Ambulance Services
This information is intended for Employees and Retirees Under Age 65 residing in Texas.
The following is an example of your out-of-pocket costs for an ambulance transport. Please note that this is only an example as billed and allowable amounts may differ. Effective April 1, 2008, all ambulance transports to non-contracting providers are paid at the billed amount to prevent you from paying any amounts over your 20% coinsurance. Please note; prior to April 1, 2008, all ambulance transports were paid at on the BCBSTX allowable amount and you were responsible for amounts above the allowable when using a non-contracted ambulance.
- Download your benefits book for a complete description of your benefits
If you have any additional questions, please contact BCBSTX Customer Service at (800) 252-8039. Review other examples of out-of-pocket costs
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All ambulance transports are paid at the network level. Effective 04/01/08, ambulance transports from a non-contracted ambulance are paid at the billed amount to prevent you from being responsible for amounts above the BCBSTX allowable. Below assumes that you received a transport from a non-contracted ambulance. |
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Billed Amount |
$900 |
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BCBSTX Allowable Amount |
$900 |
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HealthSelect Pays |
$720 |
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You Pay |
You pay $180 coinsurance.
You pay a total of $180.
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