Some doctor visits, like an annual check-up, will cost you $0 with your plan. Others, like an appointment for the flu, may cost you money. Knowing where to go for care when you need it can save you time and money.
INDIVIDUAL & FAMILY
Visiting Your Doctor
Learn how building a good relationship with your doctor, preventive care and your Blue Cross and Blue Shield of Texas plan can help you reach your health goals, easily and affordably.

Health Care Costs
What Should You (and Your Wallet) Expect?
Annual Check-Ups
Annual exams are $0 with your plan. However, if you get "extra" services during your appointment, like a new prescription or unexpected test, you may need to pay.
Checkups for Illness or Injury
Did you visit your doctor because of a scratchy throat or new symptom? If you go to your doctor for more than 1 annual checkup a year, you may get a health care bill.
Routine Vaccines & Screenings
Standard immunizations and, depending on your age, some screenings like mammograms or colonoscopies are covered by your plan.
Diagnostic Screenings & Tests
While some screenings and tests are covered as preventive, others, like tests performed for concerning health symptoms, are not covered as preventive care.
Pregnancy Care & Well-Child Visits
Some services for pregnant women, like pre-natal visits and supplements, and well-child checkups are always covered through the Affordable Care Act.
Behavioral Health Support
Behavioral health services like substance use and rehabilitation or counseling are essential benefits. However, the costs vary depending the type of care and your plan.
Affordable Care Act
Insured for Essential Benefits, Always
Under the Affordable Care Act (ACA), some essential benefits will always be covered by your individual and family plan. This list of covered essential benefits is not impacted by the recent ACA changes.
- Emergency Hospitalization
- Rx & Disease Management
- Lab Services
- Maternity and Pediatric
- Behavioral Health
Benefits
Ready to save on your health care? BCBSTX benefits can help.
MDLIVE Virtual Visits¹ could help you save money and time when it comes to health questions and non-emergency concerns.
Learn how staying in network is one of the easiest ways to help cut health care costs.