• What to Do if Your Claim Is Not Approved

    What to Do if Your Claim Is Not Approved

    Nurse care manager Lenzy Mixon got a call from a member about a large bill he received for a stay at a skilled nursing facility. He checked with his doctor, who assured him the stay had been pre-approved by his health plan. His next call was to us.…

  • RE: Where can I now get my prescription in Austin, Tx 78744? Can I order them my mail order?

    We would need to look at your plan to verify that information. Please send us a private message and we can look into it. If you plan has Prime Therapeutics for your prescription drug provider, you should be able to link out to the Prime website from Blue…
  • Reaching Out Can Make You Feel Better

    Reaching Out Can Make You Feel Better

    Loneliness hurts. People often feel isolated or wish they had more friends. Those feelings happen to people of all ages, even if they are busy and spend time around people. Studies show relationships are key for overall wellbeing. People thrive in safe…
  • Staying In-Network Can Help Cut Costs

    Staying In-Network Can Help Cut Costs

    When you shop, you probably keep an eye on costs. You want to buy the things you need at a fair price. What about when you’re shopping for health care? Using providers in your health plan’s network can help you save money. A network includes hospitals…

  • Global Maternity Billing is so confusing.

    After getting a huge bill in estimation of Global Maternity Billing from my OBGYN I needed answers. I have spoken to two different bcbstx medical customer service agents and to no avail. Neither of them were familiar with global billing nor could explain…

  • I have a PPO plan, how do I set up my PCP?

    A. Great question. Since you have a PPO plan you don’t have to establish a PCP. You’re free to select any in-network provider you wish to see and you do not need to notify us of which doctor you’ve selected. If you need to find a new PCP you can search…
  • Preventive Care or Medical Care? Learn the Difference

    Preventive Care or Medical Care? Learn the Difference

    Many people may not know that there are two types of care you can receive when you go to the doctor — preventive care and medical care. The type of care is different, and your costs may be different, too. Medical Care vs. Preventive Care Think about…
  • Check Up on Your Health with Annual Health Exam

    Check Up on Your Health with Annual Health Exam

    Whether it’s your annual wellness visit or having your cholesterol checked, you need to keep up with your health screenings. They play a big role in catching small health problems before they become big ones. Add them to your to-do list to make sure…
  • How HMO Works: The Referral Process

    How HMO Works: The Referral Process

    When you sign up for an HMO, your first step is to pick a primary care provider to manage your care. Your PCP will make sure you get the care you need, even when you see another doctor or go to the hospital. When you have a health issue, you’ll first…
  • Do Your Prescription Drugs Need Prior Authorization?

    Do Your Prescription Drugs Need Prior Authorization?

    Have you ever gone to pick up a new medicine, only to have the pharmacist tell you it needs prior authorization ? It happens to many of us. Here are things you can do to avoid leaving empty handed. When you receive a new prescription, ask your doctor…

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