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Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue ...

BCBSTX Provider Manuals are reference tools for providers. These manuals set forth the detailed policies, procedures and requirements necessary for participation in the BCBSTX contracting provider networks. Note: In the event of a conflict between the manual and the provider's contract, the contract will govern.Forms and Helpful Resources. If you are already a member of the Blue Cross and Blue Shield of Texas (BCBSTX) family, discover all the ways you can take advantage of the special features that come with your health insurance plan. Register today for …If you no longer qualify for Medicaid, we can help you find the right health coverage. Anthem Individual and Family plans can be an affordable option for you and your family. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 am to 8 p.m. ET, 8 a.m. to 7 p.m. CT, 7 a.m. to 6 p.m. MT, 7 a.m. to 5 p.m. PT.Find affordable health plans for individuals, families, Medicare and Medicaid recipients in Texas. Learn about COVID-19 coverage, online community, careers and corporate … Compare and apply for Texas health insurance plans online at BCBSTX. Find individual and family, Medicare, short-term and HSA compatible plans and rates. An authorized Blue Cross and Blue Shield of Texas agent will contact you. No thanks, I'm still looking. Gold Plans . Print. Overview; ... Blue Cross Blue Shield Premier 2: On the Exchange: On the Exchange: BCBS Premier 1, a Multi-State Plan - Base Plan - …Blue Cross and Blue Shield of Texas Medical Drug Benefit List. This list is subject to change without notification. Legend: $ = under $100, $$ = $100-$250, $$$ = $251-$500, $$$$ = $501-$1,000, $$$$$ = over $1,000, A = drug not subject to medical deductible or member cost share, * = drug may require prior authorization in

April 23, 2024. Blue Cross and Blue Shield of Texas has updated with minor revisions as part of its annual review, the CPCP005 Home Health Care/Private Duty …That’s why Blue Cross and Blue Shield of Texas offers BlueCare Dental plans for everyone in the family. Our dental plans provide you with coverage for preventive services like checkups, cleanings and basic X-rays, as well as procedures like fillings, bridges and crowns. With BlueCare Dental, discounts of 30 to 50% can lower your cost of ...Find a Pharmacy. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes prescription drug coverage, select from the links below to search for a pharmacy: BCBSTX Prescription Drug Plans *. Medicare Plans *. Medicaid Plan: State of Texas Access Reform, STAR *. Medicaid Plan: Children’s Health Insurance Program, CHIP *.Download the BCBSTX mobile app to conveniently access your member information. With the mobile app you can: Find care. Access your Medicare coverage information. Access your temporary digital member ID card, and more. Available for iPhone and Android users. To download the app, text* BCBSTXAPP to 33633 or search for BCBSTX in the Apple …For telephone requests, please contact the appropriate Provider Customer Service Department number on the back of the member ID card or call 1-800-451-0287 . Upon completion of processing, telephonic requests for verification will receive a fax notice followed by a written notice via U.S. Mail. Company Information. Blue Cross and Blue Shield of Texas, a division of Health Care Service Corporation, a Mutual Legal Reserve Company, an independent licensee of the Blue Cross and Blue Shield Association. For more than 90 years, we have forged alliances with local nonprofit organizations to show our commitment to help build healthy communities. Search for specialized care local to Texas. Use the Find Care tool above or the BCBSTX mobile app to search for in-network doctors who specialize in your diagnosis. Ask your doctor for a recommendation or referral. Getting a referral from your primary care provider is important if you have an HMO plan and want to save money.

