Blue Advantage HMOSM and Blue Advantage PlusSM HMO
Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to offer our Blue Advantage HMO and Blue Advantage Plus HMO network in all 254 Texas counties. This cost-effective network is designed to provide affordable quality health care services to the uninsured and underinsured. These products offer the members medical benefits at a lower cost whenever they access care through a participating Blue Advantage HMO and Blue Advantage Plus HMO network provider. In addition, Blue Advantage Plus HMO members can self-direct their care under their out-of-network benefits at a higher member cost share.
BCBSTX invites you to participate as a provider in Blue Advantage HMO as your participation helps ensure the program's success. Our long-standing history in providing affordable health care coverage to the people of Texas and our strong brand recognition make BCBSTX an excellent choice for members seeking cost-effective health care.
To participate in Blue Advantage HMO and Blue Advantage Plus HMO:
- Physicians and professional providers must have privileges at one of the Blue Advantage HMO participating hospitals (unless inpatient admissions are uncommon or not required for the physician's, professional provider's, facility of ancillary provider's specialty) or have some who will admit on their behalf
- Must sign a Blue Advantage HMO agreement
To request a Blue Advantage HMO Network Participation Agreement, please refer to Request Contract/Agreement/Network Participation on the Network Participation page.
Please note that additional credentialing is not required for those providers already credentialed in the Blue Choice PPOSM or Blue EssentialsSM networks and whose credentialing is current.
If you have any questions regarding this plan, please feel free to contact your Network Management Consultant.
- Blue Essentials, Blue Advantage HMO and Blue Premier Physician, Professional Provider, Facility and Ancillary Provider - Provider Manual
- Blue Advantage HMO Key Contacts List
- Sample Blue Advantage HMO Member ID Card
- Blue Advantage HMO Preauthorization Requirements List
- Blue Advantage HMO Quick Reference Guide