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Small Group Fully Funded Metallic Plans

Blue Cross and Blue Shield of Texas offers a variety of fully-funded standard ACA plans for your small group clients with 2–50 employees.

Network Options

Plan Name Blue Choice PPO℠ Blue Advantage HMO℠
Plan Type Broad, statewide PPO Smart, statewide HMO
PCP Selection Not required Required
Specialist Referral Not required Required
Out-of-Network Benefits Yes No, except for emergencies
Access to BlueCard Yes No, except in emergencies
Residency Required No specific requirement Must live/work in network service areas

Complementary Value-Add Programs

Putting the power of wellness in members’ hands helps them save money and prevent some types of health conditions, reducing doctor visits and hospitalizations. Complementary programs include:

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Blue365

Employees save on health products from top retailers with no claims or referrals needed.

Visit the member site
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Wondr Health

This online weight management program* teaches skills to improve physical, mental, and emotional wellbeing.

See Wondr's curriculum
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Hinge Health

Members can join this digital musculoskeletal program* with therapists at no extra cost.

Get our producer flyer
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Omada®

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

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Metabolic Health Management

Eligible members have access to a diabetes reversal program. The program improves blood sugar, safely reduces or eliminates medications and reverses type 2 diabetes — all offered as a covered benefit and at no cost.

Pharmacy & Prescription Management

With the Blue Access for Members account, members can search for in-network pharmacies, find covered medicine, get cost and coverage details on prescriptions and manage refills. Learn more.

Share the Drug List when consulting with employers about small group metallic plans.

Wellbeing Management

This complete wellness solution delivers member-centered wellness tools and care management programs, including:

Well onTarget®

This program provides comprehensive tools and rewards members for making healthy choices.

Share our employer flyer

Fitness Program

This program offers a flexible gym network to fit members’ lifestyles and budgets.

Get the details for members

Blue Points

Members earn and redeem points for participating in wellness activities.

Review our member flyer

Mental Health Hub

Digital one-stop-shop for mental health resources, recommended solutions, and access to behavioral health providers

Share member flyer

Ready to Create a Quote?

Get the tips, how-tos, and resources on quoting a small group metallic plan for your employer client.


* Wondr and Hinge Health are not included with Blue Advantage HMO network plans.

Hinge Health and Wondr are independent companies contracted with Blue Cross and Blue Shield of Texas to provide chronic disease prevention and management solutions for members with coverage through BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding third-party vendors and the products and services offered by them.  

Twin Health is an independent company that has contracted with Blue Cross and Blue Shield of Texas to provide care and disease management for members with coverage through BCBSTX.