![]() The contract, which was a multiyear contract, runs through Jan. Ascension Seton and Blue Cross and Blue Shield of Texas have been in negotiation since the fall. Hospital systems and insurance companies regularly review contracts prior to renewing them. Read more: Dell Medical School health worker made sure Austin mom wasn't alone in medical crisis Why is this happening? Operations inside Dell Children's Medical Center could become out-of-network for families with Blue Cross and Blue Shield unless the hospital is the only one in the area that can do that procedure. Davis in Luling, and Ascension Providence in Waco. It affects care at these hospitals and their clinics - Dell Seton, Ascension Seton, Dell Children's, Ascension Seton Southwest, Ascension Seton Northwest., Ascension Seton Hays, Ascension Seton Williamson, Ascension Seton Bastrop, Ascension Seton Smithville, Ascension Seton Highland Lakes in Burnet, Ascension Seton Edgar B. Local hospitals: Here's how Austin-area hospitals rank in new patient safety ratings Which hospitals are included? These differ by plan, but in many cases, the difference in deductibles and out-of-pocket maximums are double, costing families thousands of dollars. In-network verses out of network affects how high the deductible is before insurance begins to pay and it affects your out-of-pocket maximum expenses ― the amount at which after you reach the insurance company begins to pays 100% of the costs. Most people who have Blue Cross and Blue Shield of Texas insurance plans would have to pay out-of-network prices if they chose to go to an Ascension hospital. Learn more: How to pick a Medicare plan: Some advice from Austin-area experts What does not being in-network mean? It does not affect Blue Cross and Blue Shield of Texas' Medicare Advantage (HMO) and Medicaid networks. This potential change impacts people who have plans Blue Choice PPO, Blue Essentials, Blue Advantage HMO and Medicare Advantage (PPO).
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