Blue Cross/Blue Shield Texas - St. Joseph CHI = Ending Insurance Coverage

22,537 Views | 145 Replies | Last: 3 yr ago by dubi
EBrazosAg
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In reply to [removed post] • 9:02p, 11/11/20
AG
https://en.m.wikipedia.org/wiki/Anthem_(company)
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In reply to EBrazosAg • 9:09p, 11/11/20
selk
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9:22a, 11/12/20
AG
I can get you a nationwide PPO plan with United heqlthcare if you need options

selkins.insuranceagent@gmail
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MisterShipWreck
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In reply to selk • 9:57a, 11/12/20
selk said:
I can get you a nationwide PPO plan with United heqlthcare if you need options

selkins.insuranceagent@gmail
That doesn't help me with my insurance thru my job, though.... No way would it be close to what I pay, unfortunately.
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snaglepuss
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11:52a, 11/12/20
Does anyone know if BC/BS Federal is included in this mess?
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EBrazosAg
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In reply to snaglepuss • 1:42p, 11/12/20
AG
Ummm. Asked and answered.... BCBS TX is BCBS TX. Not federal, Dc, Ohio Mississippi, etc.
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cz308
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6:42p, 11/20/20
What I find a bit odd as well is that no one from TAMU has sent anything out or even mentioning it.
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In reply to cz308 • 10:47p, 11/20/20
momlaw
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12:42p, 12/2/20
AG
Is there any additional information?
TAMU - BCBS ?
CHI - BCS movement?
Other?

Have chosen BCBS in the past due to their servicing TAMU and having most complete roster of health care providers/servicers locally.

Facing closing of open enrollment 12.7 (Monday) without knowledge to make informed selection.

If there is information available would appreciate having it.
momlaw
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EBrazosAg
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In reply to momlaw • 1:42p, 12/2/20
AG
There won't be any. TAMU plan year is September start so there definitely won't be anything from them. If other markets are a indication, there will be a last minute ( truly last day kind of stuff) settlement/extension for a year or so OR it will go 1-3 months before they reach an agreement.
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EBrazosAg
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In reply to momlaw • 1:45p, 12/2/20
AG
For example.....

https://omaha.com/livewellnebraska/two-years-after-months-long-dispute-ended-chi-health-blue-cross-blue-shield-sign-new/article_d65e9f44-5cfb-11e7-8232-0f29d33e2f49.html
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momlaw
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9:45p, 12/2/20
AG
Erased personal tirade.
Personal choice.
Personal responsibility.
Disheartened.
momlaw
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MisterShipWreck
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In reply to EBrazosAg • 9:46p, 12/2/20
EBrazosAg said:
For example.....

https://omaha.com/livewellnebraska/two-years-after-months-long-dispute-ended-chi-health-blue-cross-blue-shield-sign-new/article_d65e9f44-5cfb-11e7-8232-0f29d33e2f49.html

Damn. I'll have to find a new doctor....
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momlaw
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3:48p, 12/6/20
AG

Pretty much decided before completing research I would switch from BCBS as a protest if most other things equal'ish, consistent with my theory that my $$s are votes in the marketplace.

Big pleasant surprises, for me -
  • All Medicare providers must accept Medicare coverages << so no BCBS increased access
  • Mutual of Omaha premiums for identical coverage 48% less than BCBS (MoO screens medical history).
  • The MoO agent was professional, helpful, and will continue to be my personal Agent, point of contact; contrasted with a BCBS boiler room dealing with an associate who knew less about coverages and options than I did.... and messed up the application resulting in billing complications that lasted 5 solid months.
  • Willing to share MoO Agent's contact with anyone who messages or emails per my profile address.
momlaw
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KidDoc
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9:56a, 12/9/20
AG
Per the email today it is still up in the air.

All of the outpatient clinics will still be in network (they have a separate contract) but the hospital will fall out of network 12/17 if no deal is made. So you can still see your outpatient PCP but any labs or imaging will have to go to other in-network facilities (like CPL) if there is no deal.

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philothea
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10:26a, 12/9/20
Well Scott and White and Physician center is going to get busy with imaging since Bryan Radiology was bought out by St Joseph a few years back. Might take them loosing the lab and imaging work for awhile for them to come back to the table.
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befitter
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12:14p, 12/9/20
It's wrong that those of us with private BCBS can't even make an informed decision on this with the deadline for signing up for insurance is December 15th.
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lockett93
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In reply to philothea • 12:18p, 12/9/20
AG
philothea said:
Well Scott and White and Physician center is going to get busy with imaging since Bryan Radiology was bought out by St Joseph a few years back. Might take them loosing the lab and imaging work for awhile for them to come back to the table.


Technically they only bought the lab. Bryan Radiology still exists.
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MisterShipWreck
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7:46a, 12/15/20
Tomorrow is THE LAST DAY, apparently....
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befitter
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In reply to MisterShipWreck • 9:01a, 12/15/20
MisterShipWreck said:
Tomorrow is THE LAST DAY, apparently....
Hoping I see an email today that they have come to an agreement. Doubting it.
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MisterShipWreck
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In reply to befitter • 9:06a, 12/15/20
befitter said:
MisterShipWreck said:
Tomorrow is THE LAST DAY, apparently....
Hoping I see an email today that they have come to an agreement. Doubting it.
Yes, if not resolved in the next month, I'll have to find a new primary doctor
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KidDoc
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In reply to MisterShipWreck • 9:39a, 12/15/20
AG
MisterShipWreck said:
befitter said:
MisterShipWreck said:
Tomorrow is THE LAST DAY, apparently....
Hoping I see an email today that they have come to an agreement. Doubting it.
Yes, if not resolved in the next month, I'll have to find a new primary doctor
Only the hospital & imaging & labs will be out of network- PCPs are on a different contract it will not effect those payments.

