Find Out If You Have a Copay Before You Go to the Doctor

Find Out If You Have a Copay Before You Go to the Doctor

Before visiting your health care provider, check to see if you’ll need to make a copay.

You can find out your copay amount by looking at your member ID card or checking your benefit booklet or health plan contract. You can also log in to your Blue Access for MembersSM account and check the Coverage section.

Keep in mind that copays are due at the time of service. Copays may be different for different kinds of visits or services. For example, your copay for a visit to a specialist may be higher than it would be for a visit to your primary care physician (PCP).

Here are three tips to help you manage your copay costs:

  • Always carry your current Blue Cross and Blue Shield of Texas member ID card. Or get your digital member ID card on the BCBSTX mobile app or by logging in to BAMSM.
  • Call the precertification or preauthorization number on your member ID card, if required.
  • When you get to the doctor’s office, urgent care center or hospital, simply show your member ID card.

Copay costs may be higher if you see a provider who is not in your health plan’s provider network. To make sure that your doctor, hospital or other health care provider is in network, use the Provider Finder® online search tool.

When you’re on the go, you can access Provider Finder with our free BCBSTX mobile app. The BCBSTX app is available in English and Spanish from the Apple App Store leaving site icon or Google Playleaving site icon  

As always, in case of emergency, go straight to the nearest hospital.

Originally published 12/22/2022; Revised 2024