Will I need to see my PCP for all of my health care needs?
In most cases, yes. Your PCP will provide or coordinate all of your covered health care. If you need specialty care, your PCP will refer you to a specialist who is part of your PCP's network of health care professionals.
Will I be able to see an OB/GYN without a referral?
Yes. You will have direct access to OB/GYNs in the HMO Blue Texas network. However, you will need to see an OB/GYN in the same limited network as your PCP.
What if I'm receiving treatment from an out-of-network doctor now?
If you're pregnant or require ongoing care for a serious illness when you enroll, and your doctor isn't in the HMO Blue Texas network, you may be able to continue seeing that doctor while you transition care. Call HMO Blue Texas Customer Service toll-free for details: 1-888-322-2379.
