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 ...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.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 ... 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. 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. 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, 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 InformationBCBSTX 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 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. The BlueCard Program* helps Blue Cross and Blue Shield of Texas (BCBSTX) members: Get needed health care when you travel or live outside your Blue Plan service area. Get the same benefits as your BCBSTX plan when you travel or are away from home for an extended amount of time. Find a doctor or hospital throughout the United States — More …Get a Quote/Browse and Buy Plans. Premium Tax Credit Estimator. Individual & Family Plans. Medicare Plans. Log in to Blue Access for Members. Register for Blue Access for Members. Pay My Bill.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) Member Services. 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 ... 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. 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 Find out how to update your Texas individual and family health insurance through Special Enrollment. Compare plan levels, benefits, costs and networks and manage your plan … Log in to your account to access your health plan information, find a provider, pay your bill, and more. Learn how to use your BCBSTX membership, control health care costs, and get care while traveling. 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 ...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 InformationDental 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 …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 …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).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 …Blue Cross and Blue Shield of Texas’ integrated claim process will automatically deduct the appropriate funds from your FSA and/or HCA and/or pay the claim from the PPO. If your plan covers non-PPO eligible expenses, send the receipt and claim form to the address on the claim form to receive a reimbursement from your FSA and/or HCA.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 …Get the latest from FEP. Be the first to know about our benefits, wellness incentives and rewards you're eligible for with your plan. Learn all about the #1 health insurance choice for federal employees, retirees and their families.The 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 …Blue Cross and Blue Shield of Texas (BCBSTX) offers a wide variety of health care products. Each member's/subscriber's identification (ID) card displays important information required for billing and determining benefits. When filing a BCBSTX claim, two of the most important elements are the member's/subscriber's ID number and group/plan number. 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 ... 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 …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.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 FavoritesWelcome 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 FavoritesIf 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. 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 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 …Complete the Provider Onboarding Form. When filling out the Provider Onboarding form, use Google Chrome for best results. Providers who want to be in-network will have additional fields to complete on the form. Providers can select the question mark icon where available if they need assistance with those fields. Professional Providers must have:For all TRS-ActiveCare or TRS-Care Standard participants, providers can use the following statewide in-network clinical labs: Clinical Pathology Laboratory (CPL) — Contact 1-800-595-1275 or visit CPL's websit e. Quest Diagnostics, Inc. — Contact 1-888-277-8772 or visit Quest's website. Refer to Provider Finder ® for additional ...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 ...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.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) 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 ...This page may have documents that can’t be read by screen reader software. For help with these documents, please call 1-877-774-8592.Blue 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 …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. 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 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 …Advantages of Membership. Learn about all the programs available to you and all the Advantages of Membership included with Blue Cross and Blue Shield of Texas plans. Forms and Helpful Resources. Individual Insurance Plans: Applications and Forms. Medicare Supplement Forms. Employer-Offered Coverage: Coverage Forms. …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. 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 ... 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 ... 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 …If you need to contact Texas Health Steps, call them toll-free at 1-877-847-8377 (1-877-THSTEPS). Learn more about Texas Health Steps. To ask for a fair hearing, call us at 1-888-657-6061 (TTY: 711). To file a complaint, call us at 1-888-657-6061 (TTY: 711) or write to: Blue Cross and Blue Shield of Texas. Attn: Complaints and Appeals Department.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 …• Mail inquiries to: Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-0044 • Additional Information requests – If you received an Additional Information request from BCBSTX, follow the instructions provided …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.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 …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, 2021The 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 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.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 …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.In-Network Options. When receiving services from a lab, specialty pharmacy, or durable medical equipment (DME) provider, it's important to make sure that the provider is in your network. A laboratory must be in-network in the state your referring provider is located. A specialty pharmacy must be in-network in the state your ordering physician ...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 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 …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 …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.Blue Cross Blue Shield: 5.0 rating, 1.7M+ providers, all metal tiers. Positive experiences, higher complaints, ACA premiums. Bronze plan: $458 avg. cost, $7,173 ...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). 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 ... 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 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 ...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 is the only statewide, customer-owned health insurer in Texas and it's the largest provider of health benefits in the state, …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.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 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. The PPO plan is available to clients through the Blue Choice Network, one of the largest networks in Texas. Blue Choice provides: ... More than 800,000 doctors and 6,000 hospitals contracting with Blue Cross and Blue Shield plans nationwide; For health care services required outside of Texas, members have access to the BlueCard national network ...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 ...ENJOY THE BENEFITS OF BLUE365. Sign up for Blue365 to enjoy exclusive member discounts on fitness classes, exercise equipment, nutrition, and more. It's easy and free to join! Learn more. Blue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App.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 … Blue Cross and Blue Shield of Texas 4444 Corona, Suite 148 Corpus Christi, TX 78411-4375 1-361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions. Dallas and East Texas. See "North Texas" El Paso. Blue Cross and Blue Shield of Texas 114 Mesa Park Dr. Suite #300 El Paso, TX 79912 -6156 1-915-496-6600, press 2 Fax: 915 ... Telemedicine and Telehealth medical services – and procedures – are covered under some Blue Cross and Blue Shield of Texas (BCBSTX) PPO and HMO health …Blue Cross Blue Shield: 5.0 rating, 1.7M+ providers, all metal tiers. Positive experiences, higher complaints, ACA premiums. Bronze plan: $458 avg. cost, $7,173 ...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 …Blue Cross and Blue Shield of Texas does not provide legal or tax advice, and nothing herein should be construed as legal or tax advice. These materials, and any tax-related statements in them, are not intended or written to be used, and cannot be used or relied on, for the purpose of avoiding tax penalties.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)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. 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 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. 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.
The Health of America. Data driven insights, stories of inspired healthcare solutions and the interactive BCBS Health Index. Learn More. Nearly one in three Americans rely on Blue Cross Blue Shield companies for access to safe, quality, and affordable healthcare. . Game spelling game
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 ...BCBSTX Values LGBTQ Inclusion. BCBSTX stands by our core values of integrity, respect, commitment, caring and excellence. We work together with our LGBTQ employees to better understand the health care needs of our LGBTQ members. One of the many ways we support our LGBTQ employees and allies is through the Pride Alliance business … 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. 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 …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. 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 ... 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. 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).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.Your 2024 Health Plan Options. Your health care coverage is your choice. You can renew your current health plan or enroll in a new health plan during the Open Enrollment Period from. November 1, 2023 - January 16, 2024. Here are your 2 choices:Blue Cross and Blue Shield of Texas’ integrated claim process will automatically deduct the appropriate funds from your FSA and/or HCA and/or pay the claim from the PPO. If your plan covers non-PPO eligible expenses, send the receipt and claim form to the address on the claim form to receive a reimbursement from your FSA and/or HCA.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. Compare and apply for Texas health insurance plans online at BCBSTX. Find individual and family, Medicare, short-term and HSA compatible plans and get a free quote. 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 …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)• Mail inquiries to: Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-0044 • Additional Information requests – If you received an Additional Information request from BCBSTX, follow the instructions provided and …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 … 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 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. .