Blue cross blue shield of texas ppo

Blue Advantage HMO Plans:

3 Bronze, 3 Silver, 3 Gold

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Blue Advantage HMO Plans:
Blue Advantage Plus:
MyBlue Health:
Make a Payment
Product and Program Contact Information
Media Contacts
Does Blue Cross Blue Shield of Texas have PPO?
Is Blue Cross Blue Shield Texas HMO or PPO?
Does Texas offer PPO plans?
Is HMO or PPO better?

Network: Blue Advantage HMO (BAV)
Approximately 409 hospitals, 72,843 providers*
New plan: Blue Advantage Silver HMO 601
Helps keep costs lower and more predictable
Personalized with a primary care provider (PCP) who coordinates all health care

Blue Advantage Plus:

4 Bronze, 3 Silver, 1 Gold

Network: Blue Advantage HMO
Approximately 409 hospitals, 72,843 providers*
Greater flexibility
Leverages the HMO network
Some out-of-network benefits available

MyBlue Health:

1 Bronze, 1 Silver, 1 Gold

Network: MyBlue HealthSM (BFT)
Approximately 27 hospitals, 6,594 providers**
Now available in Bexar, Travis and Williamson counties • Retail members who choose a MyBlue Heath Select PCP will have a $0 copay for any scheduled PCP visit
Select PCP collaborations for the following areas include: Austin: Community Care and Lone Star Circle of Care; Dallas and Houston: Sanitas Medical Centers; and San Antonio: CentroMed
Local, face-to-face BCBSTX Customer Service at Sanitas Medical Centers in Dallas and Harris counties

*Estimates as of 6/1/2021

**Estimates as of 6/1/2021. These numbers don’t include network providers and hospital in the expansion counties. During open enrollment, members who enroll in MyBlue Health will be able to choose their primary care physician for 2022 through Provider Finder®.

Blue Cross and Blue Shield of Texas
1001 E. Lookout Drive
Richardson, Texas 75082

General Information: 972-766-6900
TTD: 735-2989

Make a Payment

Mail your payment to the address on your premium invoice or learn about other convenient ways to pay your bill.

Product and Program Contact Information

If you are a member with a question about your coverage, please contact Customer Service or a specific department listed on this page:

Individual Products
If you have coverage through your employer, please see “Group Product Contacts” below.
Under 65 New Enrollment	800-531-4456 Monday – Friday: 8 a.m. – 8 p.m. CT Saturday: 8 a.m. – 6 p.m. CT Sunday: 10 a.m. – 2 p.m. CT
Under 65 Customer Service (Existing members with health insurance plans including HMO and PPO)	888-697-0683 Monday – Friday: 7 a.m. – 8 p.m. CT Saturday: 8 a.m. – 5 p.m. CT Sunday: Closed
Medicare Supplement Customer Service	877-384-9307
Dental Indemnity USA	800-820-9994
Group Product Contacts
PPO/POS/Indemnity Plans (8 a.m. – 8 p.m. Central time)	800-521-2227
HMO Blue Texas Plans (8 a.m. – 8 p.m. Central time)	877-299-2377
HealthSelectSM of Texas Consumer Directed HealthSelectSM	800-252-8039 Mon – Fri, 7 a.m. – 7 p.m. Central time Sat, 7 a.m. – 3 p.m. Central time
Dental	800-521-2227
BCBSTX Behavioral Health (Mon – Friday, 8 a.m. to 6 p.m. Central time) Magellan Behavioral Health (Mon – Fri, 8 a.m. to 6 p.m. Central time)	800-528-7264 800-729-2422
Membership Department	800-445-2227
For all other group members, call the toll free number on the back of your ID card.
Human Resources
Human Resources Inquiries	866-977-7378
Regional Sales Offices (POS)
Amarillo 7901 Wallace Boulevard Amarillo, TX 79124	806-371-3000 800-403-4650
Austin 9442 Capital of Texas Highway, North Suite 500, Arboretum Plaza II Austin, TX 78759	800-336-5696
Beaumont 2615 Calder Street, Suite 700 Beaumont, TX 77702	409-896-0100
Corpus Christi 4444 Corona Drive, Suite 120 Corpus Christi, TX 78411	361-878-1600 800-442-1685
Dallas/Fort Worth 1001 E. Lookout Drive Building B, 14th Floor Richardson, TX 75082	800-399-5831
Houston 1800 West Loop Freeway South, Suite 600 Houston, TX 77027	713-354-7000 800-235-0796
Lubbock 3223 S. Loop 289 Suite 460 Lubbock, TX 79423	800-399-5831
San Antonio 17806 IH 10 West, Building 2, Suite 200 San Antonio, TX 78257	210-558-5100
Tyler 3800 Paluxy Drive, Suite 540 Tyler, TX 75703	800-259-3668
Claims and Correspondence
Mail to:	Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-0044
Supplier Registration
Supplier Registration	If you are interested in conducting business with Blue Cross and Blue Shield of Texas, this link takes you to our Supplier Registration Portal.

Media Contacts

If you are a member of the media with questions, please contact .

Does Blue Cross Blue Shield of Texas have PPO?

BCBSTX offers a variety of PPO plans with varying deductible, coinsurance and copay amount options. All plans include an outpatient prescription drug benefit with either a three-tier or four-tier pharmacy copay design.

Is Blue Cross Blue Shield Texas HMO or PPO?

Just like 2021, and continuing an industry-wide trend (no major carriers offer PPO plans in Texas), BCBSTX only offers HMO plans in 2022. However, Blue Advantage Plus plans offer some out of network benefits, unlike traditional HMOs.

Does Texas offer PPO plans?

Texas law requires HMOs, PPOs, and EPOs to make covered services available within a certain distance of your home or office. Health plans also must: Have enough providers to meet the needs of their members.

Is HMO or PPO better?

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.