Important information for patients with health insurance through Blue Cross and Blue Shield.

Baylor Scott & White Health (BSWH) is currently negotiating a new contract to cover care for patients with Blue Cross and Blue Shield (BCBS) health insurance.

We are pleased to share that we have reached an agreement with Blue Cross and Blue Shield to extend provider and facility contracts to Oct. 1, 2024. 

The three-month extension means BSWH providers and facilities will remain in network for BCBS members while we continue work to finalize a longer-term agreement. 

Your well-being is our priority. If you have canceled an appointment or procedure, please reschedule by accessing MyBSWHealth, visiting BSWHealth.com/Appointments or calling 833.889.2464. You may also call your provider's office directly. 

Thank you for trusting us with your healthcare needs. 

 

Preguntas frecuentes

  • ¿Cómo afecta esto a los pacientes de Baylor Scott & White?

    Patients should continue to visit Baylor Scott & White hospitals, facilities, and providers as they normally would. If an agreement is not reached by Oct. 1, 2024, Blue Cross and Blue Shield (BCBS) will be considered out of network for care delivered by Baylor Scott & White Health (BSWH) doctors and facilities for most BCSB members. This could mean increased costs for BCBS patients who want to continue receiving care from a BSWH facility or provider.

  • ¿Qué pasa si tengo una cita con mi proveedor de Baylor Scott & White programada para la fecha de finalización del acuerdo o después?

    At this time, we’re advising patients to keep the appointments they have scheduled on or after Oct. 1, 2024. Canceling services could delay care, and it may not be necessary if an agreement is reached before the current contract expires. In addition, some patients may be eligible for Continuity of Care through BCBSTX. (A link to BCBSTX’s Continuity of Care form can be found at the top of this webpage.)

  • ¿Qué sucede si estoy recibiendo tratamiento por una condición especial en la fecha de finalización del acuerdo o después?

    If an agreement is not reached by Oct. 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 encourage patients to talk with their medical team if they have clinical questions about their care. 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.

    If you wish to request continued access, a Continuity of Care form can be found on BCBSTX’s website. Check the second box and look for your BSWH provider’s contact information here. (Note: The form asks for an “NPI ID #.” This is a National Provider Identifier consisting of a unique 10-digit number for your provider. You can find the number by searching the national provider database.)

    The Continuity of Care form may be faxed or mailed to BCBSTX for consideration. Because BCBSTX approves and denies requests, BSW cannot provide status updates. If you obtain approval for Continuity of Care from BCBSTX, please share the letter with your provider.

     
  • ¿Qué pasa si tengo una emergencia médica en la fecha de finalización del acuerdo o después y Baylor Scott & White está fuera de la red?

    If you experience a medical emergency, you should always visit the nearest emergency department. BCBS 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.

  • ¿Qué planes se incluyen en esta negociación?

    Los planes complementarios de Medicare de BCBSTX no están incluidos en esta negociación. En esta negociación se incluyen los siguientes planes:

    • Parplan
    • Health Select
    • Opción azul ppo
    • Esenciales azules
    • Ventaja azul hmo
    • Blue Premier / Redes de alto rendimiento (HPN)
    • Ventaja de medicare de cruz azul (ppo)
    • Ventaja de medicare de cruz azul (hmo)
    • Medicaid administrado STAR Kids
    PARA PROVEEDORES
    Epic Code Plan Name
    421520 BLUE CROSS BS HEALTH SELECT OF TEXAS
    421550 BCBS OF TX BLUE PREMIER
    421553 BLUE ESSENTIALS/HMO BLUE TEXAS
    421556 TRANSPLANT BCBS PPO
    421558 BCBS OF TX PPO/POS
    421559 BCBS OUT OF STATE
    421561 LIMITED PYMT INS BLUE CROSS
    421564 MYBLUE HEALTH OON
    421565 BCBS OF TX PPO CITY OF DALLAS
    421566 Red de alto rendimiento
    421567 BCBS OF TX PPO TEXAS A&M
    421568 CITY OF DALLAS PPO TRANSPLANT
    421569 BCBS FEDERAL
    220501 BCBS TX STAR
    220504 BCBS - STAR KIDS
    220506 BCBSTX MEDICAID
    220507 BCBS CHIP
    404950 BCBS OF TX MCARE ADVANTAGE
    404951 TRANSPLANT BCBS MEDICARE GENERIC
    404952 BCBS MCARE ADVANTAGE 84980
    404954 BCBSTX MEDICARE ADVANTAGE GROUP RETIREE
    132601 BCBS BLUE ADVANTAGE PPO EXCHANGE
    132602 BCBS BLUE ADVANTAGE PPO TRANSPLANT EXCHANGE
    136101 BCBS BLUE ADVANTAGE HMO TRANSPLANT EXCHANGE
    136102 BCBS BLUE ADVANTAGE HMO EXCHANGE
    136103 TRANSPLANT BCBS OOS
    136104 TRANSPLANT BCBS HMO
  • Which facilities are impacted?

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

    The negotiation also includes the following sites affiliated with Baylor Scott & White Health:
    Hospital - Surgical North Central Surgical Center
    Surgery Centers  Bear Creek Surgery Center
    Lone Star Endoscopy
    North Texas Surgery Center
    Park Cities Surgery Center
    Sherman Endoscopy Center
    SurgCenter
    Texas Endoscopy
    Tuscan Surgery Center at Las Colinas
    Free-Standing Imaging Centers Advanced Imaging Center
    Blue Star Imaging at The Star
    Urgent Care Centers NextCare
  • Does this negotiation apply to Blue Cross and Blue Shield plans from other states?

    Yes. BCBSTX negotiates network contracts on behalf of all Blue Cross and Blue Shield plans. Patients with a policy from an out-of-state Blue Cross and Blue Shield plan utilize the BCBSTX network.

  • How are pharmacy benefits impacted?

    Pharmacy benefits are part of a separate contract and are not impacted by this network negotiation.

  • Who is eligible for Continuity of Care?

    BCBSTX approves or denies requests for its members to receive Continuity of Care. It lists the following as potentially “applicable” for Continuity of Care: 

    • Pregnancy or undergoing a course of treatment for pregnancy
    • Surgery scheduled or recently performed 
    • Scheduled for nonelective surgery
    • Postoperative care 
    • Transplant list 
    • Undergoing a course of treatment for a serious and complex condition
    • Undergoing institutional or inpatient care from the provider
    • Having been determined to be terminally ill