Acceso a la cuenta | Blue Cross and Blue Shield of Texas. Pregunte. Solicite un folleto. Solicite un agente. Llámenos. Envíenos su pregunta para que un agente de seguros con licencia pueda comunicarse con usted. Nombre*. Apellido*. Teléfono*. Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, TX 75082-4144. FEP Service 4002 Loop 322 Abilene, TX 79602. www.bcbstx.com . Claims/Customer Service. Blue Cross and Blue Shield of Texas P.O. Box 660044. Dallas, TX 75266-0044. Customer Service. 1-800-442-4607. Precertification.BCBSTX will provide an expedited credentialing process which allows for a "provisional network participation" status if the provider applicant has: A valid BCBSTX Provider Record ID for claim payment. Submitted a current signed BCBSTX contract/agreement. Completes the CAQH ProView database online application with "global" or "plan specific ... Get a Quote/Browse and Buy Plans. Premium Tax Credit Estimator. Individual & Family Plans. Medicare Plans. Log in to Blue Access for Members. Register for Blue Access for Members. Pay My Bill. Individual and family health insurance plans from Blue Cross and Blue Shield of Texas deliver outstanding coverage and service. BCBSTX is the leader in individual and family …

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Producers. Providers. Individual and family health insurance plans from Blue Cross and Blue Shield of Texas deliver outstanding coverage and service. BCBSTX is the leader in individual and family health insurance plans in Texas. Compare and apply for health insurance plans in Texas, including individual and family, Medicare, short term and HSA compatible plans. Find a doctor, learn about benefits and …Download the BCBSTX mobile app to conveniently access your member information. With the mobile app you can: Find care. Access your Medicare coverage information. Access your temporary digital member ID card, and more. Available for iPhone and Android users. To download the app, text* BCBSTXAPP to 33633 or search for BCBSTX in the Apple …AboutBlue Cross and Blue Shield of Texas. Blue Cross and Blue Shield of Texas is located at 1001 E Lookout Dr in Richardson, Texas 75082. Blue Cross and Blue Shield of Texas can be contacted via phone at 972-766-6900 for pricing, hours and directions.Member Services. We want you to get the most from your plan. In this section, you’ll find resources to help you get started, maximize your benefits, use online tools, learn about claims and more. Choose your plan below to learn more. Blue Cross Medicare Advantage. Blue Cross MedicareRx (PDP)If you need help with things like changing appointments or finding a new provider, or you need a consultation with a mental health clinician, we’re here for you. Call 1-800-252-8039 (TTY: 711) to access free, confidential consultation services or to speak with a BCBSTX Personal Health Assistant. Learn more about Crisis Resources.

Blue Cross Medicare Advantage plans offer all-in-one options that provide medical and prescription drug coverage. Combine what’s covered by Part A and Part B, with added benefits. They Provide: Medicare Part A (hospital insurance) coverage. Medicare Part B (medical insurance) coverage. Limits on your out-of-pocket costs.Find health insurance plans for individuals, families, Medicare and Medicaid in Texas. Compare plans, prices, doctors and get a quote online or request a brochure or agent.PCP and Referral Requirements. Some Blue Cross and Blue Shield of Texas (BCBSTX) plans require the member to select a Primary Care Provider (PCP) who is responsible for referring the member for services to most specialty care providers and facilities. It is essential the PCP refer members, requiring such care, to participating physicians or ...With three levels of coverage available, the MyBlue Health plan offers you a more affordable monthly payment with the same great support you’ve come to expect from BCBSTX. Plus, you might be able to get a premium tax credit, or subsidy, to lower your monthly bill payment. Even if you didn’t qualify in the past, you could receive one this year.Health Care Service Corporation (HCSC) is a family of companies operating the Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. Texas Locations. Richardson — Headquarters 1001 E. Lookout Drive Richardson, Texas 75082 Main Switchboard: 1-972-766-6900 Travel Directions. Abilene 4002 E Loop 322 Abilene ...Texas Department of Insurance 1601 Congress Avenue, Austin, TX 78701 | PO Box 12030, Austin, TX 78711 | 512-676-6000 | 800-578-4677 Accessibility Compact with TexansHealthSelect SM Secondary. For retirees and their eligible dependents enrolled in Medicare, visit HealthSelect MedicareRx for information about the HealthSelect Medicare Prescription Drug Program. For questions related to your prescription drug benefits, including diabetic supplies, call (866) 264-4676 (TTY: 711), 24 hours a day, seven days a week.Individual and family health insurance plans from Blue Cross and Blue Shield of Texas deliver outstanding coverage and service. BCBSTX is the leader in individual and family …

The Personal Health Manager provides you with online information, resources, and tools to help you maintain your healthplan. You can use it to: Learn more about the Personal Health Manager. Login to the Personal Health Manager through Blue Access® for Members. See how BlueEdge fits your budget by using the HealthPlan Cost Estimator Tool. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.The following plans are available to you as a State of Texas agency or institution employee or non-Medicare-eligible retiree. Throughout this exercise, we will ask you simple questions to help guide you to make the best decision for your health care benefits. ... a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue ...Blue Cross and Blue Shield of Texas. 4444 Corona, Suite 148. Corpus Christi, TX 78411-4375. 361-878-1623. Fax: 361-852-0624. Email to submit provider inquiries and questions. North Texas Dallas, Fort Worth, East Texas (Excludes McLennan and Wichita counties) Blue Cross and Blue Shield of Texas. 1001 E. Lookout Drive. We are committed to maintaining an environment of Equal Opportunity and Affirmative Action. If you need accommodation to access the information provided on this web site, please call us at 1-866-977-7378. Please be aware of persons posing as Blue Cross and Blue Shield of Texas employees. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 757631.1021 Your Digital ID Card and More Access the Secure Member Site Go to bcbstx.com and click the Log In tab to register for Blue Access for MembersSM. Click the Register Now link and Follow the prompts to join the Fitness Program. Or you can call the Fitness Program toll-free at (888) 762-BLUE (2583), Monday through Friday, 7 a.m. – 7 p.m. CT. Membership can be cancelled at any time by calling the Fitness Program toll-free at (888) 762-BLUE (2583). Earn 2,500 Blue Points for joining the Fitness Program and up to 300 ... Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for Texas health insurance plans including individual and family health insurance, Medicare supplement, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com.When comparing Blue Cross and Blue Shield of Texas options, you might come across a few different plan types: HMO: A Health Maintenance Organization keeps costs low by working with your primary care doctor for any needs and specialty referrals. PPO: A Preferred Provider Organization lets you choose where you go for care without needing ...

