Get News & Updates Directly To Your Inbox
Download the BCBSTX App. Your coverage information in the palm of your hand.
Find A Doctor Or Hospital In Your Network.
Don’t worry. We’re going to break it all down.
HMO stands for Health Maintenance Organization. It’s a type of health plan that gives you access to a network of doctors and hospitals, often called “providers.” This group of health care professionals work together to provide you with a full range of covered health care services. HMO is different from PPO (Preferred Provider Organization) insurance in a few ways.
If you need to see a specialist or need any special tests, you will need a referral from your PCP before seeing another doctor. Search our Provider Finder to make sure the specialist is in your network. Remember, if the specialist isn’t in your network, or if you haven’t received a referral from your PCP, the services won’t be covered.
Whenever you have questions about your HMO plan, use our handy resources. Sign up for Blue Access for MembersSM (BAM) or call the customer service number listed on your member ID card. It lets you keep track of your balances, claims status, benefits, coverage details and more.
If you’re not a member yet, but are considering buying an HMO Insurance plan, check out our shopping guide.
Originally published 10/7/2014; Revised 2021, 2022
Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
© Copyright 2022 Health Care Service Corporation. All Rights Reserved.
Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Texas.
File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com.
Powered by Telligent