As we reported on July 22, 2016, Blue Cross and Blue
Shield of Texas (BCBSTX) and Kelsey-Seybold Clinic have terminated
certain contractual relationships, effective October 1, 2016.
Even though Kelsey-Seybold Clinic has made the
decision to leave the BCBSTX BlueChoice
PPO/POS and Traditional/Par Plan networks, members still have
access to a robust network of participating providers in the
Members can continue to utilize Kelsey-Seybold Clinic
with out-of-network benefits, but may be responsible for a
significant portion of the cost of provider visits if they continue
to receive services from Kelsey-Seybold after October 1, 2016.
For more information about transitioning to an
in-network provider please visit bcbstx.com/kelseyseybold.
Also, effective January 1, 2017, regardless of renewal
date, CVS pharmacies and CVS pharmacies in a Target store will no
longer be a part of the BCBSTX standard pharmacy network for
members with pharmacy benefits administered by Prime Therapeutics.
Members will continue to have access to more than
55,000 nationwide pharmacies in network (without CVS), with more
than 4,000 located within Texas. This includes many major pharmacy
chains such as Walgreens, Walmart, Kroger, HEB, Brookshire's and
many independent pharmacies.
BCBSTX is committed to helping their members find the
most convenient alternative for their pharmacy coverage needs.
Impacted members, who have had recent CVS claims, will be notified
in October with a letter. This letter will provide information on
how to find an alternative network pharmacy, as well as how to
transfer any current refill/new prescriptions to their new
BCH is committed to bringing you updates on this
matter as they develop. Please contact any member of your BCH
Benefits Team for more information.