Procedure Code Lists. Prior Authorization Procedure Codes List for Fully Insured Plans and Certain ASO Groups Effective 01/01/2024 (Includes changes effective 07/01/2024) Prior Authorization Procedure Codes List for Fully Insured Plans and Certain ASO Groups Effective 01/01/2023 -12/31/2023 (Includes changes effective 10/01/2023)All Blue Cross and Blue Shield of Texas Bronze plans offer the same set of health benefits, quality and amount of care. Your Bronze 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: Bronze plans have …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, …For more than 90 years, Blue Cross and Blue Shield of Texas (BCBSTX) has forged alliances with private and public organizations to honor our commitment to improve the health of all Texans. Our charitable contributions allow us to connect with not just our customers, but also community partners, local leaders and policymakers interested in …The Blue Cross Blue Shield System is made up of independent and locally operated companies. To access your member services, please visit your BCBS company. Find …Your HealthSelect plan includes comprehensive medical, mental health and prescription drug benefits. Plan Year 2023 Benefits. Medical ID Card. Explanation of Benefits. …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 …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) 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. 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 ... The Blue Cross and Blue Shield Association is a national federation of independent, community-based and locally operated Blue Cross and Blue Shield companies. Healthcare coverage is one of the most important decisions you make. Choose the card that opens doors in all 50 states. Protect yourself and your family with the compassion of the …Blue Cross and Blue Shield of Texas (BCBSTX) launched MyBlue Health, an HMO network, as noted below in the following counties: Jan. 1, 2024. Comal, McLennan, and Rockwall ...Search Drug List and Find A Pharmacy. If your health plan includes Blue Cross and Blue Shield of Texas (BCBSTX) prescription drug benefits, these are administered by Prime Therapeutics, the pharmacy benefit manager (PBM). Visit Prime Therapeutics to: Search for prescription drugs. Find a pharmacy. Order mail service refills or new prescriptions ...Your member ID card is the fastest way to find your provider. Just type in the first three characters of your ID number. Then, select "Go." We'll immediately redirect you to your provider, where you can access your BCBS login. Find a BCBS Company by Prefix. There are a few ways you can make your monthly payments. Learn more about our secure member portal, make your first health plan payment and sign up for Auto Bill pay. Pay your bill. Take full advantage of your Blue Cross and Blue Shield of Texas (BCBSTX) member services. Learn how to make a payment, all about your prescription coverage, and more. Blue Cross MedicareRx plans go beyond Original Medicare to offer coverage for prescription drugs. Whether you have a few prescriptions or a lot, Blue Cross and Blue Shield of Texas offers plans that can work for your health care needs and budget. The Blue Cross MedicareRx Value SM and Blue Cross MedicareRx Choice SM plans have a …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 ...You can call the customer service number listed on the back of your Blue Cross and Blue Shield of Texas (BCBSTX) member ID card to make sure the right email and mobile number is linked to your account or to change your contact preferences. ... a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue …Blue Cross and Blue Shield of Texas Insurance ... A Mutual Legal Reserve Company, HCSC is an independent licensee of the Blue Cross Blue Shield Association. For nearly a century, we have enabled ...With 24/7 access to doctors, psychiatrists, psychologists, therapists and other medical experts, care is always available, anytime and anywhere. Select and see your favorite providers again and again, right from your smartphone, tablet or computer. Because we work with health plans and employers, nearly 98 million Americans have covered care.Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO) Prior Authorizations Lists for Designated Groups; Recommended Clinical Review Option; Prior Authorization Exemptions (Texas House Bill 3459) Claims Filing Tips. Claim Status; Claim Review Process; Interactive Voice …Blue Access for Employers. Blue Access for Employers is the simple and convenient way to manage your account online. Our secure producer portal provides you with instant … 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. 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.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 …Mar 22, 2024 · Last Updated: March 22, 2024. Get answers to common questions about Blue Cross Blue Shield of Texas health plans, benefits, and services. Empower yourself with knowledge. Learn more now. User ID. Password. Returning Shoppers. Log in for a quote, to compare plans, or to apply now. Talk to a licensed BCBSTX customer service representative. 1-888-672-2583. Monday - Friday. 9am - 4:30pm CST. Blue Access for Members Highlights.Blue Access for Employers. Blue Access for Employers is the simple and convenient way to manage your account online. Our secure producer portal provides you with instant …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 …If available for your account, you can also visit Member Services for the following: Search for a doctor, hospital, pharmacy, urgent care, and more. Locate a form. View prescription drug lists. If you regularly pay your premium through BCBSXX, you also have the option to pay through Member Services.Blue Cross and Blue Shield of Texas (BCBSTX) launched MyBlue Health, an HMO network, as noted below in the following counties: Jan. 1, 2024. Comal, McLennan, and Rockwall ...Prenatal and Postpartum Care measures the percentage of deliveries in which members: Had a prenatal care visit in the first trimester, on or before the …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. These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) 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 status and more BlueCross BlueShield of Texas Contact. MAIN. 972-766-6900. 