The drug lists below are used with BCBSTX "metallic" health plans that are offered through your employer. These can include Platinum, Gold, Silver, or Bronze plans. If your company has 1–50 employees, your prescription drug benefits through BCBSTX are based on a Drug List, which is a list of drugs considered to be safe and effective. If you are a … 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. Prior Authorization Requests for Medical Care and Medications. Some medical services and medications may need a prior authorization (PA), sometimes called a “pre-authorization,” before care or medication can be covered as a benefit. Ask your provider to go to Prior Authorization Requests to get forms and information on services that may ...Find a Doctor or Hospital. Know Your Network. Tips to Find a Doctor or Hospital. Find a Dentist. Utilization Management. Blue Distinction ® Specialty Care. Virtual Visits. Telemedicine and Telehealth Services. Sanitas Medical Center Collaboration. Medicaid is a state-run program that helps those in need get health insurance. It is meant for people with a low income or a disability. The state determines who qualifies for Medicaid based on federal guidelines. Once you qualify, you can pick a health plan. BCBSTX's Medicaid plans can help meet your health care needs. 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 ... 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.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 …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 …A Blue Cross and Blue Shield of Texas (BCBSTX) Medicare Supplement premium discount may be available. Read the eligibility criteria to see if you qualify. If you are eligible for a discount, the discount will be applied to your next bill and remain in effect as long as you are enrolled in your BCBSTX Medicare Supplement plan. Medicaid is a state-run program that helps those in need get health insurance. It is meant for people with a low income or a disability. The state determines who qualifies for Medicaid based on federal guidelines. Once you qualify, you can pick a health plan. BCBSTX's Medicaid plans can help meet your health care needs. Telemedicine and Telehealth medical services and procedures are covered under some Blue Cross and Blue Shield of Texas (BCBSTX) PPO and HMO health care plans. If your health plan covers these services, you may get medical care from an in-network doctor or provider by mobile app, online video or phone. It can be helpful to learn about these ...Prescription Drug Estimator & Pharmacy Finder. Use this tool to choose the right plan that covers your prescription drugs and pharmacy, estimate annual cost savings when you enroll, and find an in-network pharmacy near you. Get an. 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 Life, Accidental Death & Dismemberment and Disability insurance is underwritten by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148. The Health Assessment takes about 15 minutes and asks a series of questions about your lifestyle and health habits. It will provide an overall assessment of your current health, including how your health compares to others in your age group. It will identify what you are already doing well and where there are opportunities for improvement.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 *. COVID-19 PHE Ends. We’re here to keep you informed about how the end of the COVID-19 public health emergency affects your benefit coverage. The Biden Administration ended the COVID-19 public health emergency on May 11, 2023. Some of your COVID-19 benefits have changed with the end of the public health emergency. Vaccines. Tests and Testing Sites. 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.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).View claim status, print explanation of benefits (EOBs) and access health resources in Blue Access for Members.These plans, sometimes called Part C or MA Plans, are offered by private insurance companies approved by Medicare. The premiums are a flat rate, regardless of age. All Medicare Advantage plans provide: Medicare Part A (hospital insurance) coverage. Medicare Part B (medical insurance) coverage. Limits on the out-of-pocket costs you pay.Prescription Drug Estimator & Pharmacy Finder. Use this tool to choose the right plan that covers your prescription drugs and pharmacy, estimate annual cost savings when you enroll, and find an in-network pharmacy near you. Get an.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. 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 ... To check your eligibility and to learn more about Virtual Visits benefits, visit MDLIVE or call 1-866-954-3585. MDLIVE® is a separate company that has contracted with Blue Cross and Blue Shield of Texas (BCBSTX) to provide virtual visit services for members with coverage through BCBSTX. MDLIVE is solely responsible for its operations and for ...Sometimes you may need to get approval from Blue Cross and Blue Shield of Texas before we will cover certain inpatient, outpatient and home health care services and prescription drugs. This is called prior authorization, preauthorization or prior approval. These terms all refer to the requirements that you may need to meet before treatment …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 ... BCBSTX Mobile App. Features: Find a doctor, hospital or urgent care facility. Access your claims, coverage and deductible information. Ability to view and email your ID. Available in Spanish. Available for iPhone and Android users. To download the app, text* BCBSTXAPP to 33633 or