Thank you for your interest in Blue Cross and Blue Shield of Texas. Medicare Advantage Plans, a type of Medicare health plan offered by contracting private companies, give all Part A and Part B benefits. Non-Discrimination Notice. Blue Advantage Gold HMO 206 Standard Non Marketplace Summary of Benefits. Health Advantage … Members electing the HMO are required to choose a PCP from a network of contracting doctors in the HMO Blue Texas network. This doctor coordinates the member's care an… Legal and Privacy Information in these SBCs represents an overview of coverage. To return to our Web site, simply close the new window. HMO. View plan information. Refer to important information for our linking policy. … A summary of benefits and coverage explains things like what a health insurance plan covers, what it doesn't cover, and what your share of costs will be. 202 from Blue Cross and Blue Shield of Texas. Members will have a predictable copayment, no deductible, and no claims or other paperwork to file. Blue Cross Blue Shield of Texas 2020 Plan Guide; What HSA plans are available in Texas? Benefit Highlights. Blue Advantage Plus Gold HMO 203 AI/AN Limited** Marketplace Summary of Benefits. To view your benefit summary, enter the ID number from your BlueAdvantage membership card. Click on the map for additional information. In addition, female members can receive specialized care from an OB/GYN from the same network as their PCP without a referral. This doctor coordinates the member's care and helps the member make informed decisions, including recommendations for wellness and preventive care services. Each level offers the same set of essential health benefits, quality and amount of care. 2021 BCN Advantage HMO-POS Summary of Benefits (PDF) 2021 BCN Advantage HMO-POS Community Value Summary of Benefits (PDF) BCN Advantage HMO-POS Region 3 plans. This link will take you to a new site not afilliated with BCBSTX. It will open in a new window. If you are no longer a current member of BlueAdvantage Administrators of Arkansas, the benefit summary is a summary of your benefits … 2020 summary of beneits premera blue cross medicare advantage core (hmo) h7245-006 . Blue Advantage Bronze HMO 302 - Non-Marketplace - Health Insurance Marketplace 6 Tier Drug List. Helps keep costs lower and more predictable; Personalized with a primary care provider (PCP), who coordinates all health care; Blue Advantage … blue advantage hmo With Blue Advantage, you don’t need to buy a separate Medicare supplement or Part D prescription drug plan. These SBCs describe key features such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Non-Discrimination Notice. Blue Advantage Gold HMO 206 Standard Marketplace Summary of Benefits. Blue Cross and Blue Shield of Texas Health Insurance Awards and Recognitions > In 2007, BCBSTX's Care Van program won an award from America's Health Insurance Plans (AHIP) in recognition for its innovative child immunization efforts using 10 Care Vans to provide improved access to immunizations for uninsured children across the state of Texas. Blue Advantage HMO: 1 Bronze, 1 Silver, 2 Gold. Learn more about plan monthly cost,premimum deductibles,prescription drug … Blue Choice Gold PPO 001 - ($3250 / $3250), Blue Choice Gold PPO 002 - ($1500 / $3500), Blue Advantage Gold HMO 001 - ($3250 / $3250), Blue Advantage Gold HMO 002 - ($1500 / $3500), Blue Choice Silver PPO 003 - ($6000 / $6000), Blue Choice Silver PPO 004 - ($3000 / $6350), Blue Choice Silver PPO 027 - ($2000 / $6350), Blue Advantage Silver HMO 003 - ($6000 / $6000), Blue Advantage Silver HMO 004 - ($3000 / $6350), Blue Advantage Silver HMO 020 - ($2000 / $6350), Blue Choice Bronze PPO 005 - ($5000 / $6600), Blue Choice Bronze PPO 006 - ($6000 / $6000), Blue Advantage Bronze HMO 005 - ($5000 / $6600), Blue Advantage Bronze HMO 006 - ($6000 / $6000). Information is subject to change. The BCBSTX HMO product is health care coverage that provides benefits only when services are received from providers in the HMO Blue® Texas network when prescribed, directed, or authorized by the member's Primary Care Physician (PCP) or the HMO. Looking for 2014 Summary of Benefits and Coverage? Refer to important information for our linking policy. HMO Explanations of Benefits Mediation notice to HMO members 4. If a member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage … The full terms of coverage are located in the insurance policy. All Rights Reserved. We make every effort to show all available Medicare Part D or Medicare Advantage … Limitations, copayments, and restrictions may apply. The HMO Blue Texas network includes more than 451 hospitals and 38,000 providers statewide (Source:  Internal PREMIER Reports, July 2009). © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. (2020) BCBSTX reached agreements with ACS Primary Care Physicians SW, PA , Hill Country Emergency Medical Associates, PA, and Longhorn Emergency Medical Associates; See more Popular Texas Hospitals Network Guide - Blue Advantage … Learn more about a Summary of Benefits and Coverage, also commonly referred to as an SBC. They're choosing health coverage provided by Blue Cross Blue Shield of Texas, one of the most widely recognized health insurance companies in the state. HMO Blue Texas is a health maintenance organization available to your clients in the Texas counties shown on the map at the right. The benefit information provided is a brief summary, not a complete description of benefits. Benefit Highlights. Blue Advantage Silver HMO 205 - Two $5 PCP Visits - Marketplace 94% Actuarial Value . For more information about Medicare including a complete listing of plans available in your service area, please … The HMO product also includes Away From Home Care® (AFHC) Guest Membership coverage for members living out of the service area for at least 90 consecutive days. Health Insurance Marketplace 6 Tier Drug List. Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. Home This plan … Medicare Advantage Plans: HMO, PPO, Private Fee-for-Service, … To help you make an informed choice about your health care coverage, we are providing Summary of Benefits and Coverage (SBC) documents for each of our plans. This link will take you to a new site not afilliated with BCBSTX. Benefit Highlights. Thank you for your interest in Blue Cross and Blue Shield of Texas. 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