| HMO Blue® Texas |
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Overview
 With Health Maintenance Organization (HMO) Blue Texas you'll choose a Primary Care Physician (PCP) for you and each covered family member from a network of contracting doctors. Your PCP will coordinate all of your covered medical care, including referrals for specialist care and preauthorizations for hospital admissions when necessary.
When you see your PCP, or visit a doctor or hospital your PCP has referred you to, you pay a copayment -a flat dollar amount- at the time of your visit.
You must coordinate all your care through your PCP to receive benefits. If you don't, you will pay for the entire cost of your care, except in emergencies. Note: Health Maintenance Organization (HMO) Blue Texas providers must use LabCorp for outpatient reference laboratory services. Health Maintenance Organization (HMO) Blue Texas physicians who are contracted/affiliated with a capitated IPA/Medical Group must contact the IPA/Medical Group regarding outpatient laboratory services.
Direct Access to OB/GYNs
In addition to choosing a PCP, women may self-refer to a contracting OB/GYN to provide or coordinate all obstetrical and gynecological care.
Learn more about HMO Blue Texas:
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