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About Blue Cross and Blue Shield of Texas. Blue Cross and Blue Shield of Texas (BCBSTX) – the only statewide, customer-owned health insurer in Texas – is the largest provider of health benefits in the state, working with nearly 80,000 physicians and health care practitioners, and 500 hospitals to serve more than 6 million members in all …

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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.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).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)Insurance products issued by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148. Blue Cross and Blue Shield of Texas (BCBSTX) is the trade name of Dearborn Life Insurance Company, an independent licensee of the Blue Cross and Blue Shield Association.

A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas members. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. These prescription drug lists have different levels of coverage, which are called "tiers." 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.

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).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 ...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.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 …

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 …

Find the phone numbers, addresses and online resources for various products and services offered by Blue Cross and Blue Shield of Texas. Whether you are a member, a …

Blue Cross Blue Shield of Texas. Español. A simple, secure way to manage your care. Review your claims any time, anywhere. ... Blue Access for Members SM is a secure portal. You can find out about your health plan benefits, review your claims, and much more. You will need your ID card to sign up.Blue Cross and Blue Shield of Texas (BCBSTX) would like to extend the opportunity to you for participation as a provider in the Blue Cross Medicare Advantage (PPO) plan. New individual providers and new medical groups desiring to apply for network participation or existing medical groups who wish to add additional providers to their …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 the phone numbers, addresses and online resources for various products and services offered by Blue Cross and Blue Shield of Texas. Whether you are a member, a …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.

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. 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 ... 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.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 AssociationBlue 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.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 ... About Us. Blue Cross and Blue Shield of Texas is a statewide, customer-owned health insurer. We believe Texas consumers and employers deserve the best of both worlds: access to affordable, quality health care and top-notch service from a company that focuses solely on customers, not shareholders. Customer value is our cornerstone.

Blue Cross and Blue Shield of Texas. ATTN: Complaints and Appeals Department. P.O. Box 660717. Dallas, TX 75266-0717. Call a Member Advocate for help filing an appeal at 1-877-375-9097 (TTY: 711) You must request an appeal by 60 days from the date your notice for denial of services was mailed. We will give you a decision on your appeal within ...

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.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.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.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 *.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.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 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. 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. 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 ...

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BCBSTX App: Blue Access Mobile ®. Our BCBSTX mobile app gives members easy access to the same information and tools as the online portal detailed above. In addition, the BCBSTX mobile app – available for iPhone and Android users – allows members to: Access a digital member ID card. Log in securely with Face ID (iOS only) and Fingerprint ID.

Find a Doctor or Hospital. As a Blue Cross and Blue Shield of Texas (BCBSTX) STAR Kids member, you have access to many providers in your service area. Our Provider Finder® makes it easy to search for providers near you. Provider Finder.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. Blue Cross and Blue Shield of Texas es una aseguradora de salud estatal, propiedad de los clientes. Para nosotros, los consumidores y empleadores de Texas merecen lo mejor de ambos mundos: acceso accesible a cuidados de salud de excelente calidad y a servicios de primera categoría proporcionados por una compañía que se centra solamente en sus clientes, no en los accionistas. Blue Cross and Blue Shield of Texas is the only statewide, customer-owned health insurer in Texas and it's the largest provider of health benefits in the state, … Blue Cross and Blue Shield of Texas es una aseguradora de salud estatal, propiedad de los clientes. Para nosotros, los consumidores y empleadores de Texas merecen lo mejor de ambos mundos: acceso accesible a cuidados de salud de excelente calidad y a servicios de primera categoría proporcionados por una compañía que se centra solamente en sus clientes, no en los accionistas. 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 …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 AssociationBCBSTX 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.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 …Blue Cross and Blue Shield of Texas. Attn: Complaints and Appeals Department. P.O. Box 660717. Dallas, Texas 75266-0717. Fax to 1-855-235-1055. Call BCBSTX at 1-888-657-6061 (TTY: 711) or email us at [email protected] if you have …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.

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.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 inFind 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). 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 ... Instagram:https://instagram. astro yogiin shape family fitnesspriemwireai studio You can choose or change your PCP by calling a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY: 711) or by logging in to Blue Access for Members SM: Log in to Blue Access for Members. Click on the "Find Care" tab. On the Find Care page, see your current PCP on the right-hand side for each covered family member, if you already ... flights bos to laxmine game 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)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 ... neurorise 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*. Your doctor can order a COVID-19 diagnostic test and coordinate your testing at an in-network lab or pharmacy. If you don’t have a primary care doctor, we can help you find one. Call us at the Customer Service number on your BCBSTX member ID card. You can also find an in-network doctor by logging in to Blue Access for Members SM or ...