Blue Cross Blue Shield of Texas - How BlueCard Preferred Provider Organization (PPO) Works

Select Blue Advantage Series III
Overview
Plan Highlights
General Benefits
Preventive Care
Child Only Coverage
Prescription Drug Program
Dental Indemnity USA
BlueCard PPO
Outline of Coverage*
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Products
Group
HMO Blue Texas
BlueCard PPO
BlueChoice PPO
Small Group (2-50)
Individual
Select Blue Advantage Series III
PPO Select^® Choice Series III
PPO Select^® Saver Series III
BlueEdge^SM Individual HSA
PPO Select Value^® Care^SM
PPO Select Basic^SM
Foundation Hospital Care
SelecTEMP^® PPO
Dental Indemnity USA

How BlueCard Preferred Provider Organization (PPO) Works

How BlueCard PPO Works

Always carry your most current Blue Cross and Blue Shield of Texas (BCBSTX) ID card.
When you're outside of your 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.
You are responsible for calling your local BCBSTX insurance plan for precertification, when necessary. Refer to the precertification phone number on your ID card, as it differs from the BlueCard Access number.
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.
After you receive medical attention, your claim is routed to your BCBSTX plan for processing. All doctors and hospitals are paid directly, relieving you of hassle and worry.
You will only need to pay for non-covered services, as well as deductible, copayment or coinsurance amounts. Your BCBSTX plan will send you a detailed explanation of benefits (EOB).

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