How BlueCard Preferred Provider Organization (PPO) Works

1. Always carry your most current Blue Cross and Blue Shield of Texas (BCBS) ID card.
   
2. When you're outside of BCBSTX service area and need health care, refer to your ID card and call BlueCard Access at (800) 810 BLUE (2583) for information on the nearest BlueCard PPO contracting doctors and hospitals.

3. You are responsible for calling BCBSTX precertification, when necessary. Refer to the precertification 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 usually verify your membership and coverage information.

5. After you receive medical attention, your claim is routed to BCBSTX 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. BCBSTX will send you a detailed explanation of benefits (EOB).

• BlueCard PPO
• Advantages of BlueCard

* Texas Department of Insurance Form: PPO-SELCHOICE-ADV-3-OLC-2