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.
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 19, 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?