Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 2am - 5am Saturday, October 20. Know the name of your plan and choose it from the dropdown box "Select network type". www.bcbstx.com . Monday - Friday We apologize for any inconvenience. BCBSTX drafted my bank account twice. This new site may be offered by a vendor or an independent third party. PDF File is in portable document format (PDF). We apologize for any inconvenience. When will I get my money back? If you want to cancel our off-Marketplace plan, we can process that cancellation for you. Note Dentists, please contact DNOA Provider Support. The site may also contain non-Medicare related information. Finding the right health insurance is easy! 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). Hi Kelly, We have responded to your private message. BCBS Provider Phone Number - Anthem Blue Cross and Blue Shield List A Health Maintenance Organization (HMO) is a type of health plan that gives you access to certain doctors and hospitals that have contracted with the HMO, often called a provider network or just network. 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. Your UT Benefits | The University of Texas System By continuing to use this website, you consent to these cookies. Finding the right health insurance is easy! BCBSTX GroupAuthenticator - BCBSTX * BCBSTX has contracted with a third-party vendor, Alacriti Payments, LLC, to process your ACH/electronic check payment. All Rights Reserved. Our customer satisfaction ratings are consistently above 96 percent. Customer Service | Blue Cross and Blue Shield of Texas - BCBSTX Copyright 2023 Health Care Service Corporation. $150 $250 Each of our 22 customer service centers offers a customized, personalized member experience. Download the BCBSTX App. Connect Community - Blue Cross and Blue Shield of Texas. External link You are leaving this website/app (site). To pay as a guest, fill out the policy holder's information below. Contact Us - Blue Cross Blue Shield of Texas - BCBSTX Register Today. Get Care While Traveling A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy. Texas - Blue Cross and Blue Shield's Federal Employee Program For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Most PDF readers are a free download. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Get answers. Log in to Blue Access for MembersSM (BAMSM) Customer Service | Blue Cross and Blue Shield of Texas - BCBSTX Submit completed forms to:BCBSTX Behavioral Health UnitPO Box 660241Dallas, TX 75266-0241Fax 877-361-7646, Claims submission address:Blue Cross and Blue Shield of TexasP O Box 660044Dallas, TX 75266-0044, Behavioral health services- claims status inquiries, For services managed by BCBSTX:Contact Availity or other electronic connectivity vendor or call 800-451-0287*, *interactive voice response (IVR) system to access, you must have full member's information (for example, member's ID, patients date of birth, etc. We apologize for any inconvenience. Your medical records or claims details may have to be reviewed. Please send us a private msg. External link You are leaving this website/app (site). Check your Benefit Booklet for your Network Type, Make sure you are searching within your network, How many pills your doctor often prescribes for you. Each of our 22 customer service centers offers a customized, personalized member experience. Customer Service will record your preference. You can save quotes for later or apply now. Insurance products issued by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148. TRS-Care Medicare Advantage Participants. Blue Access for Members and quoting tools will be unavailable from 2am - 5am Saturday, October 20. To view this file, you may need to install a PDF reader program. Have the knowledge and experience to make each call fast, accurate and simple for the member because of our low turnover less than 1 percent most recently the lowest turnover rate in the industry. Log in to your account to access your health plan information: Use your drug list to find your medications out-of-pocket costs and special requirements. Have a solid track record of achieving first call resolution of members' needs more than 90 percent of the time. Contact Us | Blue Cross and Blue Shield of Texas - BCBSTX Finding the right health insurance is easy! Call the customer service number on the back of your member ID card if you are already a member. Blue Access for Employers is the simple and convenient way to manage your account online. Within days of your application being accepted, you will receive a welcome letter from BCBSTX that includes your member identification number and group number. Be sure the doctor you select is accepting new patients. Box 660027Dallas, TX 75266-0027, Prior authorization of Medical Services for the Health Insurance Marketplace for Blue Advantage HMO Members, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 800-451-0287*, Behavioral health services mental health and chemical dependency, For prior authorization and referrals managed by BCBSTX: (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services). To make sure a provider is in the HMO network, search Provider Finder, our online directory. PDF File is in portable document format (PDF). To look for your medicines, you will need to know: While costs can vary depending on your benefit plan, you usually pay less for generic drugs and more for brand name drugs. Do I need a referral to see a specialist? Use the link below to find your local BCBS company's website. These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Additional information from your customer service outreach, Home Contact Guide has the phone numbers and instructions youll need. One option is Adobe Reader which has a built-in reader. You should get your member ID cards in the mail soon after your application is approved. In an emergency, go directly to the nearest hospital. Non-Discrimination Notice. And always remember to carry your current BCBSTX member ID card. I want to complete my application or retrieve a saved quote. HMO Individual and family plans will get a card for each member enrolled. 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. Log in for a quote, to compare plans, or to apply now. Maintenance Notification: New TRS-Care BCBSTX and UHC Customer Service Phone Lines and Online The site may also contain non-Medicare related information. Legal and Privacy Maintenance Notification: Call Customer Service at 800-538-8833. To view this file, you may need to install a PDF reader program. Use these SmartERSM Care options instead of the emergency room. Customer service representatives do not have access to information or data about your Consumer Directed HealthSelect HDHP or claims. You can log in to Blue Access for Members 24/7 to access your benefits information or Call the Customer Service number on the back of your BCBSTX ID card. One option is Adobe Reader which has a built-in reader. Manage your account, pay bills, download forms and find other helpful HSA information. Use these SmartERSM Care options instead of the emergency room. Learn about Your Coverage. Women do not need a referral to see an in-network OB/GYN designated as a Woman's Principal Health Care Provider (WPHCP). We sincerely apologize for our error in drafting your bank account twice for your premium payment. Have the knowledge and experience to make each call fast, accurate and simple for the member because of our low turnover less than 1 percent most recently the lowest turnover rate in the industry. Each of our 22 customer service centers offers a customized, personalized member experience. We apologize for any inconvenience. BCBS Federal Phone Number - FEP List Statewise Customer Service Precertification Mental Health/Substance Abuse Case Management Hospital; Alabama (800) 248-2342 Powered by AlwaysOn, you can find participating fitness centers, book a studio class, use health trackers and more. Member Services Access My Benefits Member Discounts Changing Coverage Global Coverage Find My Local BCBS Company Search with My Member ID Card Enter the first three characters of the Identification Number from your member ID card. View travel care details. Blue Cross and Blue Shield of Texas is the trade name of Dearborn Life Insurance Company, an independent licensee . Is this person with BCBSTX, and why are they asking these questions? Please review the terms of use and privacy policies of the new site you will be visiting. Most PDF readers are a free download. This may be your best option. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. It's easy to use the Provider Finder by registering for Blue Access for MembersSM (BAM): You must have a primary care physician assigned. 1-800-441-9188 . Pay your bill You will need your member identification number and group number to log in to Blue Access for Members. Some sites may require you to agree to their terms of use and privacy policy. For assistance, call 1-866-355-5999. Log in to your account to access your health plan information: Behavioral Health Facilities Psychiatric FacilitiesResidential Treatment Centers for Mental Health andSubstance Abuse FacilitiesNote: For behavioral health professional providers, refer to the Network Management Office Locations listed above. If you are already seeing a specialist for your condition, make sure that specialist is in your plan's network. *If youre a member of an employer group, the phone number and hours to reach customer service may be different. Has my coverage started? Claim status inquiries (out-of-state subscribers) contact Availity or other electronic connectivity vendor. Members can log in to their Blue Access for Members account from a desktop or mobile browser for more information about benefits, claim status and more. Your ID card will be sent separately soon after. To return to our website, simply close the new window. Answers to questionswe get asked the most. The call often only takes about 15 to 20 minutes. Find A Doctor Or Hospital In Your Network. I received my ID cards in the mail but they only have my name on them and not my spouse's. