Legal and Privacy

Please read the following Terms of Use and Privacy Statement. They describe the rules governing the use of this website as well as information about privacy, security, links to other websites, copyright infringement, and more.

Website Terms of Use and Privacy Statement »

Privacy Practices Notice
This notice is required by federal and state law and explains how we use and disclose your personal health and financial information. Individuals covered by a self-funded employer group health plan will receive this notice from their employer. To request a copy, contact your employer.

California Privacy Rights Act (CPRA) Privacy Notice  
This notice is required by California law and explains your rights under CPRA.  CPRA applies to California residents only and does not apply to information collected from health plan members or applicants. Members should refer to the Privacy Practices Notice above.

Consent Management Portal
Federal law requires us to provide current members who have Medicare, Medicaid and plans purchased through the Health Care Marketplace with access to certain personal information through applications of their choice. If you would like to consent to make your information available to yourself,  you can manage your consent at any time by going to the Consent Management Portal.

Choosing an Application to Access Your Health Information
This notice provides helpful information about who is eligible to access certain types of data through an online application (web app) that you use. If you have questions, or if you are an Authorized Agent, Legal Guardian or Power of Attorney and have questions, please call the number on the back of your insurance card.

Federal law provides health plan members with certain rights related to their health information. Use one of these privacy forms to make a request related to these rights.

Privacy Forms

If you are a copyright owner or agent and believe that any content on this website infringes upon your copyrights, review the Copyright Infringement Notice for information and how to contact us.

We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. Please review our Non-Discrimination Notice for more information.

We are committed to the highest standards of business ethics and integrity as well as strict observance and compliance with the laws and regulations governing our business operations. We have adopted a Code of Ethics and Conduct for our workers, as well as a Vendor Code of Ethics and Conduct for any vendors that conduct business on our behalf.

Blue Cross and Blue Shield of Texas (BCBSTX) Medical Policies are based on scientific and medical research. They are often used as guidelines for coverage determinations in health care benefit programs.

Review Medical Policies

BCBSTX Clinical Payment and Coding Policies are based on criteria developed by specialized professional societies, MCG Health national guidelines and the CMS Provider Reimbursement Manual. Additional sources are used and can be provided upon request. The Clinical Payment and Coding Guidelines are not intended to provide billing or coding advice, but to serve as a reference.

Review Clinical Payment and Coding Policies

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