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Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Page 1 of 6 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan wouldAll Blue Cross and Blue Shield of Texas Gold plans offer the same set of health benefits, quality and amount of care. Your Gold plan options are different in how much you’ll pay each month, how much of your health care bill is covered for things like hospital visits and prescriptions and how much your out-of-pocket costs are: When you visit your primary …Get links to current claim forms, understand how to submit claims to BCBSTX, read claim responses and use the Claim Review Form to submit adjustment requests. Also refer to the Provider Tools page on the provider website for convenient tools available. Claim Submission Forms. CMS-1500 User Guide & Tutorial. CMS-1500 Claims Filing Address.The Blue Premier network includes more than 94 hospitals and 7,600 providers. By choosing Blue Premier Access, clients choose more than just a health plan. They're choosing health coverage provided by Blue Cross Blue Shield of Texas, one of the most widely recognized health insurance companies in the state.The Blue Premier network includes more than 94 hospitals and 7,600 providers. By choosing Blue Premier Access, clients choose more than just a health plan. They're choosing health coverage provided by Blue Cross Blue Shield of Texas, one of the most widely recognized health insurance companies in the state.Blue Cross and Blue Shield of Texas (BCBSTX) has been serving individuals and families in Texas for 90 years. In collaboration with Sanitas Medical Centers, we are working together to bring you an easier way to access health care. At Sanitas Locations, BCBSTX Members Can Expect: One-on-one assistance to help you choose your health …To Complete Form go to Page 4. Use this form to authorize Blue Cross and Blue Shield of Texas (BCBSTX) to disclose your protected health information (PHI) to a specific person or entity. You may follow the instructions below or call the number listed on your Member ID card if you need help completing the form. You must complete the entire form.If you need help with things like changing appointments or finding a new provider, or you need a consultation with a mental health clinician, we’re here for you. Call 1-800-252-8039 (TTY: 711) to access free, confidential consultation services or to speak with a BCBSTX Personal Health Assistant. Learn more about Crisis Resources. ….

Here are some plan highlights. Get a Quote & Apply. Blue Cross Medicare Advantage (HMO) SM. Blue Cross Medicare Advantage (PPO) SM. Typically have lower or $0 monthly premiums. Your care is handled by one primary care provider (PCP) who knows your health history. Your costs will be as low as possible when you see a provider in the …Find a Pharmacy. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes prescription drug coverage, select from the links below to search for a pharmacy: BCBSTX Prescription Drug Plans *. Medicare Plans *. Medicaid Plan: State of Texas Access Reform, STAR *. Medicaid Plan: Children’s Health Insurance Program, CHIP *. Check your benefits booklet for details. 5 Blue365 is only available to Blue Cross and Blue Shield of Texas (BCBSTX) members with active health plan coverage. Members who do not have an active health plan with BCBSTX will not be able to register on the Blue365 website. The relationship between Blue365, its vendors and BCBSTX is that of ... Check your benefits booklet for details. 5 Blue365 is only available to Blue Cross and Blue Shield of Texas (BCBSTX) members with active health plan coverage. Members who do not have an active health plan with BCBSTX will not be able to register on the Blue365 website. The relationship between Blue365, its vendors and BCBSTX is that of ... Discount Program. Blue365 is just one more advantage of being a Blue Cross and Blue Shield of Texas (BCBSTX) member*. With this program, you and your family can save money on health care products — and services — that are most often not covered by your health plan. You'll see a full range of savings from top national and local …1 Internet/WiFi connection is needed for computer access. Data charges may apply when using your tablet or smartphone. Check your phone carrier’s plan for details. 