CDHP stands for Consumer Directed Health Plan. It's a type of health plan that gives you more control of your health care expenses. A CDHP most often pairs a Health Savings Account (HSA), or some other tax-advantaged account. An HSA is a savings account that lets you use pre-tax dollars to pay for a wide range of qualified …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 ...Durable Medical Equipment Reimbursement Schedules / Prosthetics & Orthotics Reimbursement Schedules. 2024 Schedules effective 2/1/24. 2020 Schedules effective 3/1/20 - 1/31/24. 2017 Schedules effective 10/1/17 – 2/29/20. 2015 Schedules effective 11/1/15 – 9/30/17. 2014 Schedules effective 7/1/14 – 10/31/15. 2013 Schedules …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 …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.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 …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 following plans are available to you as a State of Texas agency or institution employee or non-Medicare-eligible retiree. Throughout this exercise, we will ask you simple questions to help guide you to make the best decision for your health care benefits. ... a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue ...The drug lists below are used with BCBSTX "metallic" health plans that are offered through your employer. These can include Platinum, Gold, Silver, or Bronze plans. If your company has 1–50 employees, your prescription drug benefits through BCBSTX are based on a Drug List, which is a list of drugs considered to be safe and effective. If you are a …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 ... If you are in a crisis situation and need immediate help finding resources for care, call 1-800-252-8039 (TTY: 711) and ask to speak to a mental health clinician. BCBSTX Personal Health Assistants can help with changing appointments, finding a new provider or answering benefit questions. Blue Cross and Blue Shield of Texas (BCBSTX) has been serving individuals and families in Texas for 90 years. In collaboration with Sanitas Medical Centers, we are working together to bring you an easier way to access health care. At Sanitas Locations, BCBSTX Members Can Expect: One-on-one assistance to help you choose your health … If you are in a crisis situation and need immediate help finding resources for care, call 1-800-252-8039 (TTY: 711) and ask to speak to a mental health clinician. BCBSTX Personal Health Assistants can help with changing appointments, finding a new provider or answering benefit questions. An HCA is an employer-funded spending account that engages and empowers employees – they decide how their health care dollars are spent. Charges for covered medical care services are first paid from this account. Money spent from the HCA is also applied toward the annual deductible. Unspent funds roll over from year to year.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. 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 Some members’ plans may require them to obtain these medications from a specific preferred specialty pharmacy* for benefit consideration. Blue Cross and Blue Shield of Texas (BCBSTX) contracts with Accredo to obtain specialty medications approved for self-administration. To contact Accredo, call 833-721-1619, e-prescribe the prescription** or ... Tips to Find a Doctor or Hospital. When you need to find a doctor or hospital, take the time to research your options. Follow the steps below to help find a provider or medical facility that meets your needs. 1. Check Your Provider Network. 1 Internet/WiFi connection is needed for computer access. Data charges may apply when using your tablet or smartphone. Check your phone carrier’s plan for details. 2 Virtual Visits may be limited by plan. For providers licensed in New Mexico and the District of Columbia, Urgent Care service is limited to interactive online video; Behavioral Health service …Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. In the United States, Puerto Rico and U.S. Virgin Islands. Outside the United States. …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 … 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 ... 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 ... 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." A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 757631.1021 Your Digital ID Card and More Access the Secure Member Site Go to bcbstx.com and click the Log In tab to register for Blue Access for MembersSM. Click the Register Now link andFind 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.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 AssociationLog 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 …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 ...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 ...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 ...972-468-3980. 972-468-3982. 972-468-3983. 972-468-3984. Obstetrical Billing & Multiple Birth Guidelines. Outpatient Surgery Codes with Increased Reimbursement When Performed at an Ambulatory Surgery Center. Pass-Through Billing. Preventive and Follow Up Colonoscopies. Proper Speech Therapy Billing.I want to nominate a provider who is not already in the HealthSelect network: There currently are more than 133,000 providers in the HealthSelect SM network across the State of Texas, with providers being added on a regular basis. If your current provider is not listed in the HealthSelect network, you can nominate her/him using this form.