Medicare Advantage Members  Transitioning to BCBSTX Kidney Care Program

10/23/2023

In January 2024 we’re launching a specialized care coordination program for eligible Blue Cross Medicare Advantage (PPO)SM and Blue Cross Medicare Advantage (HMO)SM members who have chronic or end-stage kidney disease. Our Kidney Care Program will replace the Somatus kidney care program, a service currently provided by vendor Somatus, Inc.®

Program Transition

Medicare Advantage members who currently use Somatus will transition to our program from January through March 2024. During the transition, Blue Cross and Blue Shield of Texas (BCBSTX) and Somatus care coordinators will work together to support members. Members affected by the transition will receive a letter with details.

BCBSTX Care Coordination

As part of our Kidney Care Program, BCBSTX care coordinators collaborate with providers to coordinate services and help members follow a plan of care. Our goal is to support our members as they work with you to manage their disease and improve health outcomes. The program is free of charge.

Call the Customer Service number on the BCBSTX member ID card if you have questions or to refer a Medicare Advantage member to the Kidney Care Program.

Somatus is an independent company that provides care management services for certain BCBSTX members with CKD and ESKD. Somatus is wholly responsible for its own products and services. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.