2 Virtual Visits may be limited by plan. For providers licensed in New Mexico and the District of Columbia, Urgent Care service is limited to interactive online video; Behavioral Health service …Access Your Benefits. You can use our interactive search to find your local Blue Cross Blue Shield Company's website. Your local company can help you to: Change your coverage. Estimate the cost of a medical procedure. File or check on claim. Replace your member ID card. Review your balance. View your plan details. With three levels of coverage available, the MyBlue Health plan offers you a more affordable monthly payment with the same great support you’ve come to expect from BCBSTX. Plus, you might be able to get a premium tax credit, or subsidy, to lower your monthly bill payment. Even if you didn’t qualify in the past, you could receive one this year. When comparing Blue Cross and Blue Shield of Texas options, you might come across a few different plan types: HMO: A Health Maintenance Organization keeps costs low by working with your primary care doctor for any needs and specialty referrals. PPO: A Preferred Provider Organization lets you choose where you go for care without needing ... Blue cross blue sheild of texas, BCBSTX Mobile App. Features: Find an in-network doctor, hospital or urgent care facility or search for Spanish-speaking doctors. Access your claims, coverage and deductible information. Access your temporary digital member ID card. Secure login with Face ID (iOS only) and Fingerprint ID. Payments on the Blue Access for Members Mobile App are here., Blue Cross and Blue Shield of Texas 4444 Corona, Suite 148 Corpus Christi, TX 78411-4375 1-361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions. Dallas and East Texas. See "North Texas" El Paso. Blue Cross and Blue Shield of Texas 114 Mesa Park Dr. Suite #300 El Paso, TX 79912 -6156 1-915-496-6600, press 2 Fax: …, Blue Cross and Blue Shield of Texas. 4444 Corona, Suite 148. Corpus Christi, TX 78411-4375. 361-878-1623. Fax: 361-852-0624. Email to submit provider inquiries and questions. North Texas Dallas, Fort Worth, East Texas (Excludes McLennan and Wichita counties) Blue Cross and Blue Shield of Texas. 1001 E. Lookout Drive., Check your benefits booklet for details. 5 Blue365 is only available to Blue Cross and Blue Shield of Texas (BCBSTX) members with active health plan coverage. Members who do not have an active health plan with BCBSTX will not be able to register on the Blue365 website. The relationship between Blue365, its vendors and BCBSTX is that of ... , Check your benefits booklet for details. 5 Blue365 is only available to Blue Cross and Blue Shield of Texas (BCBSTX) members with active health plan coverage. Members who do not have an active health plan with BCBSTX will not be able to register on the Blue365 website. The relationship between Blue365, its vendors and BCBSTX is that of ... , The BlueCard Program* helps Blue Cross and Blue Shield of Texas (BCBSTX) members: Get needed health care when you travel or live outside your Blue Plan service area. Get the same benefits as your BCBSTX plan when you travel or are away from home for an extended amount of time. Find a doctor or hospital throughout the United States — More …, Get a Quote/Browse and Buy Plans. Premium Tax Credit Estimator. Individual & Family Plans. Medicare Plans. Log in to Blue Access for Members. Register for Blue Access …, All Blue Cross and Blue Shield of Texas Gold plans offer the same set of health benefits, quality and amount of care. Your Gold plan options are different in how much you’ll pay each month, how much of your health care bill is covered for things like hospital visits and prescriptions and how much your out-of-pocket costs are: When you visit your primary …, Magellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. Contact Magellan Health Services or call 1-800-788-4005. For prior authorization, benefits, eligibility, or claims status or questions contact Magellan at 1-800-327-7390., Magellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. Contact Magellan Health Services or call 1-800-788-4005. For prior authorization, benefits, eligibility, or claims status or questions contact Magellan at 1-800-327-7390., PPO stands for Participating Provider Option. It's a type of health plan that lets you choose where you go for care, without a referral from a primary care physician or having to only use providers in your plan's provider network. It typically has higher monthly premiums and out-of-pocket costs like copays, coinsurance and deductibles., The following plans are available to you as a State of Texas agency or institution employee or non-Medicare-eligible retiree. Throughout this exercise, we will ask you simple questions to help guide you to make the best decision for your health care benefits. ... a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue ..., Texas STAR, CHIP — 1-877-560-8055. STAR Kids — 1-877-784-6802. For out-of-state Blue Cross and Blue Shield members, call BlueCard® Eligibility at 1-800-676-BLUE (2583) for eligibility and benefit verifications. Learn more about BlueCard. For Federal Employee Program (FEP) members, eligibility and benefits can be obtained by calling 1 …, Producers. Providers. Individual and family health insurance plans from Blue Cross and Blue Shield of Texas deliver outstanding coverage and service. BCBSTX is the leader in individual and family health insurance plans in Texas., Find a Dentist. Choose a dental network from the list below to search for a dentist. If your Blue Cross and Blue Shield of Texas plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC)., Blue Cross and Blue Shield