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.Find a Doctor or Hospital. Know Your Network. Tips to Find a Doctor or Hospital. Find a Dentist. Utilization Management. Blue Distinction ® Specialty Care. Virtual Visits. Telemedicine and Telehealth Services. Sanitas Medical Center Collaboration.BCBSTX will provide an expedited credentialing process which allows for a "provisional network participation" status if the provider applicant has: A valid BCBSTX Provider Record ID for claim payment. Submitted a current signed BCBSTX contract/agreement. Completes the CAQH ProView database online application with "global" or "plan specific ... 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. 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.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. 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 has everything you need to meet your needs and grow your business: Quality health care plans and networks across group, Medicare, and individual markets. A service and technology infrastructure built to support you and your clients. Marketing materials, online quoting, enrollment tools, secure messaging ...When comparing Blue Cross and Blue Shield of Texas options, you might come across a few different plan types: HMO: A Health Maintenance Organization keeps costs low by working with your primary care doctor for any needs and specialty referrals. PPO: A Preferred Provider Organization lets you choose where you go for care without needing ...Blue Cross and BlueShield of Texas contracts with ModivCare to provide NEMT to STAR members as a covered benefit through Texas Medicaid. Call 1-866-824-1565 between 8 a.m. and 5 p.m. Central Time, Monday through Friday, for more information about NEMT or to schedule a ride. Rides are available 24 hours a day, 7 days a week.An HCA is an employer-funded spending account that engages and empowers employees – Employees decide how their health care dollars are spent. Charges for covered medical care services are paid from this account. Money spent from the HCA is also applied toward the annual deductible. Unspent funds roll over from year to year.HealthSelect SM Secondary. For retirees and their eligible dependents enrolled in Medicare, visit HealthSelect MedicareRx for information about the HealthSelect Medicare Prescription Drug Program. For questions related to your prescription drug benefits, including diabetic supplies, call (866) 264-4676 (TTY: 711), 24 hours a day, seven days a week. 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 ... 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. I want to nominate a provider who is not already in the HealthSelect network: There currently are more than 133,000 providers in the HealthSelect SM network across the State of Texas, with providers being added on a regular basis. If your current provider is not listed in the HealthSelect network, you can nominate her/him using this form.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.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 ... 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 ... 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 Blue Access for Members. 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 Blue Access for Members. 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; ... Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an …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 ...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 ...BCBSTX will provide an expedited credentialing process which allows for a "provisional network participation" status if the provider applicant has: A valid BCBSTX Provider Record ID for claim payment. Submitted a current signed BCBSTX contract/agreement. Completes the CAQH ProView database online application with "global" or "plan specific ...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 …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 …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 …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.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, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association If you are in a crisis situation and need immediate help finding resources for care, call 1-800-252-8039 (TTY: 711) and ask to speak to a mental health clinician. BCBSTX Personal Health Assistants can help with changing appointments, finding a new provider or answering benefit questions. Check your benefits booklet for details. 5 Blue365 is only available to Blue Cross and Blue Shield of Texas (BCBSTX) members with active health plan coverage. Members who do not have an active health plan with BCBSTX will not be able to register on the Blue365 website. The relationship between Blue365, its vendors and BCBSTX is that of ... Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association If you are in a crisis situation and need immediate help finding resources for care, call 1-800-252-8039 (TTY: 711) and ask to speak to a mental health clinician. BCBSTX Personal Health Assistants can help with changing appointments, finding a new provider or answering benefit questions. 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 ...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 …If you are in a crisis situation and need immediate help finding resources for care, call 1-800-252-8039 (TTY: 711) and ask to speak to a mental health clinician. BCBSTX Personal Health Assistants can help with changing appointments, finding a new provider or answering benefit questions.April 23, 2024. Blue Cross and Blue Shield of Texas has updated with minor revisions as part of its annual review, the CPCP005 Home Health Care/Private Duty … 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 c/o 1095-B Form Request PO Box 660044 Dallas, TX 75266-0044 Once this form is received, your Form 1095-B will be mailed to your address on file within 30 days. Email Fill out the 1095-B Request Form, then attach the completed form to an email message. Please send this email 4 to [email protected]. Once ... Blue Cross and Blue Shield of Texas. 