Important Information for Patients with Health Insurance through BCBS TX

As a standard course of business, Midland Health is in the process of negotiating with Blue Cross & Blue Shield of Texas (BCBS TX) for a new, fair contract that will allow Midland Health to continue to offer in-network care to BCBS TX members. Midland Health has had a long-standing and valued relationship with BCBS TX, and we are hopeful that BCBS TX will be willing to work with us to reach a new agreement. If agreement cannot be reached, Midland Health will be out-of-network for BCBS TX members effective February 15, 2025. For a detailed list of facilities and providers that are involved in the ongoing negotiations BCBS TX, please visit here.

We understand that negotiations can cause uncertainty for patients – and we want you to know that our number one priority is ensuring continuity of care for our patients. This dedicated web page contains answers to a number of Frequently Asked Questions, below, and will be updated as new information is available.

FAQs Regarding BCBS TX Negotiations

Why is Midland Health negotiating a new contract with BCBS TX?

As a standard course of business, we are in the process of negotiating a new, fair contract that will allow us to continue to offer in-network care to BCBS TX’s members.

Which plans are included in the negotiation?

Currently, negotiations include all BCBS TX commercial plans – PPO, HMO, and Blue Advantage HMO (BAV). Midland Health is not an in-network provider for BCBS TX’s Medicare Advantage or Medicaid plans.

What is the negotiation timeline?

It is our desire to reach agreement on new terms prior to February 15, 2025. If agreement cannot be reached, Midland Health will be out-of-network for BCBS TX members effective February 15, 2025. You can find a detailed list of impacted providers and facilities by clicking here.

What locations and providers are included in the negotiations?

Midland Health (Midland Memorial Hospital, Premier Physicians, Permian Cardiology, and West Texas Orthopedics) will be out of network with BCBS TX as of February 15, 2025, if agreement cannot be reached on new terms. For a detailed list of facilities and providers that are involved in the ongoing negotiations BCBS TX, please visit here.

How does this impact Midland Health Patients?

Right now, as negotiations are underway, nothing will change for our BCBS TX patients. If you do not have BCBS TX health insurance, you will not be impacted by our current negotiations.

Will Midland Health patients need to change providers? How much will it cost to stay with a Midland Health provider if the contract ends on February 15, 2025?

Right now, as negotiations are underway, nothing will change for our BCBS TX patients. Our BCBS TX patients can still choose Midland Health for their health care needs.

If Midland Health cannot reach agreement with BCBS TX, we will be an out-of-network provider for BCBS TX members as of February 15, 2025. You will still be able to receive healthcare services by Midland Health providers. Without a new agreement, out-of-pocket costs for office visits and other services by an out-of-network provider will be higher. The details of your coverage will need to be discussed with BCBS TX, because out-of-network benefits differ from plan to plan.

Who can I call at Midland Health if I have additional questions?

Please call patient financial services 432-221-4678.
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