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Member ID Number I applied for a plan on the Health Insurance Marketplace and also applied for a plan directly with BCBSTX, so now I'm getting a bill for both. Most PDF readers are a free download. Employees Retirement Systems of Texas Benefits Employee Health - MDLIVE Register now. ), For services managed by Magellan:Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 800-729-2422, Claim filing address for Commercial products, Availity--- Authorizations & Referrals submissions (replacing iExchange system) electronic claims filing system, Benefit disclosure information (form available online), Predetermination requests (form available online), Mail: Blue Cross and Blue Shield of TexasAttn: Predetermination Dept.P.O. Tell you about some of the services we offer to help manage your care and your coverage. If you or a covered family member will be temporarily living outside of Texas for 90 days or more, you may be eligible for guest membership in a Blue Cross and Blue Shield-affiliated HMO. Phone 855-782-4272, Option2Email producer_service_center@bcbstx.comAgent of Record submission form bcbstx.com/pdf/group-por-transfer-form GROUP MEMBERSHIP GENERAL MEMBERSHIP/ELIGIBILITY INQUIRIES Phone (Mon. Log in to Your Account Magellan Behavioral Health Providers of Texas, Inc. Request for claim review form and instructions, Wellness and clinical practice guidelines, Email to submit provider inquiries and questions. BCBS Federal Phone Number for Providers and Members - FEP Statewise Simply select Get a Quote and you can view and compare our plans and pricing. Children do not need a referral to see their in-network pediatrician or family medicine physician, that can also serve as a PCP. Email your scanned documents to: SuppHealthClaims@Cigna.com Limited to 30 days. The resources listed below are available to help UT System employees and retirees understand the UT Benefits program and the various plan options and features. Blue Access for Members and quoting tools will be unavailable from 2am - 5am Saturday, October 20. You can view coverage details, health and wellness information, check claim status and access member ID card information. Please note that all member ID cards will have only the subscriber name on it, but can be used by all of the dependents enrolled under the policy. Contact Us with Your Questions - Connect Community - BCBSTX Your primary care physician (PCP) will provide you with a referral to a specialist, if you need to see one. An HMO typically has lower monthly premium and lower copayment levels than other types of plans. Home If the specialist is not in your plan's network, in most cases you will pay more. CO 5 Denial Code - The Procedure code/Bill Type is inconsistent with the Place of Service; CO 6 Denial Code - The Procedure/revenue code is inconsistent with the patient's age; . Contact Us | Blue Cross Blue Shield This Our social media hours are Monday through Friday 8 a.m. to 5 p.m. CT Please remember to have your group and member ID numbers handy when you register. Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. Most PDF readers are a free download. We believe Texas consumers and employers deserve the best of both worlds: access to affordable, quality health care and top-notch service from a company that focuses solely on customers, not shareholders. If so, precautions are taken to keep your information safe. Members can receive Explanation of Benefits (EOB) statements in Spanish. Call us toll-free at 1-800-791-9361 Friendly, knowledgeable customer care professionals are available from 7 a.m. to 7 p.m. Central time, Also, HMOs generally only cover health care services provided by a network of health professionals and hospitals that together provide a full range of health care services. Touch menu options help you quickly manage your account without waiting on hold for a customer service representative. Originally published 1/8/2015; Revised 2023, Hi. Employers Log In - Blue Cross Blue Shield of Texas - BCBSTX Yes, if you have an individual or family plan your premium bill is available in Spanish. Your health plan may allow you to get care from a Blue Cross and Blue Shield affiliated doctor or hospital while youre away from home. All Rights Reserved. Welcome to Your 2020-21 TRS-ActiveCare Plan All Rights Reserved. Can I still buy health insurance? Please contact Blue Cross and Blue Shield of Texas toll-free at 1-800-252-8039 (TTY: 711), 7 a.m. to 7 p.m. Central time, Monday through Friday, and 7 a.m. to 3 p.m. Central time on Saturday for that information. Continue with form below. Do not submit duplicate requests. HeatherR, My husband has been divorced 2 years. Talk to a licensed BCBSTX customer service representative. Did my coverage start on the effective date I requested? Control Health Care Costs an Independent Licensee of the Blue Cross and Blue Shield Association. 