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Types of Health Insurance Coverage

Whether you're looking for insurance for yourself or your entire family, Blue Cross and Blue Shield of Texas (BCBSTX) offers a variety of family and individual health insurance coverage options.

Family and Individual Health Insurance Plans

We offer a variety of family and individual health insurance plans, also known as major medical or comprehensive coverage. These plans cover a large range of services and meet the following requirements:

  • Usually can be renewed.
  • Last a year or longer.
  • Include the following services, as required under the Affordable Care Act:
    • Maternity, newborn and pediatric care
    • Emergency services, hospitalization and preventive care
    • Laboratory services, prescription drugs and disease management
    • Mental health care and substance abuse treatment
    • Rehabilitative services and devices

You may qualify for help paying for your Individual and Family plan. Learn more.

Dental

Dental insurance plans can cover everything from basic care to a wide range of dental services. Dental coverage can be purchased as part of your Blue Cross and Blue Shield of Texas family and individual health insurance plan or as a standalone dental plan. As part of the Affordable Care Act, some Individual and Family plans include dental coverage for children up to age 21.

Medicare

Medicare is a government program designed to provide health insurance to people age 65 years or older, as well as people under 65 with certain disabilities or illnesses. When you sign up for Medicare through the government, you get Original Medicare Part A (hospital) and B (medical) coverage. But you can also purchase additional insurance through Medicare-approved insurance companies like BCBSTX, to strengthen your health insurance safety net. The additional insurance includes the following parts:

  • Part C — Medicare Advantage Plans are considered all-in-one coverage, and some come with built-in prescription drug coverage.
  • Part D — This part of Medicare includes prescription drug coverage that pays for approved drugs.
  • Medicare Supplement Insurance Plans — These plans may assist with health care costs that aren't covered by Original Medicare.

Medicaid and Children's Health Insurance Program (CHIP)

Medicaid and CHIP are types of low or no-cost health insurance through the government. Your eligibility is based on your household size and income and determined by the government. You can apply any time of year. You can apply online and if you qualify for Medicaid or CHIP, the proper government office will contact you.

Please note: If you sign up for Medicaid or CHIP, you will not be able to use the premium tax credit or cost sharing discount. If you have Medicaid coverage now, you're considered covered under the health care law and don't have to buy a plan on the Marketplace.

For Medicaid, visit Medicaid.gov .

For CHIP, visit insurekidsnow.gov  or call 1-877-543-7669.


Need more information? Meet one-on-one with our experienced community specialists who can help answer your health insurance questions. Find a free event near you .

Tab One Chat Now

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Chat with us Online

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We can answer your questions and help you enroll.

Agents are available:
Monday - Friday, 8am - 8pm CT
Saturday, 8am - 6pm CT
Sunday, 10am - 6pm CT

By clicking this link, you will be directed to a website or application hosted by a vendor, an independent company contracted with BCBSTX or a subcontractor of the vendor. These vendors may have their own Terms of Use and/or Privacy Statement.

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Tab Two Ask Question

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Please fill out the form below and we will send you information about our health insurance plans.

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Tab Four Request Agent

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Online Agent Request Form

Please fill out the form below and a Blue Cross and Blue Shield of Texas authorized agent will contact you within 1 to 2 business days. They will schedule an appointment at a time and location that is convenient for you. There is no cost or obligation for this service.

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Tab Five Call Us

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Need Assistance Shopping?

Sales Questions and Additional Plan Information:
1-888-731-0406

Monday – Friday, 8am – 8pm CT
Saturday, 8am – 6pm CT
Sunday, 10am – 6pm CT

Customer Service:
1-888-697-0683

Monday – Friday, 7am – 8pm CT
Saturday, 8am – 5pm CT
Sunday, Closed

Already a member?
Call the customer service number on the back of your member ID card.

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