Health Insurance Options - CHRISTUS Trinity Mother Frances Health System

Skip to Content

Section Menu

Health Insurance Options

Health Insurance

Choose the Plan that Covers YOUR Doctor and includes YOUR Hospital of Choice.

The CHRISTUS Health Plan is the ONLY 2017 Public Exchange/Health Insurance Marketplace product with which CHRISTUS Trinity Mother Frances Health System providers and hospitals are in-network.

CHRISTUS Trinity Mother Frances Health System is still in-network with most health plans, including your employer's Blue Cross Blue Shield PPO plan.

Please read the commonly asked questions below to help you make an informed decision about your health care. If you need further assistance, please call (903) 606-5050.

Q: With which health insurance plans is CHRISTUS Trinity Mother Frances in-network?

Contracted Insurance Plans

CHRISTUS Trinity Mother Frances Health System accepts most major insurance plans providing health care coverage. The following is a list of health insurance companies and PPO networks with which CHRISTUS Trinity Mother Frances is currently contracted as a participating provider.

CHRISTUS Trinity Mother Frances Health System’s participation with any product or insurance plan is subject to change without notice. Additionally, insurance companies offer a variety of plans and may change the names and benefits at any point. A patient’s level of coverage and access to CHRISTUS Trinity Mother Frances depends on the specific benefits outlined in their plan.

To ensure that CHRISTUS Trinity Mother Frances hospitals and physicians are in-network, it is the patient’s responsibility to verify that CHRISTUS Trinity Mother Frances is a participating provider and their benefit plan allows them access as of the day of a visit and/or admission.

Commercial

Aetna PPO
Blue Cross Blue Shield HMO Blue Texas
PPO
PAR
*Excludes Blue Advantage HMO (Health Insurance Exchange)
Cigna PPO
All other products
Coventry/First Health PPO
HealthPlan of Texas All products
Healthcare Highways PPO
HealthSmart Accel Network
PPO Network
Humana PPO
PHCS PPO
United Healthcare *Excludes Compass products
USA MCO PPO

Health Insurance Marketplace

As of November 1, 2016, the CHRISTUS Health Plan is the only individual/family Health Insurance Marketplace (healthcare.gov) provider in-network with CHRISTUS Trinity Mother Frances Health System. It's important to note that CHRISTUS Health Plan is only available to residents of Cherokee, Smith and Wood Counties.
CHRISTUS Health Plan

Cherokee, Smith and Wood Counties

For more information, call (844) 282-3025

Managed Medicaid

Amerigroup Texas CHIP
Texas CHIP Perinate
Texas STAR (MRSA)
Texas STAR Health (Foster Care)
Cigna HealthSpring Texas STAR+Plus
Molina Texas CHIP
Texas CHIP Perinate
Superior Health Plan Texas CHIP
Texas CHIP Perinate
Texas STAR (MRSA)
Texas STAR Health (Foster Care)
Texas STAR+Plus
United Healthcare Texas STAR+Plus
Texas STAR Kids

Medicare Advantage

Aetna HMO
PPO
Cigna HealthSpring HMO
PPO
Humana HMO
PPO
Scott and White Health Plan SeniorCare Cost Plan
United Healthcare AARP Medicare Complete HMO
AARP Medicare Complete PPO
Care Improvement Plus PPO

Medicare, Medicaid and Other Government Programs

Humana Military/TRICARE Standard
Medicaid
Medicare
Texas Department of State Health Services (DSHS)
Texas Department of Assistive and Rehabilitative Services (DARS)

Medicare Supplement Select Plans

Click here for information on Medicare Supplement Select Plans.

Student Insurance

For information on Student Insurance call 903-606-5812.

Vision

Block Vision
Davis Vision
EyeMed
Opticare
Superior Vision

Workers' Compensation

Aetna
Coventry/First Health
Rockport Healthcare Group
Texas Workers’ Compensation Commission (TWCC)

Q: What is a public exchange/Health Insurance Marketplace?

A: A provision of the Affordable Care Act calls for the government to create public exchanges, an online Marketplace that will allow both uninsured and insured consumers the opportunity to shop for insurance coverage that best fits their budget and individual needs. In addition, there are cost sharing subsidies available to individuals and families who meet eligibility requirements. Open enrollment is November 1, 2016 through January 31, 2017. The last date to enroll for coverage that starts January 1, 2017 is December 15, 2016.

If you need assistance wit the Health Insurance Marketplace, please call (888) 613-1004.

Q: Will the plan I purchase on the public exchange/Health Insurance Marketplace allow me to continue to seek care at CHRISTUS Trinity Mother Frances Health System?

A: The only individual/family Health Insurance Marketplace provider in-network with CHRISTUS Trinity Mother Frances providers and hospitals is CHRISTUS Health Plan. It’s important to note that CHRISTUS Health Plan is only available to residents of Cherokee, Smith and Wood Counties.

If you have a CHRISTUS Trinity Clinic physician and want to continue to use CHRISTUS Trinity

Mother Frances Health System, you will need to choose the CHRISTUS Health Plan.

By choosing this network you will have access to all CHRISTUS Trinity Mother Frances hospitals

and providers. If you choose a plan that does not include CHRISTUS Trinity Mother Frances

Health System, you could be responsible for up to 100 percent of costs.

Q: How will a public exchange/Health Insurance Marketplace affect my coverage if I have Medicare?

A: There will be no effect to you if you are on Medicare. You already have coverage through Medicare, and you do not need to make any changes.

Q: How will the public exchange/Health Insurance Marketplace know whether I am eligible for Medicaid?

A: The public exchange/Health Insurance Marketplace is equipped to evaluate the eligibility of individuals for Medicaid or financial assistance. Once eligibility is determined, the public exchange/Health Insurance Marketplace will help direct individuals to health insurance plans that meet their needs.

Q: How can I determine if I am eligible for Medicaid or financial assistance?

A: Individuals can determine if they are eligible for Medicaid or financial assistance in four ways: online at www.HealthCare.gov, by phone at (800) 318-2596, by mail, or in-person with the help of a trained assister or navigator. Additional information is available by visiting www.HealthCare.gov or calling (800) 318-2596.

Q: Will there be out-of-pocket costs and co-pays for plans offered on the public exchange/Health Insurance Marketplace?

A: As with all health insurance plans, there will be different levels of out-of-pocket expenses and co-pays based on the type of insurance selected. Typically, if an individual has a higher monthly premium, he/she usually pays less out-of-pocket costs. A person may find it beneficial to select a higher premium insurance to avoid large out-of-pocket expenses and to minimize any pre-service deposit requirements for non-emergency care.

Q: Where can I find more information?

A: To find more information about public exchanges/Health Insurance Marketplaces, visit the Center for Medicare and Medicaid Services’ Marketplace website at www.HealthCare.gov, or call (800) 318-2596 (24 hours a day/7 days a week).

For more information on CHRISTUS Health Plan and the Health Insurance Marketplace, call (844) 282-3025

For more information on Health Insurance plans that include CHRISTUS Trinity Mother Frances Health System, call (903) 606-5050 or submit a request online.

Information Request

For more information on health insurance plans that include CHRISTUS Trinity Mother Frances Health System, call (903) 606-6266 or submit a request online.