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. New member? Have a solid track record of achieving first call resolution of members' needs more than 90 percent of the time. X. External link You are leaving this website/app (site). Date(s) of Service Find a BCBS Company by Prefix I Don't Have My Member ID Card Access Your Benefits Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Texas. These numbers can be found on the new member welcome letter you will receive within days of enrolling. When will I get benefit coverage information and the contract on the plan I selected? How do I get a referral? You can also text your ZIP code to 438829 or call 1-800-232-0233. You have choices for where you get non-emergency care. Are evaluated on customer satisfaction, not call volume. Continue to search until you find a doctor who meets your needs and is accepting new patients. Your health plan may allow you to get care from a Blue Cross and Blue Shield affiliated doctor or hospital while youre away from home. Email ecommerceservices@bcbstx.com BCBSTX Provider Customer Service Numbers BlueCard Each of our 22 customer service centers offers a customized, personalized member experience. Pharmacy And Prescription Plan Information, What You Should Know About Dispensing Limits, Find an in-network doctor, hospital or other provider, Review benefits, account balances, claims status and more, Order or print a replacement member ID card, Choose how youd like to get your BCBSTX communications. Claim status inquiries contact Availity or other electronic connectivity. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. You can learn more by looking in your benefit book, or calling the customer service number on the back of your ID card. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Machine Readable Files for Transparency in Coverage, Making an Impact - Corporate Social Responsibility. You will need to pay your first premium payment before you can use your prescription benefits. What types of doctors can be a primary care physician (PCP)? How do I select a primary care physician (PCP)? You are leaving this website/app ("site"). Get News & Updates Directly To Your Inbox. Its now going to be open enrollment who can we talk to so he can be removed, Hi, I need some help finding a doctor. In addition, some sites may require you to agree to their terms of use and privacy policy. BCBS Customer Service Call the toll-free number on the back of your member ID card for BCBS customer service. We receive new applications from the Marketplace every day. Yes. Basic Coverage Medical insurance with prescription drug coverage (UT SELECT Medical and UT CONNECT Medical). To view this file, you may need to install a PDF reader program. Please allow 30 days to process your request. Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. To return to our website, simply close the new window. BlueCardBlueCard is our out-of-area program that allows members from other Blue Cross and Blue Shield Plans to receive health care benefits when travelling or residing in another Blue Plan's service area. Copyright 2022Health Care Service Corporation. Forgot user name or password? An HMO is different from other health care plans in a number of ways: The following doctors can be selected as a primary care physician: Use our Provider Finder online directory to find the PCP in the HMO network who best fits your needs. These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. FAQ | Blue Cross and Blue Shield of Texas - t.bcbstx.com Your member ID cards will only have the primary subscriber's name on them, but they can be used by all of the dependents (in this case your spouse) enrolled under your policy. BCBSTX - MDLIVE Benefits Employee Health Benefits MDLIVE Healthcare I applied on the Health Insurance Marketplace, but haven't heard if my application has been received and accepted. Are evaluated on customer satisfaction, not call volume. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. You can view coverage details, health and wellness information, check claim status and access member ID card information. To view this file, you may need to install a PDF reader program. Our customer satisfaction ratings are consistently above 96 percent. Should I respond to the letter? Copyright 2023 Health Care Service Corporation. NOTE: Your payment may be waived depending on your plan coverage. Customer Service | Blue Cross and Blue Shield of Texas For more information, view our privacy policy. Customer Service Each of our 22 customer service centers offers a customized, personalized member experience. Non-Discrimination Notice. Member Payment Portal | Blue Cross and Blue Shield - BCBSTX I received a letter from Equian (formerly Trover Solutions) saying they have partnered with BCBSTX to investigate my medical claim. Box 660044 Dallas, TX 75266-0044 HMO networks are not limited to doctors and hospitals. We'll work with you to provide coverage for the most appropriate care for your medical situation, especially if you are pregnant or receiving treatment for a serious illness. Log in to BlueAccess for MembersI want to access my benefits information, health and wellness resources and