Texas MedClinic, Cigna Healthcare of Texas terminate service provider contract
October 15, 2019
Texas MedClinic continues to accept all major insurers in South Central Texas.
Beginning November 6, 2019, Texas MedClinic will no longer accept Cigna HealthCare of Texas, Inc. insurance after Cigna unilaterally terminated the contract.
“Parting ways with an insurance provider is never an easy decision, but our cost of providing services continues to increase,” said Swift. “We cannot continue to operate when an insurance provider’s mandate will result in a significant decrease in revenue for a particular segment of our business.”
Texas MedClinic originally entered into agreement with Cigna in 2006.
“Cigna demanded a change to our reimbursement methodology that is inconsistent with good business practices and was unwilling to negotiate a reasonable compromise,” said Texas MedClinic Founder Dr. Bernard T. Swift, Jr.
Texas MedClinic attempted good faith discussions with Cigna to update the agreement to an alternate payment method than what the insurance provider had prescribed, but Cigna was not willing to reciprocate.
“Our greatest focus is assuring that our employer groups and patients are informed and cared for,” said Swift. “Texas MedClinic patients using Cigna have been notified through a letter, and announcements are posted at the front desk in all of our 19 clinics, as well as on our website,” said Swift.
Major employer groups using the Cigna network have been notified of the change and Texas MedClinic has offered those employer groups the opportunity to contract directly with Texas MedClinic.
With 19 clinics in San Antonio, New Braunfels, Bulverde, Austin and Round Rock, Texas MedClinic continues to carry agreements with all other major insurers in South Central Texas. For a full list of Texas MedClinic’s contracted insurance companies, networks and employer groups, visit our Insurance page.12