*Texas Department of Insurance required Disclosure Notice for all individual HMO Consumer Choice benefit plans issued territory, as shown in the map below. All Rights Reserved. Important Note: If you or a covered family member require the services of a hospital-based anesthesiologist, radiologist, pathologist, emergency room physician or neonatologist. Blue Advantage: Provider Directory | Blue Cross and Blue Shield of [emailprotected] Anesthesia Payment and Billing Update; Participating Provider Fee Schedule Requests: Copyright2021. $750: BLUEADVANTAGE HMO AND HM O ILLINOIS HOSPITALS Specialists 196 Supervised And Sponsored Providers 1367 Hospitals 1418 Facility-based Physicians 1420 Ancillary Providers 1812 Behavioral Health Providers (including Chemical Dependency Providers) 1825 Central Texas Community Health Find Blue Cross Blue Shield of Texas Medical Care Management P. O. Provider Finder WebNow, you can find the MyBlue Health plan in 11 counties across Texas. Any information we provide is limited to those plans we do offer in your area. All Rights Reserved. WebIn-Network Provider Options; HMO Provider Network Important Information; Shop Plans. Dallas, TX 75252. var __dcid = __dcid || []; We'll help you find new providers or check and see if your current providers are in our network. Paso, Abilene/San To request a hard copy of Blue Advantages provider directory, please call our Member Service Department at 1 Find a Doctor You can save quotes for later or apply now. Medicare Part D Notice: Blue Cross MedicareRx is a prescription drug plan provided by HCSC Insurance Services Company (HISC), an Independent Licensee of the Blue Cross and Blue Shield Association. WebBlue Advantage HMO members - All providers in this section are participating providers. Doctor office visits. WebBlue Essentials, Blue Advantage HMO, Blue Premier. If your company has 150 employees, your prescription drug benefits through BCBSTX may be based on the Basic Drug List, Basic Annual Drug List, Enhanced Drug List or the Enhanced Annual Drug List. To request this exception, you, your prescriber, or your authorized representative, can call the number on the back of your ID card to ask for a review. This link will take you to a new site not affiliated with BCBSTX. Review the 2023 health care plans in your area. Medicare Supplement Notice: Medicare Supplement Insurance Plans are offered by Blue Cross and Blue Shield of [STATE], a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Blue The . Blue Choice Gold PPO 001 Base Plan ($3250/$3250), Blue Choice Gold PPO 002 Base Plan ($1500/$3500), Blue Choice Gold PPO 001 American Indian Zero ($0/$0), Blue Choice Gold PPO 002 American Indian Zer ($0/$0), Blue Choice Gold PPO 001 American Indian Limited ($3250/$3250), Blue Choice Gold PPO 002 American Indian Limited ($1500/$3500), Blue Choice Gold PPO 001 ($3250 / $3250), Blue Choice Gold PPO 002 ($1500 / $3500), Blue Choice Gold PPO 011 ($1000 / $3000), Blue Advantage Gold HMO 001 Base Plan ($3250/$3250), Blue Advantage Gold HMO 002 Base Plan ($1500/$3500), Blue Advantage Gold HMO 001 American Indian Zero ($0/$0), Blue Advantage Gold HMO 002 American Indian Zero ($0/$0), Blue Advantage Gold HMO 001 American Indian Limited ($3250/$3250), Blue Advantage Gold HMO 002 American Indian Limited ($1500/$3500), Blue Advantage Gold HMO 001 ($3250 / $3250), Blue Advantage Gold HMO 002 ($1500 / $3500), Blue Advantage Gold HMO 007 ($1000 / $3000), Blue Advantage Gold HMO 008 ($0 / $6000), BCBS Premier 1, a Multi-State Plan - Base Plan - ($1000/$2750), BCBS Premier 2, a Multi-State Plan - Base Pan - ($500/$4000), BCBS Premier 1, a Multi-State Plan - American Indian Zero - ($0/$0), BCBS Premier 2, a Multi-State Plan - American Indian Zero - ($0/$0), BCBS Premier 1, a Multi-State Plan - American Indian Limited - ($1000/$2750), BCBS Premier 2, a Multi-State Plan - American Indian Limited - ($500/$4000). To view this file, you may need to install a PDF reader program. Toda la regin sudeste. Search for Names and Specialties. Online Provider Directory. WebProvider Finder Search Tool. Learn More. External link You are leaving this website/app (site). WebThere are 2 BCBSTX Bronze HMO Plan Options: Bronze HMO 005 $5,000 deductible and 80% coinsurance. Blue Advantage HMO Member Login Log in to your account to get the most accurate, personalized search Search by specialty, ZIP code, language spoken, gender and more. HMO Find These drug lists are a list of drugs considered to be safe and effective. Send us a question or request more information by reaching out to our customer service team. WebFor groups over 150 lives, you can choose an HMO network, with a choice of copay levels. WebThe Blue Advantage HMO service area includes all 254 counties in Texas; therefore, you have access to providers in all counties. Blue 1 HMO Illinois members - All