more. Both of these numbers can be found on your welcome letter and your member ID card. Here are convenient ways you can pay your bill. All Rights Reserved. If you would like to receive available Spanish communications, you can log in to your Blue Access for MembersSM account, go to the Settings tab and choose Preferences. Before you change, make sure the PCP you are requesting is in your network and accepting new patients. BCBSTX Customer Service Now Available. BCBSTX and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company should be responsible for the claim. This is the customer service number for questions about your health insurance coverage, benefits or treatment. If you want to cancel your Marketplace plan, you can call the Marketplace at 800-318-2596. I need to get a prescription filled but don't have my ID card yet. Welcome to Your Plan Making Insurance Work for You Pay My Bill Where You Go For Care Matters What is an Emergency? Maintenance Notification: Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. This version of Internet Explorer is out of date. All Rights Reserved. One option is Adobe Reader which has a built-in reader. Prescription Drug Lists X. If you applied on the Health Insurance Marketplace or with BCBSTX online and you have not received information from us, call our Customer Service Center at 888-697-0683 and we will look up the status of your application. Handy Telephone Customer Service Options - Connect Community - BCBSTX View and compare our plans and pricing now by getting a quote. Well onTarget | Blue Cross Blue Shield of Texas - BCBSTX In some circumstances, moving can also qualify you to be able to enroll in a new plan in your new location. You can reach us at 800-792-8595. View Drug Lists If you missed open enrollment, you may be able to enroll during the special enrollment period. Customer Service will be happy to record your preference. This new site may be offered by a vendor or an independent third party. This new site may be offered by a vendor or an independent third party. Legal and Privacy One option is Adobe Reader which has a built-in screen reader. What can I do? A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Call the number, 800-696-4573, on the letter to answer the claim question. Contact Us - Blue Cross Blue Shield of Texas Network Management Contact Us Form Please allow 30 days to process your request. 1-800-528-7264. Password: If you have any concern that the person calling you is not with BCBSTX, ask the caller for a number you can use to call us back. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, You can also log in to your Blue Access for Members account and send us a secure email message. PRODUCER SERVICE CENTER AGENT OF RECORD REQUESTS, COMMISSION QUESTIONS, ETC. This link will take you to a new site not affiliated with BCBSTX. Your BCBSTX HMO benefits also cover prescription drugs. Phone: 972-766-1380Fax: 713-663-1227Email to submit provider inquires, Ambulatory Surgery Centers (ASC) Independent, Non-Hospital ownedCatherization CenterIndependent (Non-Hospital owned) Surgery Centers, Phone: 713-354-7033Fax: 713-663-1227Email to submit provider inquires, Birthing CentersFreestanding Emergency Rooms, Phone: 972-766-1110Fax: 713-663-1227Email to submit provider inquires, 1001 E. Lookout DriveRichardson, TX 75082Phone: 972-766-7100TexasMedicareAdvantageNetwork@bcbstx.com, Home Mobile Apps Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. For a better experience, please update or consider using a different browser. When you join an HMO your doctor, known as a primary care physician (PCP), coordinates all your care, including referrals to specialists if needed. Can you all help me find a doctor in our network? Do not submit duplicate requests. We are calling to: We also check to make sure the information we have is correct, such as the names of everyone on your plan, your address and other details. What You Should Know About the COVID-19 Vaccines - BCBSTX After you've made your first payment and your coverage is activated, you can have health care expenses during that coverage gap applied to your deductible, or even get paid back for some services. Claims/Customer Service. * BCBSTX has contracted with a third-party vendor, Alacriti Payments, LLC, to process your ACH/electronic check payment. Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. In many cases your identity, such as name and address, will not be included in the information provided during the review. If you have any problems with your payment, please contact BCBSTX customer service at 800-538-8833. Use your drug list to find your medications out-of-pocket costs and special requirements. Your member ID card is your key to using your medical plan benefits. Access your account information while on-the-go. Have the knowledge and experience to make each call fast, accurate and simple for the member because of our low turnover less than 1 percent most recently the lowest turnover rate in the industry.

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