Blue cross blue shield medicare advantage texas provider list

You can search our online provider directories by provider name, location and specialty. Make the most of your coverage and save money, by choosing a provider in your plan.

BlueCross members

Log into My Health Toolkit® to search the provider directory and view search results specific to your insurance plan. Or, you can search providers outside the U.S.

Our networks

Preferred Blue network

The Preferred Blue® network is used by employer-based group plans and features the most comprehensive provider network in the state.

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Blue Term short-term health plan network

Members with Blue TermSM short-term health plans have access to an extensive list of in-network providers in the state of South Carolina.

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State Health Plan network

The Public Employee Benefit Authority (PEBA) administers benefits for state employees. State employees use a broad, custom network.

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2023 Individual and family plan networks BlueEssentials network BlueExclusive Cooper — MUSC Health Alliance network BlueExclusive Reedy — Prisma Health Upstate network BlueExclusive Pee Dee BlueExclusive Congaree BlueExtend Blue VirtuConnect

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Search using your member ID

Searching with your member ID will show you doctors and other healthcare professionals participating in your network. For the lowest cost on your care, make sure the doctor you receive services from is in your network.

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To find costs estimates for treatments or to post reviews of providers you've visited, sign in or register for Blueprint Portal.

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This directory indicates a healthcare provider's network participation status, to the best of our knowledge, at the time of the directory's publication or last refresh date. Even though we do update the directory from time to time, it is possible that we may not have the most current information at the time you visit this site. Because of that, you should always ask your doctor's office to verify current network participation status at the time of your actual visit or treatment.

Search by a specific network

  • True Blue PPO with BlueCard
    Including Metallic health plans, Limited Duration, Short Term Blue and Health Advantage individual products. Also includes grandfathered plans: Blue Solution PPO, Blue Care PPO, Blue Care PPO Plus, BlueChoice, Comprehensive Blue PPO, HSABlue, HSABlue PPO II and HSABlue PPO Plus.
  • True Blue PPO without BlueCard
    Includes ARHOME and some On- and Off-Exchange Metallic plans (Member ID cards do not have a suitcase in the bottom right)
  • Preferred Payment Provider (PPP) plans
    Includes Basic Blue and BlueSelect plans
  • Medicare plans Includes vision, hearing, and other providers
  • Health Advantage plans
  • BlueAdvantage Administrators of Arkansas plans
  • FEP

Non-medical search options

  • Medicare dental providers Includes dental providers inside and outside of Arkansas
  • Dental Blue
  • Dental Select PPO
  • Dental Select PPO Plus Includes dentists in individual Metallic plans
  • Dental providers outside of Arkansas
  • Vision
  • Vision providers outside of Arkansas
  • Caremark pharmacy search
  • Medicare Advantage pharmacy

Online Resources

Provider Finder®

Looking for a new doctor, specialist, or hospital?

Formulary (list of covered drugs)

You’ll find the most current list of covered drugs online making it easy for you or your provider to see if a recommended drug is covered.

Pharmacy Finder

Need to find a pharmacy? Find one wherever you are.

Blue Access for Members SM (BAM SM)

BAM is your one-stop online resource. Check it for information about your plan, claim status and benefits. And it has helpful health and wellness tools.

Connect Community

Connect is a fun and interactive way to share important health information with our members and our community. Read, engage and ask questions through our online blogstyle format, or share valuable information with your friends on social media.

Get more from your Medicare with the Benefit of BlueSM.

For more than 90 years, Blue Cross and Blue Shield of Texas (BCBSTX) has offered affordable solutions for health and wellness. The strength of Blue Cross and Blue Shield is grounded in our commitment to the health of our members and the communities we serve. Our strength is your strength. And your good health is our goal.

Get more from your Medicare with the Benefit of BlueSM. Enroll today.

With multiple options from which to choose, there’s a Blue Cross Medicare Advantage plan for you. Need help deciding? Talk to your licensed, authorized agent or call one of our product specialists.

Blue cross blue shield medicare advantage texas provider list

Web

Our secure online form takes you through enrollment step-by-step. It’s easy.

Blue cross blue shield medicare advantage texas provider list

One-on-One Help

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Call our product specialist:
1-888-240-0418 • TTY 711

Blue cross blue shield medicare advantage texas provider list

Learn more at a free seminar

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www.getbluetx.com/mapd

Blue Cross Medicare Advantage agrees to stay in the program for a full year at a time. Each year, the plan decides whether to carry on for another year. Even if Blue Cross Medicare Advantage leaves the program, you will not lose Medicare coverage.

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

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Blue cross blue shield medicare advantage texas provider list

Blue cross blue shield medicare advantage texas provider list
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Last Updated 09302019
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Is Blue Cross Blue Shield of Texas the same as Blue Cross Blue Shield?

BCBSTX is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Montana, Oklahoma and New Mexico), the country's largest customer-owned health insurer and fourth largest health insurer overall.

Is BCBS Texas Medicare?

Blue Cross and Blue Shield of Texas (BCBSTX) offers both individual and group Medicare Advantage plans.

Can Blue Cross Blue Shield of Texas be used in any state?

Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.

Does BCBS of Texas follow Medicare guidelines?

Medicare Marketing Guidelines All providers who contract with Blue Cross and Blue Shield of Texas (BCBSTX) to provide Medicare Advantage services are expected to abide by the Centers for Medicare & Medicaid Services (CMS) rules for marketing when it involves BCBSTX or Blue Cross Medicare Advantage products or benefits.