Medium Group Health Insurance Plans

Blue Cross and Blue Shield of Texas offers health care plans with the choice, flexibility and affordable options that growing companies want.

The 2023 BCBSTX Mid-Market Group Portfolio is available from July 1, 2023, through June 30, 2024. Check out what's in store this year to help employers reduce health care costs and improve the lives of their employees. And learn what we're doing to make it easier for members to stay healthy throughout the year.

Mid-Market Business Coverage with Big Benefits

The following network products¹ are available for mid-market groups with 51-150 participants.

Blue Choice PPO^SM

Broad statewide PPO
No Primary Care Provider (PCP) selection required
No referral required to see a specialist
Out-of-network benefits
BlueCard and Member Liability Estimator included

Blue Advantage HMO^SM

Broad statewide HMO
PCP selection required
Referral required for most specialists
Out-of-network benefits for emergencies or accidents only
Away from Home Care and Member Liability Estimator included

Blue Essentials^SM

Broad statewide HMO
PCP selection required
Referral required to see a specialist
Out-of-network benefits for emergencies or accidents only
Member Liability Estimator included
Wide range of benefits with various copayment options

Blue Premier Access^SM

Smart HMO for Dallas/Fort Worth, Austin, San Antonio and Houston/Beaumont areas
Quality care at a lower cost
No Primary Care Provider (PCP) selection required
No referral required to see a specialist
Out-of-network benefits for emergencies or accidents only
Member Liability Estimator included

More Programs Available to Help Members Take Control of Their Health

We're empowering members to take control of their health through programs that can help them save money and prevent certain types of health conditions. We're also helping employers reduce health care costs by giving employees access to these programs, which can reduce doctor visits and hospitalizations.

Teladoc Health

The diabetes program helps members understand their blood sugar and develop healthy habits. The hypertension program provides members with a connected blood pressure monitor and expert coaching.

Wondr Health™

This digital weight-management program teaches members science-based skills to help them lose weight, sleep better and manage stress.

Hinge Health

A digital musculoskeletal program is led by physical therapists and health coaches and done in the comfort of the member’s own home.

Omada^®

This personalized program helps members reduce chronic disease risk with diabetes prevention and hypertension education, specialized devices, like-minded communities and proactive health coaches.

Catapult

This vendor offers virtual preventive checkups as an option for employees. The scope and benefits of Catapult’s current worksite Checkup and the Virtual Checkup are interchangeable.

Blue365^®

Employees save money on health and wellness products and services from top retailers not covered by insurance. There are no claims to file and no referrals or preauthorizations.

Bundling Life and Disability Programs Reduces Premiums

Offering ancillary benefits alongside medical coverage can help employers protect their employees’ physical and financial wellbeing while providing them with peace of mind. We offer ancillary benefits with medical benefits under a single brand. This comprehensive approach to coverage enables us to focus on supporting the overall health, wellbeing and financial security of your client's employees.

The Ancillary Producers Corner, our secure password-protected site, offers up-to-date sales tools to save you time, help grow your business and successfully service existing ancillary group customers. If you're not already using the Ancillary Producers Corner, register today.

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