search for BCBSTX in the Apple App Store or Google Play . An HCA is an employer-funded spending account that engages and empowers employees – Employees decide how their health care dollars are spent. Charges for covered medical care services are paid from this account. Money spent from the HCA is also applied toward the annual deductible. Unspent funds roll over from year to year.These plans, sometimes called Part C or MA Plans, are offered by private insurance companies approved by Medicare. The premiums are a flat rate, regardless of age. All Medicare Advantage plans provide: Medicare Part A (hospital insurance) coverage. Medicare Part B (medical insurance) coverage. Limits on the out-of-pocket costs you pay.Sometimes you may need to get approval from Blue Cross and Blue Shield of Texas before we will cover certain inpatient, outpatient and home health care services and prescription drugs. This is called prior authorization, preauthorization or prior approval. These terms all refer to the requirements that you may need to meet before treatment …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 ...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.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 ...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 ... BCBSTX vision plans have large provider networks. Based on your location, you may be able to get in-network care at: LensCrafters ®. Pearle Vision. Sears ® Optical. Target Optical ®. Note: If you get coverage through your job, ask your employer’s HR department if vision insurance plans are offered. 1 Coverage Plus Central provides ... CareFirst BlueCross BlueShield. Remote in Baltimore, MD 21224. $61,560 - $122,265 a year. Full-time. Easily apply. This role will serve as the face of our CareFirst BlueCross BlueShield government programs including Medicaid and Medicare in Eastern Maryland. Posted 30+ days ago ·. More...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 ...While Medicare Parts A and B cover a lot of health care cost, they don’t cover all cost. A Medicare Supplement Insurance Plan offered by a private health insurance company like Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, covers the cost that Original Medicare doesn’t, like: Coinsurance Copayments ...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 andHealth 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 ... If you are in a crisis situation and need immediate help finding resources for care, call 1-800-252-8039 (TTY: 711) and ask to speak to a mental health clinician. BCBSTX Personal Health Assistants can help with changing appointments, finding a new provider or answering benefit questions. 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.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 …Tips to Find a Doctor or Hospital. When you need to find a doctor or hospital, take the time to research your options. Follow the steps below to help find a provider or medical facility that meets your needs. 1. Check Your Provider Network.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.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 ...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.CDHP stands for Consumer Directed Health Plan. It's a type of health plan that gives you more control of your health care expenses. A CDHP most often pairs a Health Savings Account (HSA), or some other tax-advantaged account. An HSA is a savings account that lets you use pre-tax dollars to pay for a wide range of qualified …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 …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 … 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). In-Network Providers. Use our National Doctor and Hospital Finder tool to see if your doctor is in our network or to find a doctor, specialist or urgent care center near you. Our network includes over 1.7 million doctors and hospitals plus over 55,000 retail pharmacies in the U.S. You also never need a referral to see a specialist.At Blue Cross and Blue Shield of Texas, we are committed to providing support to physician practices. We've designed useful tools for health care providers. Whether doing research or streamlining billing, these tools can help you evaluate costs, save time, improve service and more. Availity ® Attachments: Submit Recommended Clinical Review ...Pregnancy. Diabetes. Children’s health. High blood pressure. Sexually transmitted diseases such as HIV/AIDS. They will help you 24 hours a day, 7 days a week. Call the 24/7 Nurseline at 1-877-351-8392. If you have hearing or speech loss, you can call the TTY line toll-free at 1-800-386-4424. Note: This Value-Added Service has no limitations.BCBSTX Mobile App. Features: Find a doctor, hospital or urgent care facility. Access your claims, coverage and deductible information. Ability to view and email your ID. Available … 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 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. Sales Questions and Additional Plan Information: 1-888-731-0406. Calls may or may not be answered inside the United States. Monday – Friday: 8 a.m. – 8 p.m. CT These plans, sometimes called Part C or MA Plans, are offered by private insurance companies approved by Medicare. The premiums are a flat rate, regardless of age. All Medicare Advantage plans provide: Medicare Part A (hospital insurance) coverage. Medicare Part B (medical insurance) coverage. Limits on the out-of-pocket costs you pay.Fax: (325) 794-2926. Claims: Send Claims Form to: Blue Cross and Blue Shield of Texas. PO Box 660044. Dallas, TX 75266-0044. Learn more about submitting medical and mental health claims. Fraud Hotline: Health care fraud affects health care costs for all of us.