Rep: Contract deadline extended for Blue Cross Blue Shield, Christus Health deal

Published 11:23 pm Monday, June 30, 2025

Christus Health is among the largest health systems in the country with over 50,000 associates and more than 60 hospitals in Texas, Louisiana, New Mexico, Chile, Colombia and Mexico. (Contributed Photo)

The deadline for Blue Cross Blue Shield of Texas (BCBSTX) to reach a new contract agreement with Christus Health has been extended to Aug. 1, according to an East Texas elected representative.

If a deal is not reached before that deadline, thousands of patients could lose in-network access to Christus facilities.

Rep. Jay Dean (R-Longview) said in a Monday evening update that the entities have extended their current contract while they continue negotiating.


“I’ve been working with both parties to come to a reasonable conclusion to protect patients of East Texas,” Dean said in a social media post Monday evening.

Christus Health’s communications team has not yet responded for further comment, but this story will be updated if more information is made available.

The move could lead to higher out-of-pocket medical costs and limited care options for many Texans. Residents living in Texas but insured through Blue Cross Blue Shield plans from other states may also be impacted, the hospital system said.

According to Christus Health, the organization has been in negotiations with the insurer for months in an effort to secure “reasonable insurance reimbursement rates” but said it has received “unfavorable responses.”

“Despite months of negotiations, Blue Cross Blue Shield of Texas has so far been unwilling to seriously consider Christus Health’s requests for equitable reimbursement rates to cover the rising costs of providing quality health care,” Christus said in a statement. “The company’s aggressive negotiation tactics recently used with other health systems also raise concerns about their commitment to reach a fair contract.”

Christus said its emergency departments will remain open to all patients, regardless of insurance status.

Facilities impacted

If the contract is not renewed, the following Christus Health facilities will no longer be in-network for Blue Cross Blue Shield of Texas members as of Aug. 1:

Christus Health Northeast Texas:

Christus Good Shepherd Medical Centers in Northpark, Kilgore, Longview and Marshall

Christus Mother Frances Hospitals in Canton, Jacksonville (Critical Access Hospital), South Tyler, Sulphur Springs (Rural Hospital), Tyler and Winnsboro (Critical Access Hospital)

Louis and Peaches Owen Heart Hospital – Tyler

Christus St. Michael Health System – Texarkana

Christus St. Michael Hospital – Atlanta (Critical Access Hospital)

Christus St. Michael Rehabilitation Hospital

Christus Trinity Clinic – all Texas locations

Trincare Clinical Laboratory – all Texas locations

Christus Health Southeast Texas:

St. Elizabeth Hospital

Jasper Memorial Hospital (Critical Access Hospital)

Southeast Texas Orthopedics and Bariatric Center

St. Elizabeth Outpatient Pavilion

St. Mary Outpatient Center Mid County

Hospital Orange

Christus Trinity Clinic – all Texas locations

Trincare Clinical Laboratory – all Texas locations

Christus Santa Rosa Health Care System:

Hospitals in Alamo Heights, Westover Hills, San Marcos and New Braunfels

Christus Children’s Hospital

Rehabilitation Services – New Braunfels

Outpatient Imaging – New Braunfels

Emergency Centers – Alon and Creekside

Christus Surgery Centers in Olympia Hills and Alamo Heights

Christus Santa Rosa Physician Ambulatory Surgery Centers in Stone Oak, New Braunfels and San Marcos

Christus Trinity Clinic – all Texas locations

Trincare Clinical Laboratory – all Texas locations

Christus Spohn Health System:

Corpus Christi South, Shoreline and Surgical Hospital locations

Christus Spohn Hospitals in Alice, Beeville and Kleberg (all Critical Access Hospitals)

Christus Trinity Clinic – all Texas locations

Trincare Clinical Laboratory – all Texas locations

Health plans affected

The following Blue Cross Blue Shield of Texas plans will be affected if the contract ends:

Blue Advantage HMO (BAV)

Blue Choice PPO

Blue Essentials HMO

Blue Cross Medicare Advantage HMO

Blue Cross Medicare Advantage PPO

Medicaid

FEP Blue Standard, FEP Blue Basic and FEP Blue Focus

Additionally, the ParPlan network will also be terminated if a deal is not reached.

While the negotiation is officially between Christus Health and Blue Cross Blue Shield of Texas, patients insured through other Blue Cross plans may also be affected if they receive care at Christus facilities in Texas.

“This negotiation may impact Blue Cross Blue Shield plans from other states,” the organization stated. “We recommend you call the number listed on your Blue Cross Blue Shield card for assistance. If you wish to continue to receive services at Christus Health and your plan has no out-of-network benefits available, we offer several financial options, including but not limited to single case agreements with BCBSTX, cash pay options and payment plans.”

Christus aims to reach agreement

Christus said it is making good-faith efforts to negotiate fair insurance rates.

“Christus Health remains dedicated to reaching an agreement … that is in the best interest of employers, physicians, our care centers and most importantly, our patients,” the organization said. “We are hopeful the same is true for BCBSTX.”

For more information, visit Christus Health’s page about the agreement status: www.christushealth.org/plan-care/bill-pay/networks/bcbstx.

About Jennifer Scott

Multimedia reporter and animal lover on the education beat. I am an Alabama native with a bachelor's in journalism from Troy University. I've been married to my college sweetheart since 2012, and we have enjoyed living in East Texas since moving up from the Houston area in 2021. We love all things Disney and dogs!

Please send me story ideas or questions to jennifer.scott@tylerpaper.com.

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