2pm - 11pm. 1001 E. Lookout Drive. Richardson, TX 75082. BlueCross BlueShield of Texas reviews, contact info, quotes & FAQ. Get the full story from fellow consumers' unbiased BlueCross BlueShield of Texas reviews.Preventive care, including immunizations and prescription drug coverage. Low deductibles and 100% coverage of eligible services at the Student Health Center. Access to our local and national Blue Cross and Blue Shield PPO Network. 24/7 Nurseline and Virtual Visits that provides students access to health care from the convenience of their phone ...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.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. CTThe remittance viewer offers providers and billing services a convenient way to view and help reconcile claim data provided by BCBSTX in the 835 Electronic Remittance Advice (ERA). To gain access to the remittance viewer, you must be a registered Availity® Essentials user, enrolled to receive the 835 ERA from BCBSTX. Online enrollment for …Federal Employee Program | Blue Cross and Blue Shield of Texas This page may have documents that can’t be read by screen reader software. For help with these documents, please call 1-800-442-4607.With Blue Access for Producers (BAP), you can: Obtain an instant preliminary quote whenever customers call. View, download, or print the information you need. View product information. View your commission statements. For questions about BAP, contact the Blue Access® Internet Help Desk: 888-706-0583. Mon – Fri: 7 a.m. – 10 p.m. Central Time.Blue Distinction® Specialty Care. Blue Distinction Centers. Bariatric Surgery; Cardiac Care; Cellular Immunotherapy; Fertility Care; Gene Therapy; Knee and Hip Replacement; ... 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 ...Center for Fertility Care. Blue Distinction ® Centers for Fertility Care focus on in vitro fertilization (IVF) which is the most common assisted reproductive technology (ART) treatment and is widely becoming the preferred option for fertility treatment. Directory of Blue Distinction ® Centers and Blue Distinction ® Centers+ For Fertility.Dental Insurance. Under the Affordable Care Act (ACA), dental coverage is free for children 18 and younger and optional for all adults. These dental plans are offered by the government when you enroll during Open Enrollment or with a qualifying life event. You can also enroll with BCBSTX if you need dental coverage in addition to your current plan. 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 ... 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 …If available for your account, you can also visit Member Services for the following: Search for a doctor, hospital, pharmacy, urgent care, and more. Locate a form. View prescription drug lists. If you regularly pay your premium through BCBSXX, you also have the option to pay through Member Services. 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 ... 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 ...Request Contract/Agreement/Network Participation. We welcome all providers to apply for participation in the Blue Cross and Blue Shield (BCBSTX) networks. BCBSTX contracts with physicians, and other health care professional providers to form our provider networks which are essential for delivering quality, accessible and cost-effective health ...Blue Cross Blue Shield Association. / 41.8864516; -87.6239771. Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States -based federation with 34 independent and locally-operated BCBSA companies that provide health insurance in the United States to more than 115 million people as of 2022.Welcome Blue Cross and Blue Shield of Texas members. Blue365 offers premier health and wellness discounts and is free to join. Join Blue 365. This Week’s Featured Offers . Nutrition. Health&Tea Save 20% on Health-Boosting Tea Products Plus Free Shipping Details 3.0k FavoritesPrior 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 ...Here's How It Works. Using your digital member ID card at your doctor’s office is quick and easy: Step 1. Log in to the BCBSTX mobile app. Step 2. On the dashboard, tap the Member ID Card icon. Step 3. That’s it. You’re now looking at your digital member ID card. Blue Advantage HMO SM offers 4 Gold plans. Blue Advantage plans are lower-cost HMO plans available to residents across Texas. These plans include a network of over 370 hospitals and over 100,000 doctors. Blue Advantage Plus SM offers 3 Gold plans. Blue Advantage Plus is offered throughout the state of Texas. Call the customer service number listed on your BCBSTX member ID card for this information. If you feel that the out-of-network provider is billing you more than you agreed at the time you signed the Balance Billing Waiver, contact the Texas Department of Insurance at tel: 1-800-252-3439.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 …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 AssociationWith Blue Access for Producers (BAP), you can: Obtain an instant preliminary quote whenever customers call. View, download, or print the information you need. View product information. View your commission statements. For questions about BAP, contact the Blue Access® Internet Help Desk: 888-706-0583. Mon – Fri: 7 a.m. – 10 p.m. Central Time.Go Mobile With Blue. 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.All Blue Cross and Blue Shield of Texas Silver plans offer the same set of health benefits, quality and amount of care. Your Silver 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: Silver plans have a monthly bill …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. CTThe 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.Go Mobile With Blue. 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. 