providers in this section are participating providers. You can maximize your Medicare Advantage benefits by using providers in our extensive network. Blue Medicare Advantage (PPO) Key Contacts List - BCBSTX We're proud to offer this HMO planin 11 counties across Texas. The site may also contain non-Medicare related information. Plus, you might be able to get a premium tax credit, or subsidy, to lower your monthly bill payment. Under the Guest search section, refer to the Step-by-Step PDF. We apologize for any inconvenience. WebSearch for doctors, hospitals, pharmacies, urgent care and more using Provider Finder . Maintenance Notification: Even if youre not a member, you can search for doctors, hospitals and other providers. WebChoose a dental network from the list below to search for a dentist. We know that dealing with insurance isnt always Read more, Like most seniors, theres a good chance youve heard of Medicare you may even know that its a federally Read more, Medicare Advantage (MA or Part C), is a popular alternative to traditional Medicare. Your plan has its own provider network, a select group of doctors, clinics, hospitals and pharmacies that have agreed to provide a full range of covered health care services for your plan. Angelo. WebBenefits. Live Chat Search. If you have a health condition that may jeopardize your life, health or keep you from regaining function, or your current drug therapy uses a non-covered drug, you, your prescriber, or your authorized representative, may be able to ask for an expedited review process. Provider Finder puts more reliable information right at the members fingertips on both web and mobile platforms, including: Members having access to the information on Provider Finder can have an impact on your business, as well. External link You are leaving this website/app (site). You must select a network primary care physician (PCP), who coordinates your care within the network and referrals are required from your PCP to see a specialists. You can find provider manuals, reimbursement documents and procedures. Youll see details that may help you lower health care costs. With MyBlue Health, you can schedule an appointment with your primary care providers and expect: With a MyBlue Health plan, you'll have access to a $0 copay for all your scheduled in-person and telehealth primary care provider (PCP) appointments at select PCPs. The site may also contain non-Medicare related information. The drug lists below are used with BCBSTX "metallic" health plans that are offered through your employer. The HMO product also includes Away From Home Care (AFHC) Guest Membership coverage for members living out of the service area for at least 90 consecutive days. than what is required by Texas state law. Altamente recomendados! If you choose the high-deductible BluePrint PPO you can offer a compatible Health Savings Account. Blue To request this exception, you, your prescriber, or your authorizedrepresentative, can call the number listed on your BCBSTX member ID card to ask for a review. Blue Advantage HMO This is an HMO plan. Blue Advantage HMO Anthem Blue Most PDF readers are a free download. Provider Finder from Blue Cross and Blue Shield of Texas (BCBSTX) is a fast, easy-to-use tool that improves member experience when theyre looking for in-network health care providers. Gold Plans have a higher monthly premium and often lower out-of-pocket costs than silver plans. Why Choose BCBSTX When you're choosing a plan with BCBSTX, you're getting more than health WebFor Medicare Advantage plans, call Blue Cross Medicare Advantage Network Management at 1-972-766-7100. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Users first enter their zip code. Blue Advantage HMO . Blue Find a Doctor | Blue Cross Blue Shield in Texas. immunizations. Type in the word or phrase you are looking for and click on Search. Blue Advantage HMO - Blue Cross and Blue Shield of Texas In most cases, Bronze plans cover 80% of costs, while you cover 20%. Please check your benefit booklet or your plan's terms if you are unsure. providers located in the . WebFor any other Avsis vision plans, search the Avsis directory to find a provider near you. Users first enter their zip code. Last updated 8.9.2022 Y0096_WEBTXCDIS21_M, 17304 Preston Road, Suite 800 Important message about hospital-based physicians. If you have a health condition that may jeopardize your life, health or keep you from regaining function, or your current drug therapy uses a non-covered drug, you, your prescriber, or your authorized representative, may be able to ask for an expedited review process. Even if you didnt qualify in the past, you could receive one this year. Blue Advantage Members have access to a range of benefits with the BlueAdvantage HMO product. