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Why we have Blue Distinction centers
The growing obesity epidemic is a serious health concern. Requests for Bariatric Surgery are on the rise throughout the country. While many surgeons and hospitals are willing to perform this procedure, their experience is varied.

The Blue Distinction Centers for Bariatric Surgery consists of identified hospitals that meet a broad range of criteria, focusing on experience and surgical outcomes. Use of such centers has typically improved health outcomes and financial performance by lowering complications.

Types of Blue Distinction centers and who may use them
If you are a member of Blue Cross and Blue Shield of Texas, you may take advantage of the Blue Distinction Centers for Bariatric Surgery. If you are seeking care in Illinois or Texas, look below to find the centers available for you.

If you are seeking care in a state other than Illinois or Texas, you may take advantage of the national Blue Distinction Centers for Bariatric Surgery. Some of these centers are located in nearby states and may be convenient even for members living in Illinois or Texas. Click here to view the current list of Blue Distinction Centers for Bariatric Surgery.

If you are not a member of Blue Cross and Blue Shield of Texas, the information on this Web site may not apply to you - Please contact your own health plan.

How the Blue Distinction centers were formed
The selection of providers for the Blue Distinction Centers began with a Request for Information (RFI). The RFI elicited detailed information about qualifications and experience from each hospital as well as their surgical success rates and complications.

A review committee conducted a blind analysis of the RFI results based on defined clinical criteria and acceptance letters were sent to the selected hospitals.

Member participation
Member participation is voluntary. Members whose benefit plan includes coverage for bariatric surgery will be advised of the Blue Distinction Centers for Bariatric Surgery; however, depending upon the member's benefit design, the members may be able to choose other contracted facilities without penalty. The member must complete a medical weight management program and satisfy all other criteria in the medical policy regarding Surgery for Morbid Obesity before bariatric surgery can be considered. When using a Blue Distinction Center for Bariatric Surgery members should confirm that the surgeon is part of the contracting network by calling Customer Service. Members will not receive in-network benefits for the services of surgeons or other providers who are not in the contracted provider network of the member’s health plan.

The HMO program follows a different procedure than that described above. If you are an HMO member, consult with your Primary Care Physician regarding the most appropriate treatment for your condition.

Blue Distinction centers in Texas
There are sixteen hospitals in the Blue Distinction Centers for Bariatric Surgery in Texas. The list below identifies the hospitals and the networks in which they participate.

Texas Blue Distinction Centers for Bariatric Surgery

Location
PPO
POS
PAR
Baylor Regional Medical Center at Plano
Plano
X
X
X
Baylor University Medical Center
Dallas
X
X
 
Del Sol Medical Center
El Paso
X
X
X
Doctors Hospital
Dallas
X
X
X
Houston Northwest Medical Center
Houston
X
X
X
Memorial Hermann Hospital
Houston
X
X
Mother Frances Hospital
Tyler
X
X
 X
Texas Health Presbyterian Hospital Dallas
Dallas
X
X
X
Providence Memorial Hospital
El Paso
X
X
X
Rio Grande Regional Hospital
McAllen
X
X
X
Scott and White Memorial Hospital
Temple
X
X
X
The Methodist Hospital
Houston
X
X
X
Baylor Medical Center Carrollton
Carrollton
X
X
X
United Regional Health Care System
Witchita Falls
X
X
X
UT Southwestern Zale Lipshy Hospital
Dallas
X
X
X
Wadley Regional Medical Center
Texarkana
X
X
X

Blue Distinction centers in Illinois
There are six hospitals that are in the Blue Distinction Centers for Bariatric Surgery in Illinois at this time. Please see the list below for these hospitals and the networks in which they participate.

Illinois Blue Distinction Centers for Bariatric Surgery

Location
PPO
POS
University of Illinois Medical Center
Chicago
X
X
Little Company of Mary Hospital
Evergreen Park
X
X
NorthShore University HealthSystem
Evanston
X
X
Northwestern Memorial Hospital
Chicago
X
 
Silver Cross Hospital
Joliet
X
X
University of Chicago Medical Center
Chicago
X
X

These services do not apply to HMO members. As with other medical conditions, HMO members are encouraged to coordinate their care through their Primary Care Provider.

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