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threecatcorner
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In reply to KidDoc • 10:03a, 12/15/20
Glad to hear about the docs, but labs out of network and (I think) biggest local hospital out of network are both problems. People who need hospitals should go to closest and not have to worry about network.
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MisterShipWreck
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In reply to KidDoc • 10:47a, 12/15/20
KidDoc said:
MisterShipWreck said:
befitter said:
MisterShipWreck said:
Tomorrow is THE LAST DAY, apparently....
Hoping I see an email today that they have come to an agreement. Doubting it.
Yes, if not resolved in the next month, I'll have to find a new primary doctor
Only the hospital & imaging & labs will be out of network- PCPs are on a different contract it will not effect those payments.


That is not what the insurance and the doctor's office has told me. They said I would be billed as out of network. I even got a letter in the mail about it from the insurance company.

I specifically asked about doctors offices. I am not too worried about the hospital thing for now. But, I have several doctors with the St Joseph logo on the door.
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KidDoc
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In reply to MisterShipWreck • 10:53a, 12/15/20
AG
MisterShipWreck said:
KidDoc said:
MisterShipWreck said:
befitter said:
MisterShipWreck said:
Tomorrow is THE LAST DAY, apparently....
Hoping I see an email today that they have come to an agreement. Doubting it.
Yes, if not resolved in the next month, I'll have to find a new primary doctor
Only the hospital & imaging & labs will be out of network- PCPs are on a different contract it will not effect those payments.


That is not what the insurance and the doctor's office has told me. They said I would be billed as out of network. I even got a letter in the mail about it from the insurance company.

I specifically asked about doctors offices. I am not too worried about the hospital thing for now. But, I have several doctors with the St Joseph logo on the door.
They need to read their emails. This is from last week:
---- cut & paste--
Mark Riggins has sent a letter on behalf of the primary care providers to BCBS that will allow the SJMG PCPs to continue to stay in-network for the insurance. Consequently, patients will be able to continue seeing their PCPs in the clinics without interruption. The specialists will also be able to see patients in the outpatient setting and perform any in-office procedures, and some of our specialists have privileges in outside hospitals as well. Consequently, the specialists will continue to take referrals as previously.

Two of the clinic/facility services that will be affected are labs and imaging. For labs, based on patient insurance, there are options to send patients to CPL, Quest, and Labcorp. Because of the eCW interface with CPL, it is highly encouraged to send patients to CPL so we can get discrete data back into the EHR that will qualify for our quality metrics and be the least disruptive to our regular clinic workflow. We are working through the processes of imaging at this point and will give you more details in the coming week.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
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MisterShipWreck
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1:11p, 12/15/20
I just called 1 of my doctors and confirmed that, good. About 3 weeks ago, I was told the opposite.
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AgProgrammer
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7:12p, 12/15/20
AG
We received a letter from BCBS a couple of weeks ago saying that our current PCP (St. Joseph Family Clinic) would become out-of-network due to CHI St. Joseph being dropped from our coverage. I called their office last week and they said they would be out-of-network also unless they came to a new agreement. So sounds like lots of mixed messages flying around.
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MisterShipWreck
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In reply to AgProgrammer • 7:36p, 12/15/20
AgProgrammer said:
We received a letter from BCBS a couple of weeks ago saying that our current PCP (St. Joseph Family Clinic) would become out-of-network due to CHI St. Joseph being dropped from our coverage. I called their office last week and they said they would be out-of-network also unless they came to a new agreement. So sounds like lots of mixed messages flying around.
That is what I was saying earlier. But, this afternoon, I called the St Joe clinic that I go to, after that post. And, they claimed this issue doesn't affect the individual offices after all.
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dubi
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8:59a, 12/17/20
AG
So today is the day that all of us on BCBS should not visit St Joe hospital or Imaging!
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KidDoc
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In reply to dubi • 9:29a, 12/17/20
AG
dubi said:
So today is the day that all of us on BCBS should not visit St Joe hospital or Imaging!
Yes it is already creating hassles with labs. More annoyances boooooooooooo
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dubi
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In reply to KidDoc • 10:19a, 12/17/20
AG
KidDoc said:
dubi said:
So today is the day that all of us on BCBS should not visit St Joe hospital or Imaging!
Yes it is already creating hassles with labs. More annoyances boooooooooooo
I really hoped they would all put on their big girl panties and work this out. You know they will eventually and make it retroactive, but any poor person who has surgery or visits the ER without any knowledge of this mess will pay for the price for months trying to get their bill worked out.
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FlyRod
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10:38a, 12/17/20
Cue those old "trust!" posts from when TAMU folks were put on BCBS by the powers that be.
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In reply to FlyRod • 10:59a, 12/17/20
FearNoWeevil
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11:39a, 12/17/20
AG
Got re-routed to the Physicians Center this morning for blood work.
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ratfacemcdougal
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12:34p, 12/17/20
https://www.kbtx.com/2020/12/16/commonspirit-health-bcbstx-split-will-affect-thousands-of-brazos-valley-residents/
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