BCBSTX Agrees To 60-Day Delay In Implementing New ER Claims Policy

The Texas Department of Insurance has coaxed Blue Cross Blue Shield of Texas into a 60-day delay in implementing a policy that could leave some members on the hook for their entire emergency room bills.

TDI Commissioner Kent Sullivan met with BCBSTX President Dr. Dan McCoy on Tuesday—with other representatives from both sides also in on the meeting—to discuss the new rules, according to a spokesperson for TDI. The department on Thursday sent a letter requesting more information on the change.

BCBSTX notified members in April that HMO members visiting out-of-network ERs could be on the hook for their entire bills if the symptoms for which they visited the ER are deemed to be non-emergent. It’s since come under scrutiny.

The policy was set to go into effect on Monday. The Dallas Morning News broke the news of a delay on Thursday afternoon.

TDI’s letter to BCBSTX asks it to spell out the need for the change and to explain the new process, among several other questions. View that letter in full here.