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de We make it easy for members to find a network provider and manage health care expenses. Review the information on our plans and networks: Blue Advantage HMO SM Network Participation and Blue Advantage Plus Blue Advantage HMO SM WebOfficial Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. You may still have one of these plans if you were on them before 2012, however. Blue If you're looking for a health plan that's easy to understand, easy to use and easy on your wallet, an HMO may be just what you need. If you provide a phone number, an agent may call you to make sure you received the information and to answer any questions you might have. Off the Exchange. We do not offer every plan available in your area. In addition, some sites may require you to agree to their terms of use and privacy policy. Begin your premium tax credit estimate. By choosing Blue Advantage HMO, clients choose more than just a health plan. 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, PDF File is in portable document format (PDF). Provider Finder from Blue Cross and Blue Shield of Texas (BCBSTX) is a fast, easy-to-use tool that improves member experience when theyre looking for in-network health care providers. The MyBlue Health plan may also give you access to: With three levels of coverage available, the MyBlue Health plan offers you a more affordable monthly payment with the same great support youve come to expect from BCBSTX. This directory contains . These can includePlatinum, Gold, Silver, or Bronzeplans. Service Area Map . Blue Advantage Log In to the Shopping Cart. Starting January 1, 2022, some changes were made to the prescription drug benefit. Find a Doctor Blue Advantage HMO West Territory, El To view this file, you may need to install a PDF reader program. These plans are no longer available for purchase, as BCBS has transitioned to ACA compliant plans. Outpatient Radiology Services BCBSTX has an agreement with Carelon to manage prior authorizations for specific outpatient advanced imaging services Blue Cross and Blue Shield of Texas, a Division of General Information. It is not a complete list of what is covered or excluded. Provider Finder Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. WebThe following resources provide you with the information needed to administer Blue Cross and Blue Shield of Texas (BCBSTX) plans for your patients. Find a Blue Distinction Center Information Note Find a provider or hospital recognized by Blue Cross and Blue Shield for changing health care to be more patient-focused, coordinated and, in many cases, affordable. Fax: 866-589-8254. Simply select Get a Quote and you can view and compare our plans and pricing. If you need assistance, please contact your Network Management office . 30 Information is subject to change. 4151 Callaghan Rd, Ste 102, San Antonio, TX 78228. External link You are leaving this website/app (site). Productos diseados para asegurar el ptimo desempeo en aplicaciones de acuacultura y vida acutica. This notice explains that the individual HMO plans noted above have a higher deductible or greater cost-sharing This may help lower your out-of-pocket costs. WebProvider Finder - Criterios de seleccin de la red; Validacin de la informacin de profesionales mdicos; rea de Blue Advantage HMO SM del sudeste de Texas. Plus, it can help them manage their out-of-pocket Blue Cross Blue Shield of Texas 2021 Plan Guide These SBCs describe key features such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. These can include, Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, 2023 Basic Annual Drug List Updates Summary, 2023 Enhanced Annual Drug List Updates Summary, 2023 Multi-Tier Basic Drug List Updates Summary, 2023 Multi-Tier Basic Annual Drug List Updates Summary, 2023 Multi-Tier Enhanced Drug List Updates Summary, 2023 Multi-Tier Enhanced Annual Drug List, 2023 Multi-Tier Enhanced Annual Drug List Updates Summary, 2023 In-Vitro Fertilization (IVF) Drug List. Network important message about hospital-based physicians. Find in-network providers, clinics, hospitals and drugstores. There are 3 Blue Choice PPO Gold Plan Options: Key Blue Choice Gold plan features include: Use the Provider Finder to search for physicians and hospitals in the BlueChoice network. If you Bronze HMO Plans may be right for you if you are an individual or family who: Blue Choice Gold Plans are the most popular BCBSTX individual plans. Llame al 1-877-774-8592 (TTY: 711). Updated 04-11-2023 Page B (d) 3. Members will have a predictable copayment, no deductible, and no claims or other paperwork to file. Blue Advantage HMO is available to your clients in all 254 Texas counties and the network includes more than 400 hospitals and 55,000 providers statewide. In addition, some sites may require you to agree to their terms of use and privacy policy. service area includes all 254 counties