Enrolled for 2020? Find Out What to Expect Next

Enrolled for 2020? Find Out What to Expect Next

This article is intended for members enrolled in an individual health insurance plan.

When you enrolled in your 2020 Blue Cross and Blue Shield of Texas (BCBSTX) health plan, you started a chain reaction.* We have been hard at work for several months preparing a journey just for you.

Welcome Communication

First, if you chose electronic delivery of materials when you completed your application, we’ll send you a welcome email with a personalized video that reviews your plan in detail. This is a great opportunity to take note of your plan name and key financial details like premium payments, copay amounts, your deductible and your out-of-pocket maximum. If you chose delivery of materials by mail, a letter covering the same subjects is on its way.

Your Member ID Card

Next, you will get your member ID card. It’s good to have it with you at all times, especially when you see a doctor or fill a prescription. Key information on the member ID card includes your policy number, your member ID number, and customer service and pharmacy benefits phone numbers. If you have a PPO plan and are covering dependents, all of the member ID cards for your family will have your name on them.

Your Benefit Book

Shortly after you get your member ID card, you’ll receive your benefit book. If you chose electronic delivery of materials when you completed your application, you will get an email notice that your benefit book is available to view in Blue Access for MembersSM. If you did not choose electronic delivery, it will come in the mail in a 9- by 13-inch envelope. Be sure to review and save this book. It contains detailed information about your benefits, several summary documents for easy reference and forms you may need.

Find helpful resources to manage your coverage.

We offer several convenient ways you can get important information about your benefits and how to use them. You can use these online resources any time to get the information you need.

Application Tracker
Do you want to check on the status of your application? Use our Application Tracker to check your application’s progress. Just have your user ID and tracking ID from your application status email handy.

Provider Finder®
Check to see if your doctors are still in your network with Provider Finder.

MyPrime.com
Log in to MyPrime.com  to find pharmacies in your network, check to see what drugs are covered and what they cost, and more. If you’re new to MyPrime, you’ll need to register. It’s quick and easy. You’ll need your member ID number to register.

Blue Access for Members (BAMSM)
Blue Access for Members is a secure portal available at your fingertips anytime. Don’t know what your copayment is? Check the My Coverage tab. Questions about a claim? Check your Explanation of Benefits. Access all of this and more anytime you need it in your BAM account.

*Coverage will start on the plan effective date only if the first monthly payment is received in full before that date.
Prime Therapeutics, LLC, is a separate pharmacy benefit management company contracted by Blue Cross and Blue Shield of Texas (BCBSTX) to provide pharmacy benefit management and other related services. In addition, contracting pharmacies are contracted through Prime Therapeutics. The relationship between BCBSTX and contracting pharmacies is that of independent contractors. BCBSTX, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics.
MyPrime.com is an online resource offered by Prime Therapeutics, LLC.
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