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BCBS of Texas vs Southwestern Health Resources

As a reminder: Southwestern Health Resources, which includes UT Southwestern and Texas Health Resources, will leave the Blue Advantage HMO network after December 31, 2025, as part of new contract negotiations the parties finalized earlier this year.

The parties came to an agreement on new contracts in April after the previous contracts had lapsed for a few days amid negotiations.

Southwestern Health Resources remains in the following networks, according to the Blue Cross Blue Shield of Texas website: ParPlan, Blue Choice PPO, Blue Essentials, MyBlue Health, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage and Medicaid.

Source: WFAA

BCBS of Texas vs Southwestern Health Resources

Blue Cross Blue Shield of Texas’ more affordable Blue Advantage HMO plan, which offers a narrower network at a lower price, is set to go out of network at Southwestern Health Resources on January 1. The expiration will leave Blue Advantage members unable to access in-network care from providers at UTSW Clements University Hospital or the twenty-nine Texas Health hospitals in the state.

BCBSTX is advising Blue Advantage members to find a new primary care physician who is not affiliated with UTSW or Texas Health or select another plan option during open enrollment to maintain an in-network relationship with the SWHR providers.

Source: D Magazine