in Texas; therefore, you have access to providers in all counties. Maintenance Notification: He or she will help you determine if youll need a referral to see a specialist. Thank you for making it so easy and solving a very unsettled status in my life.. Examples of these drugs are contraceptive implants and chemo infusion. Youll want to know when you need a referral and how to use your HMO benefits. In addition, some sites may require you to agree to their terms of use and privacy policy. If the coverage request is denied, BCBSTX will let you and your prescriber (or authorized representative) know why it was denied and offer you a covered alternative drug (if applicable). WebBlue Cross and Blue Shield of Texas (BCBSTX) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Individuals who are temporarily without health insurance because COBRA is too expensive, are in-between jobs, or waiting for employer coverage to begin find SelectTEMP PPO to be an affordable alternative. Copyright document.write(new Date().getFullYear()). Zadzwo pod numer 1-877-774-8592 (TTY: 711). Prescription Drug Vlvulas y productos resistentes a la corrosin y ambientes agresivos, donde el metal no puede garantizar la durabilidad requerida. Southeast . or Use Member Login, once All gold plans offer the same set of essential health benefits, quality and amount of care. Blue Choice PPO Bronze Plans include access to the Blue Choice PPO network, the largest PPO network in Texas. This new site may be offered by a vendor or an independent third party. WebBlue Advantage HMO Table of Contents Search Criteria Product Type: BAV Sub Region: HOUSTON Last Updated: August 15, 2021 Primary Care Practitioners 2 Specialists 278 Supervised And Sponsored Providers 1423 Hospitals 1463 Facility-based Physicians 1465 Ancillary Providers 1651 Behavioral Health Providers (including Chemical Dependency A few things you can count on are: Learn more about why you should choose a BCBSTX health care plan. To return to our website, simply close the new window. Provider Finder is available in both web and mobile versions. pomocy jzykowej. Blue Advantage HMO - Blue Cross and Blue Shield of Texas Sapphire365 Finding the right health insurance is easy. M - F, 8am - 8pm CT Sat, 8am - 6pm CT Sun, 10am - 6pm CT. Important Note: If you or a covered family member require the services of a hospital-based anesthesiologist, The drug list below is used with your health plan if: Your prescription drug benefits through BCBSTX may be based on the Basic Drug List, Basic Annual Drug List, Enhanced Drug List or the Enhanced Annual Drug List. By choosing Blue We also will mail you a printed copy of your plans provider directory, if preferred. One option is Adobe Reader which has a built-in reader. If you would like a Provider Directory mailed to you, you may call customer service at 1-877-774-8592 TTY/TDD 711, or complete the online request form, Looking for a unique and genuine insurance experience? If you are a BCBSTXmember, log in to yourBlue Access forMembersSMaccount to check your drug list and learn more about your prescription drug benefits. Service Area Map . asistencia lingstica. Blue Advantage HMO . WebYour employees are your most valuable assets. All you have to do is: Go to bcbstx.com; Click on Find Care at the top WebBlue Advantage HMO Regions | Blue Cross and Blue Shield of Texas Blue Advantage HMO SM Regions Blue Advantage HMO SM Northeast Territory Entire Northeast The differences are how much your premium costs each month, what portion of the bill you pay for things like hospital visits or prescription medications, and how much your total out-of-pocket costs are. This information is a solicitation for insurance., Click Here for Important Anti-Discrimination Notice. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. Premera Blue Cross HMO is an independent licensee of the Blue Cross Blue Shield Association serving businesses and residents of Washington State, BCBSTX will let you, your prescriber (or authorized representative) know the coverage decision within 72 hours after they receive your request. Provider Finder - Blue Advantage HMO West Territory Call the number listed on your member ID card if you have any questions. Next the Search tool provides two How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Blue Most PDF readers are a free download. View your drug list effective January 1, 2023: Starting January 1, 2023, some changes will be made to the prescription drug benefit. Affinity Health Network. We make it easy for members to find a network provider and manage health care expenses. One option is Adobe Reader which has a built-in reader. Like the BlueChoice Gold PPO Plans, Blue Choice Silver PPO Plans include access to the Blue Choice PPO network, the largest PPO network in Texas. For more details about the MyBlue Health plan, please meet virtually one-on-one with a bilingual licensed agent by calling1-866-427-7497. Important message about hospital-based physicians. