Transcarent Surgery Care

In most cases, if you are enrolled in a BCI medical plan, designated knee, hip, shoulder, spine and bariatric surgeries may only be covered when accessed through Transcarent. Some exceptions apply for members in Boise, ID and Lubbock, TX where Transcarent is still developing a best-in-class provider network.*

Benefits for You

• Cost: With Transcarent, EPO and PPO members pay $0 for any designated surgical procedures. Per IRS rules, HSA participants must first meet the annual deductible. In addition, travel expenses for you and a companion will be covered if a local surgeon is not an option, and travel over 100 miles is required.
• Experience: Your dedicated Care Coordinator is there to help you find the right surgical provider, schedule your surgery, understand your benefits, and manage billing and paperwork.
• Quality: Transcarent takes special measures to ensure the care you get is the care you can trust, hand-selecting surgery partners because they meet or exceed quality standards and are among the top-ranked in the nation.
• Access: Receive fast access to top-rated facilities and surgeons specializing in your procedure.

* As of January 1, 2024, your spine, knee, hip, shoulder, or bariatric surgery may only be covered when accessed through Transcarent. Some exceptions apply for members in Boise, ID and Lubbock TX where we are still developing our best-in-class provider network. If you have questions, please contact your Care Coordinator. Failure to schedule your surgery with Transcarent (or obtain a waiver for members in Boise, ID or Lubbock, TX) may result in a financial penalty.

Which procedures are covered through Transcarent