There’s a lot to think about when deciding where to get health care – cost, networks, location and more.

Being informed does not have to be tricky. We have resources available to help you make the best decision for you. Our Provider Finder^® online tool is a good place to start.

Who Do You See?

Your health plan gives you access to many kinds of health care providers like doctors, therapists, clinics, pharmacies and hospitals. Before you go for care, use Provider Finder to make sure a provider is in your health plan network.

To get to Provider Finder, log in to Blue Access for Members^SM and click on the Find a Doctor or Hospital tab.

Those who have agreed to give care for you and other members in your health plan are called network providers. They may also be called in-network providers or participating providers. Others who do not have a contract in place to give care for you and other plan members are out of your network.

It’s important to know the difference. By staying in the network, you can take advantage of discounted rates and avoid surprise charges.

Follow These Tips to Keep Your Costs Down

• Use Provider Finder to see what doctors, hospitals and urgent care centers are in your health plan’s network.
• Call the number on your Blue Cross and Blue Shield of Texas (BCBSTX) member ID card and ask if a certain doctor or other provider is in your network.
• Once you have found a doctor, ask if the doctor is in your network. Asking if the provider takes BCBSTX is not enough. The doctor may not be in your specific plan’s network. Give the doctor’s office the information listed on your ID card, including the full name of your plan. This will help them find what your plan covers.
• If your primary care doctor gives you a referral to another doctor, ask for one who is in your plan’s network. It is important that you make sure that the new doctor is also in your network.
• If you need surgery or other health services, make sure each provider who will care for you is in your plan’s network.