1001 E. Lookout Drive. Richardson, Texas 75082. General Information: (972) 766-6900. TDD: (800) 735-2989 (for the hearing-impaired) Customer Service Numbers. Group Products. For Customer Service please call the number on the back of your ID card, or call one of the following numbers: PPO/POS/Indemnity Plans. BCBSTX will provide an expedited credentialing process which allows for a "provisional network participation" status if the provider applicant has: A valid BCBSTX Provider Record ID for claim payment. Submitted a current signed BCBSTX contract/agreement. Completes the CAQH ProView database online application with "global" or "plan specific ...Blue Cross Blue Shield of Texas Gender Assignment Surgery and Gender Reassignment Surgery with Related Services. ... such as long-term cross-sex hormone therapy or surgical procedures, may render an individual infertile whether or not the individual has reproduced in the past. ...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 ...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 ...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.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.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) offers Individual health plans for yourself and your family, Medicare plans and Medicaid plans for those who qualify. Individual & Family Plans. Need 2021 coverage? You can apply for …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 ...Blue Cross and Blue Shield of Texas has everything you need to meet your needs and grow your business: Quality health care plans and networks across group, Medicare, and individual markets. A service and technology infrastructure built to support you and your clients. Marketing materials, online quoting, enrollment tools, secure messaging ...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 ...CareFirst BlueCross BlueShield. Remote in Baltimore, MD 21224. $61,560 - $122,265 a year. Full-time. Easily apply. This role will serve as the face of our CareFirst BlueCross BlueShield government programs including Medicaid and Medicare in Eastern Maryland. Posted 30+ days ago ·. More...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.HealthSelect SM Secondary. For retirees and their eligible dependents enrolled in Medicare, visit HealthSelect MedicareRx for information about the HealthSelect Medicare Prescription Drug Program. For questions related to your prescription drug benefits, including diabetic supplies, call (866) 264-4676 (TTY: 711), 24 hours a day, seven days a week.
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*. . Us patent 6470214
PPO stands for Participating Provider Option. It's a type of health plan that lets you choose where you go for care, without a referral from a primary care physician or having to only use providers in your plan's provider network. It typically has higher monthly premiums and out-of-pocket costs like copays, coinsurance and deductibles.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 ...BCBSTX Provider Manuals are reference tools for providers. These manuals set forth the detailed policies, procedures and requirements necessary for participation in the BCBSTX contracting provider networks. Note: In the event of a conflict between the manual and the provider's contract, the contract will govern.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 …The Medical Record Status Viewer is an online application that allows providers to confirm receipt (up to four) of the most recent medical records submitted by mail or fax to Blue Cross and Blue Shield of Texas (BCBSTX) for claim processing and prior authorization requests.. Steps to confirm medical record receipt status online: Log into Availity EssentialsNo matter which Blue Cross and Blue Shield of Texas plan you choose, you can count on getting the care you need at a price you can afford. That’s our promise to you. Always. As a trusted health care leader in Texas, we’ve been helping our members and communities stay healthy and well for more than 90 years. No matter what your needsPPO stands for Participating Provider Option. It's a type of health plan that lets you choose where you go for care, without a referral from a primary care physician or having to only use providers in your plan's provider network. It typically has higher monthly premiums and out-of-pocket costs like copays, coinsurance and deductibles.HealthSelect SM Secondary. For retirees and their eligible dependents enrolled in Medicare, visit HealthSelect MedicareRx for information about the HealthSelect Medicare Prescription Drug Program. For questions related to your prescription drug benefits, including diabetic supplies, call (866) 264-4676 (TTY: 711), 24 hours a day, seven days a week.April 23, 2024. Blue Cross and Blue Shield of Texas has updated with minor revisions as part of its annual review, the CPCP005 Home Health Care/Private Duty …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.An HCA is an employer-funded spending account that engages and empowers employees – they decide how their health care dollars are spent. Charges for covered medical care services are first paid from this account. Money spent from the HCA is also applied toward the annual deductible. Unspent funds roll over from year to year.Blue Cross 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. Company Information. 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. For more than 90 years, we have forged alliances with local nonprofit organizations to show our commitment to help build healthy communities. .