BCBSTX to Drop Individual PPO Plans

The Dallas Morning News reported last month that about 367,000 Texans "will lose their individual health insurance policies next year when Blue Cross and Blue Shield of Texas [BCBSTX] stops offering its Blue Choice PPO [preferred provider organization] plans." The insurer said it paid out $400 million more in claims in 2014 than it collected in premiums. 

This affects only those patients enrolled in an individual PPO plan, which may or may not have been bought on the Affordable Care Act health insurance exchange. Affected ACA patients will have to select another BCBSTX product or another health plan when open enrollment begins on Nov. 1, 2015. At this time, TMA does not know which health plans and product types will be offered in 2016. TMA expects information to be posted in October 2015. However, the information may not be available until the portals are open on Nov. 1.

Action, Aug. 3, 2015

Last Updated On

June 23, 2016

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