Your Questions

Our contracts with Covenant Health expire on Aug. 1, 2025. If we aren’t able to reach an agreement on new contracts, Covenant Health physician groups, hospitals and other facilities will no longer be in these provider networks as of Aug. 1.

We’re working closely with Covenant leadership and hope to sign new contracts before Aug. 1. We want agreements that compensate Covenant fairly while being good stewards of your health care dollars. We value our relationship with Covenant, but it’s also important that the contracts we agree to are fair for our members and the local businesses we serve.

Our goal is to keep giving you access to a broad network of providers at fair prices. We watch the market closely to make sure we offer competitive rates to providers. This helps lower the cost of your premiums. As a member-owned organization, we know you expect us to protect your health care dollars. The rates we negotiate with providers impact the amount you pay. Health care is a major cost for many people, and we owe it to you to keep prices down.

We’re hopeful. We’ll update this site when we have news to share.

If we can’t agree to fair terms with Covenant, and you’d like to stay in-network for your care, we’ll be here to make your move to other doctors and hospitals in your network as seamless as possible. We have a robust network of providers to ensure you have access to quality in-network health care.

• PPO members: Not necessarily. If you have a PPO plan that provides coverage for out-of-network benefits, you can choose to get care anywhere you want, including Covenant. Out-of-pocket costs may be higher if you do.

• HMO members: If you have an HMO plan, you must seek in-network care for your benefits to apply, except in emergencies.

• Emergency services for PPO and HMO: In the case of a life-threatening illness or injury, go to the nearest emergency facility right away. Emergency services are covered at the in-network benefit level for PPO and HMO. Your responsibility for any additional charges will depend on your health plan and applicable law. Learn about surprise billing at bcbstx.com.

If your PCP is with Covenant and leaves our networks on Aug. 1, 2025, we can help you find a new PCP.

• Visit bcbstx.com and select Find Care, or visit your provider directory
• Register for or log in to Blue Access for Members℠. If you don’t have access to BAM℠, go to the website on the back of your member ID card. 
• Call the customer service number on your member ID card  

After Aug. 1, if Covenant leaves our networks and you haven’t selected a new PCP, we will choose one for you. Once you receive your new member ID card with your new PCP name, you can change this selection at any time with a provider who may better meet your medical needs. To change your PCP, log in to BAM or your online member portal, or use our BCBSTX mobile app to make the switch.

This negotiation may affect Blue Cross and Blue Shield members with plans in other states who access Covenant. Call the number on your member ID card to review your plan’s coverage or for help finding in-network options.

When scheduling future procedures, we’ll let doctors know of the possible contract expiration and work with them to avoid disrupting your care. If needed, we’ll help them transition your care or schedule procedures with other in-network hospitals or facilities.

You have choices for quality, cost-effective care. For personalized search results based on your health plan and network, you can log in to BAM. If you don’t have access to BAM, go to the website on the back of your member ID card. You can also call the number on your member ID card.

Yes. In the case of a life-threatening illness or injury, go to the nearest emergency facility right away. Emergency services are covered at your in-network benefit level. Your responsibility for any additional charges will depend on your health plan and applicable law.

If you are pregnant or being treated for a disability, acute condition or life-threatening illness, you may qualify as a continuity-of-care patient. This means you may still be able to receive care at Covenant at in-network rates even if they are no longer in our networks.

If you are eligible for continuity of care, you will not be balance billed or have to pay more than the amount covered by your plan, even if Covenant charges more.

If you have questions, call the number on your member ID card. Customer Advocates will help answer questions about your specific benefits and provide guidance. Your doctor may also start the continuity-of-care process by calling the prior authorization number on your member ID card.

BCBSTX members: You may start the process by completing a Request for Continued Access to Providers form or by calling the number on your member ID card. Forms should be faxed to the number on the form. Once reviewed, you or your doctor may be contacted for more information, like medical records. A decision will be made and shared with you or your doctor, most often in less than a week.

Members of other Blue Cross and Blue Shield Plans: If you are a member of a Blue Plan other than BCBSTX, you may call the number on your member ID card for help.

Covenant facilities and hospitals are part of this negotiation. View the list.

The doctors and health care professionals employed by Covenant are part of this negotiation.

Not necessarily. Many doctors have privileges at other hospitals, or they can apply for privileges at other in-network hospitals. We encourage you to talk with your doctors about your care options.

Additionally, some health plans allow you to choose to go out-of-network. If you do, you will pay more out-of-pocket for any care you receive by out-of-network providers or at out-of-network facilities.

The doctors employed by Covenant are part of this negotiation. If we don’t come to an agreement, both the doctors and the hospitals will no longer be in network as of Aug. 1.

Talk with your doctor. Ask if they are thinking about getting admitting privileges at another in-network hospital.

If you have a procedure scheduled at a Covenant facility on or after Aug. 1, 2025, please call the number on your member ID card to ask about your benefit coverage.

If you have a procedure performed before Aug. 1, 2025, and your hospital stay goes past Aug. 1, 2025, your care may be covered at the in-network level. We’ll work closely with Covenant facilities to avoid issues with your bill, so you can focus on getting better.