Benefit Topics
Employees and Retirees Under Age 65
- There has been an increase in the number of facilities not located in a hospital that represent themselves as "Emergency Care" treatment centers. Because these facilities are not licensed by the state as emergency facilities, Blue Cross and Blue Shield of Texas (BCBSTX) has developed criteria that a facility must meet to be considered a non-hospital based emergency room facility. Read More
- Medical deductible and coinsurance amounts are calculated on a calendar year.
Retirees Age 65 and Over
- There has been an increase in the number of facilities not located in a hospital that represent themselves as "Emergency Care" treatment centers. Because these facilities are not licensed by the state as emergency facilities, BlueCross Blue Shield of Texas has developed criteria that a facility must meet to be considered a non-hospital based emergency room facility. Read More
- Providers Who Accept Medicare - Search for providers who accept Medicare assignment
- Providers Who Opt-Out of Medicare - Under Section 4507 of the Balanced Budget Act of 1997 providers have the option to opt-out of Medicare. By opting out of Medicare, providers do not submit claims to Medicare, do not accept Medicare payment, and patients are charged for these services. Read More
- Medical deductible and coinsurance amounts are calculated on a calendar year
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