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 …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 *.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.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 ...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 1-800 ... 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 Insurance products issued by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148. Blue Cross and Blue Shield of Texas is the trade name of Dearborn Life Insurance Company, an independent licensee of …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.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) launched MyBlue Health, an HMO network, as noted below in the following counties: Jan. 1, 2024. Comal, McLennan, and Rockwall ...Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to offer our Blue Advantage HMO and Blue Advantage Plus HMO network in all 254 Texas counties. This cost-effective network is designed to provide affordable quality health care services to the uninsured and underinsured. These products offer the members medical benefits at a lower cost ...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.Step Therapy Program Criteria Summary and Fax Form List. If you have questions or concerns regarding these programs, please call Prime Therapeutics at 1-800-289-1525. Review the prior authorization/step therapy program overview list to help you determine which prior authorization form is used for the medication being prescribed.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 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. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. 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, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield AssociationGet 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 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 …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 …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 …General Reimbursement Information. The following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. You can find provider manuals, reimbursement documents and …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 …Basic Guest Search. Even if you're not a member, you can answer a few questions to find the right network to search for doctors. 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. 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. 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). If you are in crisis, call the National Suicide Prevention Lifeline at 988 or 1-800-273-8255. Last Updated: Jan. 26, 2024. Find an in-network behavioral health professional near you in Texas And the help you need to improve your mental health and overall well being. 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. 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 ...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 …Basic Guest Search. Even if you're not a member, you can answer a few questions to find the right network to search for doctors. 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.Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas is the fastest and easiest way to enroll in ACA / Marketplace health insurance. Click on the link to shop and compare plans, grab a FREE quote, and sign up for coverage.Blue Cross and Blue Shield of Texas is pleased to offer health plans for individuals who qualify for the State STAR and CHIP programs. Your health and well-being is our priority. We offer quality-health service, access to our many network providers, and excellent customer service. Learn more about our plan benefits. Blue Cross and Blue Shield of Texas will guide you in the right direction. Enroll today. Call: 1-855-453-5945 * First Name Please enter a First Name Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas is the fastest and easiest way to enroll in ACA / Marketplace health insurance. Click on the link to shop and compare plans, grab a FREE quote, and sign up for coverage.Small Business Health Insurance Plans Designed to Fit Any Size Small Business and Budget. Now it is more convenient than ever to purchase small business health insurance coverage for your employees. It shouldn’t be complicated or stressful to shop health insurance for small business. By requesting a Blue Cross and Blue Shield of Texas … Blue Cross Medicare Advantage SM — 1-877-774-8592. 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. With the home delivery AllianceRx Walgreen Pharmacy service, BCBSTX STAR, CHIP and STAR Kids members can get up to a 90-day supply of their regular or long-term medicines delivered right to their home. The home delivery pharmacy service offers members: Three ways to order refills: online, by phone or through the mail.Dental coverage can be purchased as part of your Blue Cross and Blue Shield of Texas family and individual health insurance plan or as a standalone dental plan. As part of the Affordable Care Act, some Individual and Family plans …Chief Medical Officer, Blue Cross and Blue Shield of Texas. Dr. Mark Chassay joined Blue Cross and Blue Shield of Texas (BCBSTX) in 2021 and currently serves as chief medical officer. He works to strategically align the organization’s voice around policy development and Texas Medicaid and Medicare, leads Texas Health Care Management …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.Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas is the fastest and easiest way to enroll in ACA / Marketplace health insurance. Click on the link to shop and compare plans, grab a FREE quote, and sign up for coverage.Find out how to use your health care plan with BCBSTX member services. Learn how to make a payment, access prescription drug lists, update your preferences, and more.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 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 ... 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 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. Find the phone numbers, addresses and hours of operation for different products and services offered by BCBSTX. Learn how to make a payment, register as a supplier, or get claims and correspondence information. 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. 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 4444 Corona, Suite 148 Corpus Christi, TX 78411-4375 361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions. Dallas. See “North Texas” El Paso. Blue Cross and Blue Shield of Texas 114 Mesa Park Dr. Suite #300 El Paso, TX 79912 -6156 915-496-6600, press 2 Fax: 915-496-6614Get 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.