Baptist Health, Cigna reach agreement to keep patients in-network

SAN ANTONIO – Baptist Health System’s parent company, Tenet Healthcare, reached a new deal with insurance provider Cigna to keep its services in-network.

The two were locked in a contract dispute that could have placed 1.4 million Texas families out of network, subjecting them to higher costs and potential disruptions in care, if a deal was not reached before the end of 2025.

Here are steps you can follow to prepare if a contract dispute extends beyond its negotiating deadline, from the Centers for Medicare & Medicaid Services:

Confirm whether you are impacted

Not every health insurance plan is included in a coverage dispute.

Should the dispute between Cigna and Baptist Health extend past Dec. 31, patients should call both their companies to confirm whether they are impacted.

Some questions you can ask include:

• Is (name of your doctor or location) now considered out-of-network for my insurance plan?
• I have an appointment on (specific date). Will this be considered in-network or out-of-network?
• Will in-network rates be honored for patients who were already in active treatment?
• Do you offer payment plans, discounts or financial assistance if my premiums go up?

Be sure to take note of who you spoke with and the date and time of the call, in case you need to reference it with another representative.

Ask if you can continue care

Health insurance plans sometimes offer continuity-of-care or transition-of care policies for when a contracted provider treating certain conditions is no longer considered in-network.

Those impacted should ask their provider if they are eligible for continuing care. If so, ask your insurance provider the following questions:

• Where can I find the forms to apply?
• What is the deadline to submit this request?
• How long will services be covered if granted?

Consider whether to change plans or providers

Disputes usually don’t last very long, but if they do, you may consider switching care or health insurance plans.

If your care is relatively routine, you may ask your insurance provider if there are other in-network options accepting new patients.

You may also choose to enroll in a different plan through your employer or the marketplace, though you will need to ask your HR department or a marketplace representative whether you qualify for a special enrollment period.

Waechter said Baptist Health System is offering free counseling to those looking for help enrolling in marketplace plans, which can be accessed by calling 210-202-5849.

Read also:

• Millions could see doubled premiums as Affordable Care Act tax credits set to expire
• Understanding health insurance terms: KSAT Explains