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage. If you need help finding a network provider or have questions Gold Plans WebServices include: An enhanced benefit for fashion eyewear for kids. Dr. Mario Juarez is a kind, compassionate, and detailed oriented doctor offering both Primary Care and Medical Spa services. WebSummary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered ServicesCoverage Period: 01/01/2023 12/31/2023: Blue Advantage Gold HMOSM 706Coverage for: Individual/Family | Plan Type: HMO Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Using Health Insurance; Referrals; Provider Finder; Understanding Insurance; HMO; Options Posts RSS; More; Cancel; Referrals are an important part of saving money when you have an HMO. To search for a drug name within the PDF Drug List document, use the Control and F keys on your keyboard, or go to Edit in the drop-down menu and select Find/Search. Network: Blue Advantage HMO (BAV) Approximately 476 hospitals, 73,981 providers; Helps keep costs lower and more If your company has 150 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. These drug lists are a list of drugs considered to be safe and effective. Important message about hospital-based physicians. Pregunte por la lnea de bombeo especializada de la serie LifeStar. View and compare our plans and pricing now by getting a quote. Find Los materiales llegan de acuerdo a lo esperado. Our digital cost transparency and provider directory tool empowers members to make smarter health care decisions. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. This doctor coordinates the member's care and helps the member make informed decisions, including recommendations for wellness and preventive care services. Shop plans for Medicare, Medical, Dental, Vision & Employers. We're here to help you get a 2023 health plan for yourself or family. Bronze Plans have a lower monthly premium and often higher out-of-pocket costs than Platinum, Gold, and Silver plans. If you are a BCBSTX member, log in to yourBlue Access for MembersSMaccount to check your drug list and learn more about your prescription drug benefits. Have questions? This new site may be offered by a vendor or an independent third party. Health Care Service Corporation. External link You are leaving this website/app (site). Provider Finder can be instrumental in reducing the cost of care and helping groups and members save money. With Jenns help, I found a plan that was perfect for my wife and I retirement needs and saved us money from what we had been paying. Outpatient surgery and diagnostic tests. Blue Advantage Refer to important information for our linking policy. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, important message about hospital-based physicians. 375 verified reviews. Information is subject to change. Please see Enhanced Eyewear for Kids. WebMedicare Advantage Provider Directory. The content on the Dental Wellness Center website is provided by go2dental.com . If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose BlueCare Dental SM as your network. race, color, national origin, age, disability, or sex. Health Care Fraud Prevention and Reporting, Texas Six (6) Month State Continuation of Coverage (Post COBRA). Please fill out the form below and we will send you information about our health insurance plans. Important Note: If you or a covered family member require the services of a hospital-based anesthesiologist, radiologist, pathologist, emergency room physician or neonatologist, see this important message about hospital-based physicians. Advantage HMO Be sure to review your benefit materials for details. Children may be able to have further eye tests and glasses as part of Texas Health Steps. If you need help, weve created these helpful guides: 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, PDF File is in portable document format (PDF). If you have any questions about your prescription drug benefits, call the number listed on your member ID card. WebDetermine if a Blue Distinction Center is an option for treatment; View patient feedback or add your own review for a provider; Find details about providers certifications and recognitions; How does Provider Finder work? To view this file, you may need to install a PDF reader program. Thank you for always answering our questions, calls and emails. Blue Advantage Bronze HMO Plan - Texas Health Agents WebUse these tools to help you find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. Bronze HMO 005 $6,000 deductible and 100% coinsurance. HMO Blue Choice Gold PPO 011 ($1000 / $3000) Blue Advantage Gold HMO Plans. Blue Advantage Gold HMO 206 HMO

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