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Cigna health insurance plans may go out-of-network for St. David's HealthCare hospitals in Central Texas, Florida, and other HCA facilities starting Thursday, October 1, if a new agreement is not reached. This could lead to higher out-of-pocket costs for patients receiving care at St. David's hospitals. While emergency services will still be covered, other procedures and care may be subject to out-of-network rates, though some patients might qualify for continuity of care exceptions.