Important Information for Patients
with Blue Cross Blue Shield of Texas Insurance
UPDATE- Oct. 16, 2014
As a result of our most recent meeting with Blue Cross Blue Shield of Texas, Hendrick Medical Center (Hendrick) and Hendrick Provider Network and Hendrick Anesthesia Network physicians will remain out-of-network providers with BCBS for the remainder of the 2014 benefit year, and likely for all of 2015.
We are disappointed in BCBS’ decision not to restore in-network access. We sought a contract that treated Hendrick fairly in the West Texas market for a hospital of our size and that recognized our continued investment in expert care and advanced healthcare services for our community. We made numerous offers, including an opportunity to let the outcome be decided by an independent arbitrator. However, BCBS declined.
We know that a new agreement with BCBS is not forthcoming. Hendrick remains fully committed to working to ensure your access to the care you need. As a reminder, patients covered by BCBS Medicare Supplement are not affected by the negotiations, and BCBS patients can continue to visit our emergency room at in-network benefit levels.
We are in-network with several other major insurance companies where competitive rates are available. For a full list of insurance companies with in-network access to Hendrick, please visit our web site at www.ehendrick.org/Patients/In-NetworkPlans.aspx.
UPDATE - Oct. 1, 2014
Since July 1, our goal has been to bring BCBS to the table for negotiations. In the last 45 days, Hendrick Medical Center has delivered three proposals to BCBS to restore Hendrick and the Hendrick Provider Network (HPN) and Hendrick Anesthesia Network (HAN) physicians to the BCBS network prior to Sept. 30, but to no avail. BCBS has now agreed to meet with us for negotiations on October 15.
We are hopeful that an agreement can be reached. However, should the October 15 meeting pass without an agreement in principle, Hendrick Medical Center and HPN and HAN physicians will not be in-network providers for BCBS members for the remainder of 2014, and likely the entire 2015 benefit year.
UPDATE - July 1, 2014
We are very disappointed that as of July 1, Hendrick Health System, as well as Hendrick Provider Network and Hendrick Anesthesia Network physicians, are no longer part of the Blue Cross Blue Shield of Texas network.
Patients can continue to access Hendrick services and physicians with the understanding that claims likely will be considered out-of-network by Blue Cross Blue Shield, and may incur higher out-of-pocket costs. Patients should contact Blue Cross directly to review their benefits.
This is certainly not the outcome we wanted, but we remain fully committed to working with our Blue Cross patients to continue providing the care they need.
UPDATE - June 30, 2014
For the past four years, Hendrick Health System has worked diligently to bring our Blue Cross Blue Shield of Texas reimbursement rates to a level that is comparable to rates provided to hospitals our size with similar services. While we have made every effort to accomplish this outcome, to date, there is no resolution.
If an agreement is not met by midnight June 30, Hendrick services, as well as Hendrick Provider Network and Hendrick Anesthesia Network physicians, will be considered out-of-network providers for patients with BCBS commercial insurance. Blue Cross Medicare supplements are not affected.
In the event that Hendrick becomes an out-of-network provider, more information will be posted to the website July 1.
UPDATE - June 13, 2014
Negotiations continue between Hendrick Medical Center and Blue Cross Blue Shield of Texas (BCBS). We have met with BCBS on several occasions, but have no resolution at this time. We will continue to negotiate in good faith.
Remember that for now, BCBS members can access Hendrick facilities and its physicians. However, if we are unable to agree on new contracts by June 30, Hendrick and Hendrick Provider Network and Hendrick Anesthesia Network physicians will be considered out-of-network providers for patients with BCBS commercial health insurance.
We apologize for the inconvenience this negotiation may be causing you. We will continue to keep you updated.
May 22, 2014
Hendrick Medical Center (Hendrick) and Blue Cross Blue Shield of Texas (BCBS) are currently negotiating a new contract that covers services. Our current contract is scheduled to end on June 30, 2014.
It’s important to know that, for now, nothing changes. Patients will still have access to care at Hendrick and to those physicians. If we are unable to agree on a new contract by June 30, Hendrick and our Hendrick Provider Network (HPN) physicians and Hendrick Anesthesia Network (HAN) physicians will be considered out-of-network providers for patients with BCBS commercial health insurance. This means BCBS members with commercial health insurance may lose in-network access or may face higher out-of-pocket costs to receive care at Hendrick. This is not what we want, and we are working hard to avoid this outcome.
- Over the past 10 months, Hendrick has been negotiating our contract with BCBS to secure competitive market rates for the care we provide to our community.
- The last negotiated rate adjustment in payment rates was in 2010; yet, the cost to provide care to our community and run our hospital continues to increase year after year.
- Several years of poor payments from BCBS have created an unsustainable gap in our rates.
We do not take this issue lightly and will continue to keep you updated of any meaningful progress between now and June 30.
*Please note that patients covered by Blue Cross Blue Shield of Texas Medicare Supplement are not affected by the negotiations.