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 ...To qualify for group coverage as a small business, your company needs between two and 50 full-time employees (including the owner). All full-time, permanent employees of an employer are eligible for insurance under a group policy. And 70% of eligible employees must select health plan coverage.When you need to find a doctor or hospital, take the time to research your options. Follow the steps below to help find a provider or medical facility that meets your needs. 1. …BCBSTX Mobile App. Features: Find a doctor, hospital or urgent care facility. Access your claims, coverage and deductible information. Ability to view and email your ID. Available in Spanish. Available for iPhone and Android users. To download the app, text* BCBSTXAPP to 33633 or search for BCBSTX in the Apple App Store or Google Play .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. 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 ... 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.BCBSTX Mobile App. Features: Find a doctor, hospital or urgent care facility. Access your claims, coverage and deductible information. Ability to view and email your ID. Available in Spanish. Available for iPhone and Android users. To download the app, text* BCBSTXAPP to 33633 or search for BCBSTX in the Apple App Store or Google Play .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.Blue Cross Blue Shield of Texas - Health Insurance Texas. Get a free instant rate quote and apply online today for IL health insurance plans including individual and family health insurance, Medicare, short term health insurance and health savings account (HSA) compatible plans at www.bcbstx.com.The Health Assessment takes about 15 minutes and asks a series of questions about your lifestyle and health habits. It will provide an overall assessment of your current health, including how your health compares to others in your age group. It will identify what you are already doing well and where there are opportunities for improvement.Blue Cross and Blue Shield of Texas Attn: Enterprise Credentialing P.O. Box 65067 Dallas, TX 75265-0267; Hospital Privileges Requirements. The requirements for hospital/clinical admitting privileges are determined by the professional provider's specialty/provider type.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 ... Blue Cross and Blue Shield of Texas. 1001 E. Lookout Drive. Richardson, Texas 75082. General Information: (972) 766-6900. TDD: (800) 735-2989 (for the hearing-impaired) Customer Service Numbers. Group Products. For Customer Service please call the number on the back of your ID card, or call one of the following numbers: PPO/POS/Indemnity Plans. Durable Medical Equipment Reimbursement Schedules / Prosthetics & Orthotics Reimbursement Schedules. 2024 Schedules effective 2/1/24. 2020 Schedules effective 3/1/20 - 1/31/24. 2017 Schedules effective 10/1/17 – 2/29/20. 2015 Schedules effective 11/1/15 – 9/30/17. 2014 Schedules effective 7/1/14 – 10/31/15. 2013 Schedules …Blue Cross Blue Shield of Texas Gender Assignment Surgery and Gender Reassignment Surgery with Related Services. ... such as long-term cross-sex hormone therapy or surgical procedures, may render an individual infertile whether or not the individual has reproduced in the past. ...Tips to Find a Doctor or Hospital. When you need to find a doctor or hospital, take the time to research your options. Follow the steps below to help find a provider or medical facility that meets your needs. 1. Check Your Provider Network. 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
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 …. Kia roadside service
In-Network Providers. Use our National Doctor and Hospital Finder tool to see if your doctor is in our network or to find a doctor, specialist or urgent care center near you. Our network includes over 1.7 million doctors and hospitals plus over 55,000 retail pharmacies in the U.S. You also never need a referral to see a specialist.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 ...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 729823.0720. 1 Benefits are reduced when non-participating providers are used. This is a summary of benefit highlights only.Claims and Eligibility. This section presents an introduction to doing business with Blue Cross and Blue Shield of TX (BCBSTX), along with an overview of options and resources that may help you maximize administrative efficiencies in your office. The pages in this section are designed to follow the claim cycle — from the moment a BCBSTX ... learn more. 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. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. In the United States, Puerto Rico and U.S. Virgin Islands. Outside the United States. …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.The Health Assessment takes about 15 minutes and asks a series of questions about your lifestyle and health habits. It will provide an overall assessment of your current health, including how your health compares to others in your age group. It will identify what you are already doing well and where there are opportunities for improvement.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 …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 ...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 …Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider. Pay your bill. Review benefits, account balances, claims ….