Ensuring Member Access Across the State
We check the locations of all health providers in all of our networks to make sure our members have access to in-network providers. It is very important to verify benefits of each network. This includes the networks for the following plans:
- Blue Choice PPOSM
- Blue Advantage HMOSM
- Blue Advantage PlusSM HMO
- Blue Cross Medicare Advantage PPOSM
- Blue Cross Medicare Advantage HMOSM
- Blue EssentialsSM
- HealthSelect of Texas®
- Blue PremierSM
- Blue Premier AccessSM
- MyBlue HealthSM
- Blue High Performance NetworkSM
BCBSTX wants to ensure providers are available and accessible to members. We may use member experience, quality or cost-related measures to choose providers for some of our networks.
Medical Providers
BCBSTX works to contract with providers that offer services in all areas of medicine, including:
- Family Practice
- General Practice
- Chiropractic Practice
- Internal Medicine
- Specialty
- Subspecialty
- General and specialty surgery
- Rehabilitation
Behavioral Health Providers
These in-network providers offer service for the following:
- Psychiatry
- Clinical Psychology
- Licensed Clinical Social Work
- Licensed Counseling, including Clinical Counseling and Marriage and Family Therapy
*This is not a complete list of provider specialties.
Your BCBSTX plan may use a tiered network. BCBSTX may place providers into tiers such as:
Tier 1: Members get the highest level of benefits and pay the lowest out-of-pocket costs
Tier 2: Members get a reduced level of benefits and pay higher out-of-pocket costs
How BCBSTX Chooses Hospitals
We check the locations of all hospitals in all of our networks to make sure our members have access to in-network hospitals. It is very important to verify benefits of each network. This includes the networks for the following plans:
- Blue Choice PPO
- Blue Advantage HMO
- Blue Advantage Plus HMO
- Blue Cross Medicare Advantage PPO
- Blue Cross Medicare Advantage HMO
- Blue Essentials
- HealthSelect of Texas®
- Blue Premier
- Blue Premier Access
- MyBlue HealthSM
- Blue High Performance NetworkSM
BCBSTX wants to ensure hospitals are available and accessible to members. We may use member experience, quality or cost-related measures to choose hospitals for some of our networks.
