Services Rendered by Providers to Related Members and/or Self
As a reminder, standard Blue Cross and Blue Shield of Texas benefit plans exclude coverage for services rendered by a provider to any member related to that provider by blood or marriage and certain benefit plans also exclude coverage for self-administered services.
For more information, please contact your Network Representative or call the Toll-Free Customer Service phone number on the back of the Blue Cross Blue Shield Identification Card for assistance.
Verification of eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered.