Medical Insurance
Blue Choice PPO is a Preferred Provider Organization (PPO) health insurance plan offered by Blue Cross and Blue Shield of Texas (BCBSTX). PPO plans give members the flexibility to see any doctor or specialist they choose, both in and out of the plan's network. However, members who see in-network providers typically pay less for covered services than those who see out-of-network providers.
Blue Choice PPO is one of the largest PPO networks in Texas, with over 600 participating hospitals and facilities and more than 800,000 doctors. The plan also includes access to the national BlueCard network, so members can receive care from Blue Cross and Blue Shield providers outside of Texas.
Blue Choice PPO offers a variety of plan options with varying deductible, coinsurance, and copay amounts. All plans include an outpatient prescription drug benefit with a three-tier pharmacy copay design.
Replacement or additional cards can be ordered by visting the BCBSTX website or by calling (800)521-2227.
Dental Insurance
BlueCare Dental is a dental insurance plan offered by Blue Cross and Blue Shield of Texas (BCBSTX).
The BlueCare Dental plan covers preventive services, such as checkups, cleanings, and X-rays. It also covers a wide range of other dental services, such as fillings, crowns, bridges, root canals and orthodontic services.
BlueCare Dental has a large network of dentists in Texas, so you can find one that is convenient for you. You can also choose to see a dentist outside of the network, but you will pay more for services.
Replacement or additional cards can be ordered by visting the BCBSTX website or by calling (800)521-2227.
BCBSTX Medical and Dental plans will share one ID card.
BCBSTX Virtual and Telehealth Programs
The BCBSTX Nurseline is a free, 24/7 service for Blue Cross and Blue Shield of Texas members. It is staffed by registered nurses who can answer your questions about a wide range of health topics, including:
Symptoms and illnesses - Medications and treatments - Preventive care - Finding a doctor or hospital - Understanding your insurance coverage
The Nurseline can also help you decide if you need to see a doctor, go to the emergency room, or treat your problem at home. They can also provide you with information about local health resources and support groups.
MDLIVE virtual visits are a convenient and affordable way to see a board-certified doctor or licensed therapist from the comfort and safety of your own home, or anywhere else with an internet connection. MDLIVE visits are available 24/7/365, so you can get the care you need when you need it most.
During an MDLIVE virtual visit, you can talk to your doctor or therapist about a variety of medical and mental health concerns, including:
Allergies - Asthma - Bronchitis - Colds - Coughs - Diarrhea - Ear infections - Fever - Flu - Headaches - Pink eye - Rashes - Sinus infections - Skin problems - Urinary tract infections - Anxiety - Depression - Grief and loss - Parenting support - Stress management - Trauma and PTSD - And more
If needed, your doctor or therapist can also prescribe medications and order lab tests or other diagnostic procedures.
Additional BCBSTX Benefits
Hinge Health offers virtual physical therapy for musculoskeletal (MSK) conditions, such as back pain, knee pain, and shoulder pain. Through a Virtual Care Team you can complete online exercise programs that are personalized to your condition. You can access your exercise program through an app and can be completed at your convenience.
Blue365 is a discount program available to Blue Cross and Blue Shield of Texas (BCBSTX) members who have medical coverage with BCBSTX. It is a free program to join and offers discounts on a variety of health and wellness products and services, including:
Dental, vision, and hearing products and services - Fitness gear and apparel - Gym memberships - Family activities - Healthy eating options - And more!
BCBSTX Well onTarget is a suite of integrated wellness offerings designed to help you reach your wellness goals. It includes personalized tools and resources to support your health and wellness
Learn to Live is an online self-help platform that provides cognitive behavioral therapy (CBT) programs for a variety of mental health conditions, including anxiety, depression, insomnia, stress, and substance use. It is a trusted digital mental health partner for health plans and organizations across the nation.
Wondr Health is a digital behavioral change company that helps people improve their physical and mental health to prevent and reverse the impact of chronic disease through weight loss. It is a year-long online training program that teaches participants science-based skills to help them lose weight and keep it off. The program is personalized to each individual's needs and includes video lessons, tracking tools, and coaching support.
Experian IdentityWorks is an identity theft protection service from Experian, one of the three major credit bureaus in the United States. It offers a variety of features to help protect your identity, including:
Credit monitoring - Dark web monitoring - Social network monitoring - Identity theft insurance
Adult and minor identity theft protection information are included in the below flyer.
BCBSTX offers a variety of Wellness Programs to its members, including:
Preventive care: BCBSTX covers a wide range of preventive care services, such as annual physical exams, well-child visits, immunizations, and cancer screenings. These services are typically covered at 100% with no cost to members.
Adult, minor and perinatal wellness guidelines are inlcuded in the below flyer.
No Surprises Act
The No Surprises Act is a federal law enacted in 2022 that protects consumers from surprise medical bills. For more information about this act, click here.