Health, are set to
expire on March 31, 2018. If the two parties do not reach new agreements before then, Texas
Health’s doctors and facilities will no longer be in the BCBSTX Blue EssentialsSM, Blue
Advantage HMOSM, Blue Choice PPOSM, Par Plan or Blue Cross Medicare Advantage PPOSM
provider networks as of April 1, 2018.

Leadership at both BCBSTX and THR and anticipate that the negotiations will be prolonged,
possibly extending beyond the March 31, 2018 expiration date.

If THR leaves the BCBSTX network, you will continue to have access to over 60 in-network
hospitals and 25,000 in-network doctors. You can access a full list of in network doctors and
facilities at Provider Finder® or log in to Blue Access for MembersSM for a personalized search
based on your specific plan and network.

Below is some important information for you to reference should THR facilities and providers
leave the network on April 1, 2018:



THR will be considered out-of-network effective April 1, 2018 and paid according to your
out-of-network benefits.



If you or a covered family member are undergoing active treatment for a medical
condition in which leaving the provider could cause harm, continuity benefits may be
available. Examples of continuing care include: acute conditions, life threatening illness
and/or when you are past the 24th week of pregnancy. It is important to note that
benefits for continuity of care are applied according to your specific benefit plan. If you
have questions as to how your benefit plan can best serve you, please call the number
on your medical ID card or visit the BCBSTX website.



If you need emergency care, you should go straight to the closest hospital. You don’t
have to worry about finding an ER that is in your plan’s network if it is a life-threatening
emergency. It’s smart to go to an ER only for serious health issues, however, as costs
will be a lot higher if you go to an ER, and wait times can be very long if your health
problem is not severe.

BCBSTX has set up a website to keep you informed during this process about the status of their
negotiations. You can access this site at https://www.bcbstx.com/texashealth2018/ and check for
updates.

BCBSTX apologizes for any inconvenience these negotiations may cause you. If you have
specific concerns about your coverage please contact BCBSTX at the number on the back of
your ID card or through the website at Blue Access for MembersSM .

Sincerely,

Human Resources Benefits


BCBSTX  THR negotiations 02232018.pdf - page 1/2
BCBSTX  THR negotiations 02232018.pdf - page 2/2

Related documents


PDF Document bcbstx thr negotiations 02232018
PDF Document untitled pdf document 1
PDF Document c providerfinder
PDF Document stayer cis 500 assignment 3
PDF Document benefits of outsourcing health claim services to india
PDF Document benefits of outsourcing health claim services to india


Related keywords