• PCP referral needed?

    I am a BCBS of TX member and currently live and work in NH. I need to know if I need a referral from my PCP to obtain a sleep study. Thank you

  • RE: I'near the list doctor?

    Hello, You can search for in-network providers under your plan on our Provider Finder tool. You can locate this tool on your Blue Access for Members account or on our web site at www.bcbstx.com. ~ Kayla
  • Prior Authorization: What You Need to Know

    Prior Authorization: What You Need to Know

    Understanding your health insurance is the best way to enjoy all its benefits. When you know what steps you need to take before treatment, things go more smoothly. One of the most important steps is prior authorization . Many times, your doctor will…

  • RE: How can I get print an EOB?

    Hi Maria, If you are a provider claim status can be obtained through the Claim Status Tool via Availity Essentials or by using your preferred web vendor. If you need to speak to a Customer Advocate to adjust a claim or have a detailed question regarding…

  • RE: Diets for Pre-Diabetics

    Pre-diabetes is associated with insulin resistance and belly fat storage. Physical activity both resistance and cardiovascular and reduced intake of refined carbohydrate and choosing monounsaturated fats like olive oil, avocado and lean proteins helps…

  • RE: Do I have to pay a copay for a nurse visit?

    Hello, You can contact our customer service department at the number on your ID card or through the Message Center on your Blue Access for Members account and they can check your plan's benefits for a nurse visit. ~ Kayla

  • Breast Pump Coverage

    Hi- I am a member in Houston. I am pregnant and looking for info on what benefits are provided for breast pump coverage. I can't find the info in any of my plan documentation.

  • RE: Relocated to a new city and need to change my PCP

    Hello, If you are covered under an HMO plan you will need to change your PCP to this doctor before you see them in order for your visit to be eligible for coverage. You can change your PCP on your Blue Access for Members account or by calling customer…

  • Breast pump

    Hi im trying to get more info on where i can get my breast pump. Im a ppo member in houston tx, an no one seems to know or where i can call.
  • How HMO Works: Emergency Room Coverage

    How HMO Works: Emergency Room Coverage

    Do you have an HMO health plan? HMO is the acronym for Health Maintenance Organization. Your HMO coverage covers routine preventive care – along with emergency care. Knowing you have health care coverage that you can count when an accident or unexpected…

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