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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.

A doctor and her young patient smiling.

Health Care Costs

What Should You (and Your Wallet) Expect?

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.

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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.

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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.

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Routine Vaccines & Screenings

Standard immunizations and, depending on your age, some screenings like mammograms or colonoscopies are covered by your plan.

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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.

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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.

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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.

FIND CARE

Don't Have a Doctor or Specialist?

Search in-network doctors or specialists for each BCBSTX plan. Want results specific to your plan and ZIP code? Make sure you log in to search.

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.

Explore your benefits and reward programs like Blue Points℠², Blue365®³ and more.

Learn how staying in network is one of the easiest ways to help cut health care costs.

Resources

Resources For Your Doctor Visits