The TAMUS Benefits Administration Office does not currently have a director. They appear to be rudderless.
It was stated by Kiddoc on page 2.gettingitdone said:
I am not seeing that stated above in the email from TAMU. Am I missing somthing?
Quote:
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.
Were those the commercials that said "You won't pay more at Caprock than you will anywhere else!"dubi said:A few months ago Caprock had a few commercials advertising their ER was in network.Quote:
I dont know if it still is, but Caprock was also in network (at least their urgent care was, I assume their ER is too)
Caprock and PC are fine for the little stuff, but go to St Joe or S&W if you are having a heart attack or stroke.
I know, seems like a rookie mistake. I at least thought A&M might care, but I was being optimistic.AggieBarstool said:If you ever thought it was about care and not about money...agrab86 said:
Looks like neither BCBS or CHI care about most of our health, which isn't surprising. And if TAMUS doesn't step in and force a local solution, then they don't care about their employees.
Is the "Brazos Valley Network" the reason we have lower copays at CHI?Quote:
The TAMU Health Science Center has agreements in place with CHI for both its academic programs and to create the Brazos Valley Network. Currently, there is no hospital in the Brazos Valley Network and the HSC agreement precludes any opportunity to add Baylor Scott & White or The Physicians Centre.
I have the HMO plan and SW is in network. As WAS St. Joseph until this mess.gettingitdone said:
I wondered about this as well. I think almost all BCBS insurance cards state on the back, "File all claims through your local BCBS Company". This in essence means all claims are filed through BCBSTX for processing. Not sure how all of it works on the back in but it will be interesting to see. I have a family member whos husband has covid. They have a private policy with BCBSTX, but it is an HMO plan. She was told that SW doesn't not accept HMO plans, and now that St. Joseph isn't taking BCBS either, she is worried about what to do.
I have the Texas Health Select HMO from BCBS. I see a couple of S&W doctors every year, and they take my BCBS insurance.gettingitdone said:
I wondered about this as well. I think almost all BCBS insurance cards state on the back, "File all claims through your local BCBS Company". This in essence means all claims are filed through BCBSTX for processing. Not sure how all of it works on the back in but it will be interesting to see. I have a family member whos husband has covid. They have a private policy with BCBSTX, but it is an HMO plan. She was told that SW doesn't not accept HMO plans, and now that St. Joseph isn't taking BCBS either, she is worried about what to do.
Read above KidDoc post. Emergency care for Covid, heart attack, stroke would be covered.befitter said:I have the HMO plan and SW is in network. As WAS St. Joseph until this mess.gettingitdone said:
I wondered about this as well. I think almost all BCBS insurance cards state on the back, "File all claims through your local BCBS Company". This in essence means all claims are filed through BCBSTX for processing. Not sure how all of it works on the back in but it will be interesting to see. I have a family member whos husband has covid. They have a private policy with BCBSTX, but it is an HMO plan. She was told that SW doesn't not accept HMO plans, and now that St. Joseph isn't taking BCBS either, she is worried about what to do.
Quote:
Note that if you have a true emergency and need to stay in a hospital BCBS is forced to cover it via EMTALA. So if you have a car wreck, stroke, heart attack, need to be hospitalized for COVID and are admitted through the ER it will be covered.
If you need a non emergent procedure or hospital stay it will not be covered at this time.
Yes, I understand that ER care is covered.dubi said:Read above KidDoc post. Emergency care for Covid, heart attack, stroke would be covered.befitter said:I have the HMO plan and SW is in network. As WAS St. Joseph until this mess.gettingitdone said:
I wondered about this as well. I think almost all BCBS insurance cards state on the back, "File all claims through your local BCBS Company". This in essence means all claims are filed through BCBSTX for processing. Not sure how all of it works on the back in but it will be interesting to see. I have a family member whos husband has covid. They have a private policy with BCBSTX, but it is an HMO plan. She was told that SW doesn't not accept HMO plans, and now that St. Joseph isn't taking BCBS either, she is worried about what to do.Quote:
Note that if you have a true emergency and need to stay in a hospital BCBS is forced to cover it via EMTALA. So if you have a car wreck, stroke, heart attack, need to be hospitalized for COVID and are admitted through the ER it will be covered.
If you need a non emergent procedure or hospital stay it will not be covered at this time.
Slocum on a mobile said:
I'm betting that once St. Joe's sees a significant drop at both their hospitals, that they will begin negotiations anew....
EBrazosAg said:
That's not correct.
That is correct. It is all about St. Luke CHI Houston (and its competition).histag10 said:
Didnt KidDoc or someone else say these negotiations had little to do with BCS and St. Josephs, and more to do with the Houston CHI market?
EBrazosAg seems to know more than the actual OR and recovery room nurses who suddenly can't work. He said above that I was wrong about this.trouble said:
Elective surgeries & procedures are being cancelled thanks to the executive order and the random 15% rule.