Aug. 19, 2019
Posted Aug. 19, 2019, updated Aug. 20, 2019
Back in May, we announced that Blue Cross and Blue Shield of Texas (BCBSTX) has developed a new focused HMO network called MyBlue HealthSM effective Jan. 1, 2020, in Dallas and Harris Counties only. MyBlue Health members in these areas will access care through providers contracted in the MyBlue Health network.
Included in the MyBlue Health network, members will have access to Sanitas Medical Centers in Dallas and Harris Counties. The new medical centers will serve as one-stop shops for Blue Cross and Blue Shield card holders and eligible family member’s health care needs with primary care. They are designed to give patients more time face-to-face with their medical care teams and to spend less time on the logistics of getting care.
Some of the features of these medical centers include:
- In-network benefits for Sanitas Medical Centers starting in 2020
- Extended hours for working families
- Benefits coordination with your medical care team
BCBSTX customer service advocates will be at each center to help members coordinate all non-clinical aspects of their care and insurance. Clinical services will be provided by Sanitas Medical Centers, which are independent centers serving people covered by Blue Cross and Blue Shield companies.
MyBlue Health members will be required to select a Primary Care Physician (PCP). Members can select a family practitioner, internist, pediatrician, physician assistant (PA) or advanced practice registered nurse (APN) and/or obstetrician/gynecologist as their PCP. The PA or APN must work under the supervision of a participating family practitioner, internist, pediatrician and/or obstetrician/gynecologist.
Members covered by MyBlue Health can be identified through their BCBSTX ID card:
- MyBlue Health will be printed directly on the ID card.
- MyBlue Health members will have a unique network ID: BFT.
- The 3-character prefix is on the ID card: T2G
- Members selecting Sanitas as their PCP will have the Physician Organization Code (PORG) of SNTX
Patient eligibility and benefits should be checked prior to every scheduled appointment. Eligibility and benefit quotes include participant confirmation, coverage status and other important information, such as applicable copayment, coinsurance and deductible amounts. It's strongly recommended providers ask to see the participant's ID card for current information and photo ID at every visit to guard against medical identity theft. When services may not be covered, participants should be notified they may be billed directly.
If you have any questions, please contact your Network Management Representative:
- Dallas County 1-800-749-0966/1-972-766-8900 or email
- Harris County 1-800-637-0171/1-713-663-1149 or Email
- All others, contact your local Network Management office location
Additional information regarding MyBlue Health will be available in future Blue Review newsletters and on our provider website.
Clinical services provided by Sanitas Medical Centers, which are independent medical centers serving individuals covered by Blue Cross and Blue Shield companies.