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BlueCross BlueShield of Texas Health Care Costs
 



How BlueCard PPO Works

How BlueCard PPO Works

  1. Always carry your most current BCBS ID card.

  2. When you're outside of your local plan service area and need health care, refer to your ID card and call BlueCard Access at 1-800-810 BLUE (2583) for information on the nearest BlueCard PPO contracting doctors and hospitals.

  3. You are responsible for calling your local BCBS Plan for pre-certification, when necessary. Refer to the pre-certification phone number on your ID card, as it differs from the BlueCard Access number.

  4. When you arrive at the doctor's office or hospital, present your ID card and the doctor or hospital will verify your membership and coverage information.

  5. After you receive medical attention, your claim is routed to your BCBS Plan for processing. All doctors and hospitals are paid directly, relieving you of hassle and worry.

  6. You will only need to pay for non-covered services, as well as deductible, copayment or coinsurance amounts. Your BCBS Plan will send you a detailed Explanation of Benefits (EOB).

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a Mutual Legal Reserve Company, an Independent Licensee of the
Blue Cross and Blue Shield Association.
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