2016 Individual and Family Plans

Estimate Your Premium Credit
You may qualify for help paying for your health insurance. Find out with our premium tax credit estimator.

All plans follow the Affordable Care Act guidelines and provide the same set of essential health benefits, quality, and amount of care:

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health disorder services
  • Substance use disorder services
  • Prescription drugs
  • Rehabilitative services and devices
  • Laboratory services
  • Preventive and wellness services
  • Chronic disease management
  • Pediatric services

View our plan brochure PDF Document to help you get started, or learn more about the plans below.

Are you looking for a multi-state plan? MSP options ensure that Americans across the country have access to high-quality health insurance plans with reliable benefits. Call 888-731-0406 for sales questions and additional plan information.

Shop for Plans

Shop online to see what plans are available in your area and to view plan pricing

  • BLUE ADVANTAGE HMO
    BLUE ADVANTAGE HMO
  • Plan Network
  • Blue Advantage
    Often lower monthly premiums and out-of-pocket costs, like copayments and deductibles.

    Search Doctors and Hospitals
  • PRESCRIPTION BENEFITS
  • Generics Plus
    A Generics Plus Formulary is a smaller version of the Standard Formulary. It covers drugs for the major drug classes, but includes mostly generic drugs and fewer brand-name drugs.
  • BLUE ADVANTAGE PLUS HMO
    BLUE ADVANTAGE PLUS HMO
  • Plan Network
  • Blue Advantage
    Often lower monthly premiums and out-of-pocket costs, like copayments and deductibles.

    Search Doctors and Hospitals
  • PRESCRIPTION BENEFITS
  • Generics Plus
    A Generics Plus Formulary is a smaller version of the Standard Formulary. It covers drugs for the major drug classes, but includes mostly generic drugs and fewer brand-name drugs.

Plan Levels

We have four levels of health care plans available — bronze, silver, gold and platinum — based on the percentage the plan pays of the average overall cost of providing essential health benefits to members. All plans have similar benefits, and all include essential health benefits. Where they differ is on how the costs of the benefits are applied.


Bronze Plans


Lowest monthly costs.

Higher out-of-pocket costs when you receive care.

Plan Pays

You Pay


60% coverage
you pay 40%


Compare Marketplace Bronze Plans PDF Document

Compare Individual Bronze Plans PDF Document

Silver Plans


Higher monthly costs than Bronze plans.

Lower out-of-pocket costs than Bronze plans.

Plan Pays

You Pay


70% coverage
you pay 30%


Compare Marketplace Silver Plans PDF Document

Compare Individual Silver Plans PDF Document

Gold Plans


Higher monthly costs than Silver plans.

Lower out-of-pocket costs than Silver plans.

Plan Pays

You Pay


80% coverage
you pay 20%


Compare Marketplace Gold Plans PDF Document

Compare Individual Gold Plans PDF Document

Catastrophic plans are also available. These plans typically have high deductibles that must be met before the plan begins paying claims. After out-of-pocket costs reach a specified maximum amount, the plan covers most expenses beyond that amount.

Shopping Assistance

Thank you for looking at coverage options from BCBSTX. We’re here to help you get the 2017 coverage – and information – you need.

You May Get Help Paying for Health Insurance

When shopping for a new health insurance plan, you may qualify for help with the cost of buying coverage by:

  • Lowering your premiums through a premium tax credit
  • Qualifying for help with out-of-pocket costs
  • Getting low or no-cost coverage through a government program

What about Dental Coverage?

  • When you apply for a health plan, you may be able to enroll in a dental plan.
  • With our dental plans, you will get one of the highest maximum annual benefit levels available per person per year.

What about Prescription Drug Coverage?

  • With prescription drug coverage, your insurance may help pay for your medicine.
  • Based on your coverage, you may pay either a fixed dollar amount (copayment) or a percentage (coinsurance) of your prescription drug costs.

Your prescription drug benefits include mail order pharmacy services and:

  • A broad pharmacy network
  • Access to online tools
  • Information on how to manage your drug benefits
  • A preferred drug list
  • Generic drug or lower-cost preferred drug benefits
  • Clinical programs

Preventive Services

Many long-term illnesses can be prevented or managed when found early. With the Affordable Care Act, most health insurance plans must cover a range of preventive services with no out-of-pocket costs like a copayment or coinsurance. Services include certain screenings, immunizations, and other types of care, like:

  • Blood pressure, diabetes and cholesterol tests
  • Many cancer tests, such as mammograms and colonoscopies
  • Help to stop smoking, lose weight, fight depression and reduce alcohol abuse
  • Well-baby and well-child visits, from birth to age 21
  • Vaccines, such as measles and polio
  • Care for healthy pregnancies
  • Flu and pneumonia shots

Important Details

  • Services are covered only when you see a doctor in your health plan network.
  • You may have to pay all or part of the cost for preventive services if your insurance plan is grandfathered.

See a full list of covered Preventive Services PDF Document

Shop for Plans

Shop online to see what plans are available in your area and to view plan pricing

Tab One Chat Now

Tab pannel

Chat with us Online

Powered by Salesforce

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.

Tab pannel ends. Press down arrow or tab to move to the next tab

Tab Two Ask Question

Tab pannel

Ask a sales question

Please fill out the form below and a licensed agent will contact you to help answer your questions.

Please enter a valid first name
Please enter a valid last name

How would you prefer to be contacted?

Language Preference*
Please enter a valid phone number
Please enter a valid email address
Please enter a question

50characters remaining

You must be at least 18 years old to submit a request.

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.

Tab pannel ends. Press down arrow or tab to move to the next tab

Tab Three Request Brochure

Tab pannel

Request a Brochure

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

Please enter a valid first name
Please enter a valid last name
Please enter a valid email address
Please enter a valid phone number

If you provide a phone number, an agent may call you to make sure that you received the information and to answer any questions that you might have.

You must be at least 18 years old to submit a request.

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.

Tab pannel ends. Press down arrow or tab to move to the next tab

Tab Four Request Agent

Tab pannel

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.

Please select the product you are interested in
Please enter a valid first name
Please enter a valid last name
Please enter a valid email address
Please enter a valid date of birth (MM/DD/YYYY)
Please enter a valid city
Please select a state
Please enter a valid zip code
Please enter a valid phone number

You must be at least 18 years old to submit a request.

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.

Tab pannel ends. Press down arrow or tab to move to the next tab

Tab Five Call Us

Tab pannel

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.

Tab pannel ends.