24/7 Bilingual Nurseline. Similar to virtual visits, the 24/7 Bilingual Nurseline is a quick and affordable way to get care in English or Spanish. Bilingual nurses are on call to answer your health questions or concerns. Call the 24/7 Bilingual Nurseline at 1-800-581-0368. Each Healthy Action will earn you a $25 award. One reward per Healthy Action per year. The Healthy Activity Portal is a website owned and operated by HealthMine, Inc., an independent company that provides digital health and personal clinical engagement tools and services for Blue Cross and Blue Shield of Texas.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.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).1. Go Through a Life Event That Qualifies. If you've gone through certain life events, you may be able to enroll in a health plan during Special Enrollment. 2. Understand Your Timeline. In most cases, you have 60 days (including weekends and holidays) from the date of your qualifying life event to buy a new health plan.Blue Cross and Blue Shield of Texas (BCBSTX) gives health care benefits and access to care to help your child stay well. BCBSTX covers all medically necessary care that Medicaid covers. This includes: Visits to PCPs, specialists (with an OK ahead of time for out-of-network providers), or other providers. Routine physicals for children from ...Call the customer service number listed on your BCBSTX member ID card for this information. If you feel that the out-of-network provider is billing you more than you agreed at the time you signed the Balance Billing Waiver, contact the Texas Department of Insurance at tel: 1-800-252-3439.Blue Cross and Blue Shield of Texas plans give you and your employees more access to care with in-network Telehealth visits at the same cost as an in-office visit. Health Savings Account (HSA) Plans. Select an HSA plan for you and your employees that features $0 copay for some preventive drugs. HSA plans help employees stick to their treatment ...1. Go Through a Life Event That Qualifies. If you've gone through certain life events, you may be able to enroll in a health plan during Special Enrollment. 2. Understand Your Timeline. In most cases, you have 60 days (including weekends and holidays) from the date of your qualifying life event to buy a new health plan.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.Prenatal and Postpartum Care measures the percentage of deliveries in which members: Had a prenatal care visit in the first trimester, on or before the …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. Search for Doctors as a Guest. In addition to staying in network, you or your doctor may need to get benefit approval or “prior authorization” before you get treatment for certain services for them to be covered. Please check your benefit booklet or your plan's terms if you are unsure.
These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) 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 status and more . Boston to berlin
Blue Cross Blue Shield of Texas Refund and Recovery Dept. 0695 P.O. Box 120695 Dallas, TX 75312-0695; Claim Refunds for Medicare/Medicaid Blue Cross Blue Shield of Texas Claims Overpayments Dept. CH 14212 Palatine, IL 60055-4212; Courier Address: Blue Cross Blue Shield of Texas Claims Overpayments Box 14212 5505 North Cumberland Ave., Ste. 307 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 ...Blue Cross MedicareRx plans go beyond Original Medicare to offer coverage for prescription drugs. Whether you have a few prescriptions or a lot, Blue Cross and Blue Shield of Texas offers plans that can work for your health care needs and budget. The Blue Cross MedicareRx Value SM and Blue Cross MedicareRx Choice SM plans have a …All Blue Cross and Blue Shield of Texas (BCBSTX) fully-funded standard small group Qualified Health Plans (QHP) for 2-50 employees offer features and benefits designed with members’ health and wellbeing in mind. Popular Plans …Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, bcbstx.com an Independent Licensee of the Blue Cross and Blue Shield Association No-Cost Preventive Drug List Medication Covered at $0 Cost to You Effective July 1, 2021 Your member ID card is the fastest way to find your provider. Just type in the first three characters of your ID number. Then, select "Go." We'll immediately redirect you to your provider, where you can access your BCBS login. Find a BCBS Company by Prefix. These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) 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 status and more 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 network. Find the phone numbers and mailing addresses for different types of BCBSTX plans and services. Whether you need to enroll, pay a bill, or get customer support, you can reach …Blue Cross and Blue Shield of Texas (BCBSTX) is committed to implementing coverage changes to comply with ACA requirements and to better meet the needs and expectations of you and your patients. This section offers updated information and resources to keep you informed of the issues potentially affecting the administrative and patient care aspects of … Blue Access for Members SM is a powerful tool for managing your Blue Cross and Blue Shield of Texas health plan benefits. You can opt in to receive your mail digitally, find a doctor and review your coverage. In Austin, for example, Dell, Superior Healthplan, and Blue Cross Blue Shield currently operate. Superior, which covers 57% of the STAR and CHIP recipients in the …Telemedicine and Telehealth Services. 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. 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 Access for Producers SM. After you contract or onboard with us, you'll receive a nine-digit producer identification number from BCBSTX. This number allows you to register for Blue Access for Producers. BAP is our secure hub for producers. From BAP you can access tools for your Group, Medicare or Individual & Family Markets clients.Blue Cross Blue Shield of Texas Claims Overpayments Dept. CH 14212 Palatine, IL 60055-4212; Courier Address: Blue Cross Blue Shield of Texas Claims Overpayments Box 14212 5505 North Cumberland Ave., Ste. 307 Chicago, IL 60656-1471; Claims Status Inquiries. Payer ID – HCSVC; Appeals..