benefits & coverage
Claim Not Approved? Here's What to Do
There is a process in place that will help if you have a claim or request for treatment that wasn’t approved.
Are You Prepared for a Health Care Crisis Far from Home?
You found a pet sitter and asked a friend to water your plants, but did you plan for a health care emergency on your trip abroad? Read about one family’s experience with serious illness during a trip to Italy. And get our tips for how to be prepared for the unexpected.
Prep Your College Student for a Healthy Year
You can help your college students stay healthy while they’re away at school.
Trying to Figure Out Health Care Costs? Get Help Online
Get a handle on the cost of hundreds of medical tests and procedures. Check out the Cost Estimator section of the Provider Finder® tool.
How Does Our Quality Improvement (QI) Program Help You?
The words “quality improvement” can apply to just about anything. When Blue Cross and Blue Shield of Texas talks about quality improvement (QI), we mean that our focus is on improving our members’ health. Find out what QI means for you.
Make the Most of Your Member Perks
Are you using your member perks? Do you know what’s available to you? Don’t leave perks on the table.
Save on Healthy Lifestyle Aids with the Blue365® Program
Who doesn't love a bargain? Blue Cross and Blue Shield of Texas members are eligible for Blue365, a program that provides discounts on a variety of everyday needs and healthy lifestyle aids related to fitness, personal care, healthy eating, financial health, lifestyle and wellness.
Find a Doctor Who's a Good Fit for You
Having an established, positive relationship with your doctor is an important part of taking good care of yourself. But what if it’s time to make a change? Get tips on how to find the doctor who is right for you.
Are You Prepared for a Natural Disaster?
Along with flowers and sunshine, spring and summer can bring severe weather and wildfires. There are steps you can take to help stay safe before, during and after a natural disaster. Find out how to prepare and how we can help you.
When a Doctor's Visit Doesn't Include a Doctor
Sometimes you go to your doctor's office, but you don't actually see your doctor. What do you need to know about physician assistants and nurse practitioners?
Got a Question? No Appointment Necessary (Sometimes)
What happens when you have a question, but you don't have an appointment, and you don't know if you need to make an appointment to answer your question? We can help you find out with our member communication tools.
Communication Can Help You Get the Most from Your Plan
There are some key communications that may impact your coverage and cost sharing. What do you need to know?
When You Want to Know More, Start Here
When you want to know more about a health condition or how your coverage works, Blue Access for Members SM (BAM SM) and MyPrime.com are great places to start.
Our Staff Can Help You Better Manage Your Care
If you have questions about your medical condition and how to coordinate your care, our utilization management staff can help you.
Prepare for a Prescription: 3 Steps for Saving Time and Money
Knowing ahead of time where to go and what you may need to pay for your prescription can save time and money.
Take Steps to Protect Your Health Information from Identity Theft
Worried about the increase in identity thefts? Your first thoughts might be about money - your bank or credit card accounts. But safeguarding your health information can be just as important. Protecting your member identification is key.
What You Need to Prove Health Coverage when Filing Your Taxes
When you file your federal income tax this year, you'll need to show you had health insurance in 2017. You aren't on your own - you'll receive a 1095 form with the information you need.
Create a Stronger Password for Your Blue Access for MembersSM (BAMSM) Account
Do you have a Blue Access for Members account? If so, the next time you log in, you may be asked to create a stronger password. Stronger passwords help keep identity thieves from accessing your personal information.
Use Network Pharmacies to Save Money
Going to an in-network pharmacy may save you money on your prescriptions and help avoid additional costs.
8 Things You Should Know About Deductibles
Insurance terms can often sound like a foreign language. For example, do you know what a deductible is? We’ve answered eight common questions to help you understand deductibles and how they work.
Don't Let Balance Bills Throw You Off Balance
You pay your premium, your deductible, your copay. Then you get a huge bill? That can happen because of balance billing. Find out how to avoid balance bills when possible.
Your Health Benefit Cheat Sheet: Check Your Summary of Benefits and Coverage
Do you ever wish that the basic details about your health coverage could be contained in some sort of “cheat sheet”? Well there is one. Find a wealth of information in your Summary of Benefits and Coverage (SBC).
Retail, Urgent or Outpatient? How Can You Tell the Difference?
All clinics are not alike. But sometimes it’s hard to tell the type of clinic by what it’s called. Learn how to find the care you need at a lower cost to you by choosing the right clinic for your needs.
Start the Year Off Right: Review Your Benefits
Now is a good time to get to know more about your health benefits. The more you know, the better you can look after your health throughout the year.
Where Do You Go When You Need Care?
Doctor’s office? Retail clinics like you might find inside a pharmacy? Urgent care centers? It’s not always easy to know where to go for care. Do your research now so you’ll be ready if you need it. Here’s a guide that can help.
Keep Your Member ID Card Close
Your member ID card holds the information you’ll need to take good care of your health.
Tired of dealing with all those stacks of paper? Go paperless to help declutter your life this year. Find out how easy it is to stop receiving paper statements from Blue Cross and Blue Shield of Texas.
Save Time with Health Tracking and Organizing Tools
Convenience is key when looking at your health care spending for the year. “Did I reach my deductible? How much did I spend on prescriptions?” This information and much more is available at your fingertips — without having to call.
Understanding Your Prescription Coverage: Drug Lists
Understanding what tiers and drug lists are can help you save money on your prescription drugs. We’ve covered the basics to keep you in the know about prescription coverage.
Get a Gift When You Give a Gift of Better Health
During this season of giving, why not give a gift of better health? The Well onTarget® Fitness Program offers one month free when you refer a friend. And your friend will receive a free month, too.
How to Choose Health Care Coverage
Do you know what you need to consider when choosing health care coverage? Take stock of your budget and how you and your family use your current coverage. Then look at your options.
The End (of the Year) Is Near: Use Your Benefits
There’s still time to schedule health appointments you’ve missed or have procedures you want to get in before 2017 draws to a close. And you may be able to save money by having them now.
What Does It All Mean? Part 3 of Our Series
Do you know the difference between coinsurance and copays?
24/7 Nurseline or Virtual Visits: What's the Difference?
When is it best to call the 24/7 Nurseline? When might it make more sense to try Virtual Visits?
Open Enrollment Ends Dec. 15. We Can Help.
The open enrollment period can be confusing. We can help. Learn how to prepare for this year’s open enrollment for health insurance coverage.
The Doctor Will See You Now - with Virtual Visits!
Talk to a doctor from your home, office or on the go. Virtual Visits provides care when and where you need it.
Health Care Coverage: It Isn't Just for Grownups
You can’t protect your kids from everything. But it’s a comfort to know your child is covered, whether it’s for wellness checkups, shots, or those fevers and spills that sometimes happen.
Preventive Care or Medical Care? There Can Be Significant Differences
Do you know the difference between preventive and medical care?
Find Healthy Deals with Blue365®
Learn how we can make living healthy a little easier with discounts on many health products and services.
Are You Ready for Open Enrollment?
Open enrollment for 2018 is just around the corner. Here are some updates and reminders about the process that may be helpful as you shop.
Need Information? Here's Where to Find It
We offer several options for getting answers to your questions. Learn where to go to get answers and communicate with Blue Cross and Blue Shield of Texas.
Provider Finder® May Save You Money
Do you ever worry about surprise expenses cutting into your budget? You can’t always control when they happen, but you may have options for how much unexpected health care expenses cost you.
Protect Your Medical Identity the Right Way
Learn how you can protect yourself and your family from medical identity fraud.
Learn the Difference Between Urgent Care Centers and ERs
Do you know the difference between urgent care centers and an emergency room (ER)? Knowing which one to choose for care could save you money.
What Does It All Mean? Part 2 of Our Series
This month’s feature breaks down what “in-network” and “non-contracted” terms mean. Understanding these terms can help you get the best value for your health care benefits.
Behavioral Health Care Coverage: Does Your Teen Need Help?
The teen years can be a challenge. Most teens will grow out of their issues. But some may need professional help. Find out how to get started.
Get Flu Shots at No Charge
Ever wonder why there is no charge for flu shots? It’s because it makes good sense.
Where Can I Get Vaccinated?
You and your covered family members can get certain vaccinations from your primary care provider or a pharmacy in the Vaccine Network.
Are You Achieving Your Health Goals This Year?
Every year, we start off with the best of intentions for getting healthier. But as the year goes by, many of us lose our motivation. If you need to get back on track, Well onTarget® can help.
Help Keep Your Health Data Secure
You know to keep your identity and financial information secure. It’s also important to keep your health coverage details secure.
What Does It All Mean? Part 1 of Our Series
Get our guide to common health coverage terms.
You've Had Your Annual Exam. Now What?
You finally got your annual exam. So what happens next? Find out what to ask about and keep track of following your annual exam.
Keeping Your Shots Up to Date — We Have You Covered
The kids are going back to school, and flu season is just around the corner. So it’s time to think about immunizations and flu shots.
Get Our Top 4 Tips for Saving Money at the Pharmacy
A little knowledge can help you keep your out-of-pocket costs down. Get the prescription for potential savings on your prescription drugs.
ER vs. Urgent Care: Summer Edition
Choosing between an ER and urgent care can make a difference to your health and your wallet. Many summer activities may lead to having to make this decision.
Use MyPrime.com for 24/7 Pharmacy and Drug List Details
You can find pharmacy and drug information while you’re traveling with MyPrime.com. MyPrime.com is the website for Prime Therapeutics, which manages your drug benefit.