of Texas (BCBSTX) offers Individual health plans for yourself and your family, Medicare plans and Medicaid plans for those who qualify. Individual & Family Plans. Need 2021 coverage? You can apply for …, Blue Cross Group Medicare Advantage Open Access (PPO)SM Plan. Choose providers that accept Medicare nationwide without network restrictions at the same benefit levels for in and out of network providers. Providers must 1) accept Medicare; 2) agree to see you as a patient; and 3) agree to bill Blue Cross and Blue Shield of Texas (BCBSTX)., An HCA is an employer-funded spending account that engages and empowers employees – they decide how their health care dollars are spent. Charges for covered medical care services are first paid from this account. Money spent from the HCA is also applied toward the annual deductible. Unspent funds roll over from year to year., No matter which Blue Cross and Blue Shield of Texas plan you choose, you can count on getting the care you need at a price you can afford. That’s our promise to you. Always. As a trusted health care leader in Texas, we’ve been helping our members and communities stay healthy and well for more than 90 years. No matter what your needs, 07/31/2023 Future Blue Cross Blue Shield Association Provider Performance Program. 07/31/2023 Pharmacy Program Quarterly Update, Part 1, Changes Effective October 1, 2023. 07/28/2023 Reporting On-Demand via Availity ® Essentials is Now Named Provider Claim Summary, Member Services. We want you to get the most from your plan. In this section, you’ll find resources to help you get started, maximize your benefits, use online tools, learn about claims and more. Choose your plan below to learn more. Blue Cross Medicare Advantage. Blue Cross MedicareRx (PDP), Your Blue Cross and Blue Shield of Texas (BCBSTX) health insurance plan is ready for you. Get Started Using Your 2024 Health Plan Use these steps and make the most of …, Magellan Behavior Health Services coordinates all behavioral health (mental health and chemical dependency) services for Medicaid (STAR), CHIP, and STAR Kids members. Contact Magellan Health Services or call 1-800-788-4005. For prior authorization, benefits, eligibility, or claims status or questions contact Magellan at 1-800-327-7390., 6 days ago · Blue Cross and Blue Shield of Texas 1001 E. Lookout Drive Richardson, Texas 75082. General Information: 972-766-6900 TTD: 735-2989. Make a Payment. Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill. Product and Program Contact Information , PPO plans let you choose where you go for care, without needing a referral from a primary care provider (PCP) or relying only on providers in your plan's network. They typically have higher monthly premiums and out-of-pocket costs like copays, coinsurance and deductibles. With Blue Cross and Blue Shield of Texas you have different levels of a ..., Compare BCBSTX health plan options online. Agent. A licensed BCBSTX authorized health plan specialist can answer questions and help you with your 2024 health care coverage. Request a health plan specialist if you don’t have one. Phone. You can call 1-888-731-0406 to speak with a BCBSTX licensed health plan specialist., No matter which Blue Cross and Blue Shield of Texas plan you choose, you can count on getting the care you need at a price you can afford. That’s our promise to you. Always. As a trusted health care leader in Texas, we’ve been helping our members and communities stay healthy and well for more than 90 years. No matter what your needs, Blue Cross and Blue Shield of Texas knows health care coverage in Texas — we invented it. We're Texas born and bred, and this is the only place we do business. We have been around for more than 90 years, and the cross and shield have come to represent the most experienced health care coverage organization in the state …, Find affordable health plans for individuals, families, Medicare and Medicaid recipients in Texas. Learn about COVID-19 coverage, online community, careers and corporate …, Find a Doctor. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: Select Blue Cross Blue Shield Global™ or GeoBlue if you have international …, Group Health Insurance Plans Built for Business. Your employees are your most valuable assets. Whatever the size of your business, health plans from Blue Cross and Blue Shield of Texas (BCBSTX) can help you create a healthier and more productive workplace that attracts and retains top talent. With health insurance plans that balance ..., Blue Cross and Blue Shield of Texas. P.O. Box 660044. Dallas, Texas 75266-0044. To report waste, abuse or fraud, gather as much information as possible. You can report waste, abuse or fraud to BCBSTX's Special Investigations Hotline 24 hours a day, seven days a week toll-free at 1-800-543-0867. The hotline is confidential and anonymous., Compare and apply for Texas health insurance plans online at BCBSTX. Find individual and family, Medicare, short-term and HSA compatible plans and rates.