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.Dental coverage can be purchased as part of your Blue Cross and Blue Shield of Texas family and individual health insurance plan or as a standalone dental plan. As part of the Affordable Care Act, some Individual and Family plans …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. 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. 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.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 …©2024 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield …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 ...Forms & Documents. Last Updated: Aug. 31, 2023. This Information is a solicitation for insurance. Medicare Supplement Insurance Plan Notice: *Not connected with or endorsed by the U.S. Government or Federal Medicare Program. Medicare Supplement Insurance Plans are offered by Blue Cross and Blue Shield of Texas, a Division of …For Clinical Payment and Coding policy effective dates for in-network providers, please refer to the effective date listed on the policy. Disclosure notices subject to Title 28 of the Texas Administrative Code are posted at least 90 days in advance of the effective date of the change. All other disclosures will be provided with as much notice ...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 …Tell us what you’d like to do. Find a Doctor, Lab, or Hospital. Choose a Primary Care Provider (PCP) Find Benefit Details. Schedule a Virtual Visit. Earn Rewards with … 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. A: There are three different types of 1095 forms and reporting: 1095-A. 1095-A form: Provided by the Health Insurance Marketplace to members of on-exchange Retail plans to show the minimum essential coverage they had during the year. 1095-A reporting: Sent by the Marketplace to the IRS. 1095-B.Step Therapy Program Criteria Summary and Fax Form List. If you have questions or concerns regarding these programs, please call Prime Therapeutics at 1-800-289-1525. Review the prior authorization/step therapy program overview list to help you determine which prior authorization form is used for the medication being prescribed.Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. They are often used as guidelines for coverage determinations in health care benefit programs.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 ...Aug 8, 2023 · 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) 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 moreBlue Premier SM and Blue Premier Access. Blue Essentials HMO SM. MyBlue Health SM. More Searches. Find Providers Outside the U.S. Last Updated: Aug. 14, 2023. ... 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 …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.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).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.For Clinical Payment and Coding policy effective dates for in-network providers, please refer to the effective date listed on the policy. Disclosure notices subject to Title 28 of the Texas Administrative Code are posted at least 90 days in advance of the effective date of the change. All other disclosures will be provided with as much notice ...If, at any time, you think you or your child is having a mental health emergency, call us at 1-888-657-6061 (TTY: 711). You may call at any time of day or night, and on any day of the week. You will be able to talk to a mental health professional. To learn more about behavioral health services, check the STAR Member Handbook.Forms & Documents. Last Updated: Aug. 31, 2023. This Information is a solicitation for insurance. Medicare Supplement Insurance Plan Notice: *Not connected with or endorsed by the U.S. Government or Federal Medicare Program. Medicare Supplement Insurance Plans are offered by Blue Cross and Blue Shield of Texas, a Division of …
Register for Blue Access for Members SM (BAM SM) to access everything you need to stay informed about your health care. Once you register, you’ll enjoy all the benefits: Access your digital member ID card. View claims status and history. Review health care benefit information. Find a doctor or pharmacy near you.. Local sexying
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)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 …A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 753690.0720 Please submit refunds to: Blue Cross and Blue Shield of Texas Refund and Recovery Dept. 0695 ... Blue Cross and Blue Shield of Texas Dept. 0695 PO Box 120695 Dallas, TX 75312 …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.Basic Guest Search. Even if you're not a member, you can answer a few questions to find the right network to search for doctors. 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.Basic Guest Search. Even if you're not a member, you can answer a few questions to find the right network to search for doctors. 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.Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Find Texas vision and eye care providers near you that are in the Blue Cross and Blue Shield of Texas network.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 …Phone: 1-972-766-9521. Valerie McKinney. Government Account Representative. West Texas. Email Valerie McKinney. Phone: 1-325-793-4473. Contact Us - Federal Employee Program | Blue Cross and Blue Shield of Texas.Buy health insurance from BCBSTX. We offer individual, family and Medicare supplement plans for your health care needs, so get your free quote today!Whatever the size of your business, Blue Cross and Blue Shield of Texas (BCBSTX) coverage options can help you create a healthier and more productive workplace that … If you are in crisis, call the National Suicide Prevention Lifeline at 988 or 1-800-273-8255. Last Updated: Jan. 26, 2024. Find an in-network behavioral health professional near you in Texas And the help you need to improve your mental health and overall well being. 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.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.Our customer satisfaction ratings are consistently above 96 percent. Focus on the member's needs, not just the question, and consider it their job to answer the "unasked" questions that may ultimately provide better assistance for the member. Have a solid track record of achieving first call resolution of members' needs more than 90 ….