Protect Your Child's Health with Preventive Services
These summer months without hectic school schedules offer a good chance to take care of kids’ wellness exams. Get tips for preparing for your visit.
Use Those Essential Health Benefits - They're Essential!
There’s a reason preventive services are part of Essential Health Benefits. They are essential to your health! Don’t forget them and miss out on your plan benefits.
Keeping a Medical History Provides a Roadmap to Better Care
It’s important to keep your doctor up to speed on your health and medical history. The more your doctor knows about you, the better care you’ll get.
Take Your Health Personally - Take the Health Assessment
You may be surprised what you can learn, and earn, by taking the Well onTarget® Health Assessment.
Meet Your New and Improved Explanation of Benefits
Your Explanation of Benefits (EOB) has a fresh new design to help you better understand your health care spending.
Colon Cancer Screening: Be Part of the '80% by 2018'
Blue Cross and Blue Shield of Texas has pledged to have 80 percent of our members aged 50 or older screened for colon cancer by 2018. If you are 50 or older and haven’t had a screening, talk to your doctor.
Talk to Your Doctor About Your Insulin Injections
If you have diabetes, we want to make sure you are injecting your insulin safely. You are not alone in treating your diabetes. Your doctor can help.
Learn the Ins and Outs of Annual Exams
Take advantage of preventive care services to help catch health problems early - before they become serious. And you may save money, too.
Plan for a Year of Good Health
Make preventive care a priority: schedule your annual exam and preventive health screenings for you and your family. Check out our wellness guidelines for adults and children.
Pharmacy Network Changes May Help You Save Money
Does your 2017 health plan have a Preferred Pharmacy network? Using participating pharmacies could save you money. Find out about 2017 prescription drug benefit changes.
Check Out Some Features of Your 2017 Health Plan
How well do you know your new 2017 health coverage? Let’s take a look at some highlights.
Wellness Guidelines Are Now Available
The current Adult Wellness Guidelines, Children Wellness Guidelines and Perinatal Wellness Guidelines from Blue Cross and Blue Shield of Texas are available. You can get them in English or Spanish.
Our Team’s Mission Is to Help Members in All Seasons of Life
Blue Cross and Blue Shield’s Seasons of Life team helps families who have lost a loved one navigate their health insurance paperwork. The team also helps out members who have suffered losses or been displaced or injured during disasters, like floods, storms or fires.
Members Can Save on Cord Blood Storage with Blue365®
Each year, thousands of people with leukemia, lymphoma or certain immune system or genetic metabolic disorders need umbilical cord blood or bone marrow transplants. And you can save on cord blood storage with Blue365.
This Is Gonna Hurt: ER Bill May Cause More Pain than the Visit
The costs of emergency care are hitting Texans hard, and freestanding emergency rooms are at the root of the problem. Where you go for care can make all the difference in your final bill.
Preventive Office Visits vs. Medical Office Visits: What's the Difference?
Did you receive a bill after a routine preventive office visit? That may be because some medical services were provided that are not considered part of the preventive services that are covered at no out-of-pocket cost.
Leaving the Hospital?
If you or a loved one has been in the hospital, discharge day is a big day. There are a couple of things you can do to ensure a smooth transition between the hospital and home.
Prevent Falls at Home
We want to live in the comfort and security of our own homes for as long as possible. But falls in the home can be a serious health concern. Learn simple steps you can take to help prevent falls.
Are Your Doctors Talking to Each Other?
Your primary care provider needs to know what your eye doctor finds during your eye exams. So be sure to ask your eye doctor to send your results to your primary care doctor.
Quality Improvement Program Helps Us Serve You Better
Our Quality Improvement Program helps us monitor and improve the care and service our members receive.
You Can Contact Your Primary Care Physician After Hours
Blue Cross and Blue Shield of Texas members are able to contact their Primary Care Physician for medical advice 24 hours a day, seven days a week.
Learn Your Member Rights and Responsibilities
As a Blue Cross and Blue Shield of Texas member, you are entitled to certain rights and services. And you have a responsibility to participate in your health care.
Vaccinate Before You Graduate
The Caring for Children Foundation of Texas Care Van® Program helps eligible teens get the meningococcal vaccine.
Get the Most Mileage from Your Physical Therapy
Injuries can be an unfortunate part of enjoying summer activities. If they happen, physical therapy may be helpful.
Need to See a Dermatologist? We've Got You Covered
Annual visits to check for signs of skin cancer are a must.
Be Prepared for an Emergency
Get tips on how to prepare for an emergency before a crisis happens.
Low Back Pain and Imaging Tests: Know the Facts
When it comes to treating back pain, are you making the right choices?
Get Our Top Tips to Make the Most of Your Health Plan
Are you taking advantage of everything your Blue Cross and Blue Shield of Texas (BCBSTX) health plan offers?