Emergency Room

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Controversial Blue Cross Emergency Room Policy Postponed

June 04, 2018 - 6:13 am

DALLAS (1080 KRLD) - A controversial Emergency Room policy change for people insured with an HMO plan from Blue Cross of Texas will not go into effect today.

According to reports, the controversial policy from Blue Cross of Texas has been postponed, for two months.

According to reports, if Blue Cross Blue Shield HMO policy holders visit an out-of-network emergency room and the insurer decides the medical problem wasn’t life-threatening or serious enough to warrant an ER visit, the claim will be denied.

Medical professionals say that requires patients to self-diagnose when choosing an emergency room, a time which is stressful, and in which seconds count.

The Texas Department of Insurance wants Blue Cross to provide more information on the change, which will affect nearly half-a-million policy holders.

Blue Cross Blue Shield says it now plans to implement the new guidelines August 6th, and says they will guard against billing fraud, waste, and abuse by out-of-network emergency departments.