Blue Cross Medicare Advantage (HMO)SM and Blue Cross Medicare Advantage Dual Care (HMO SNP)SM

Blue Cross Medicare Advantage plans offer all the same coverage as Original Medicare — plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options. Blue Cross and Blue Shield of Texas (BCBSTX) offers both individual and group Medicare Advantage plans.

The Blue Cross Medicare Advantage HMO plans offer health coverage to members who reside in:

Atascosa, Bandera, Bastrop, Bexar, Burnet, Caldwell, Cameron, Chambers, Comal, El Paso, Fort Bend, Hardin, Harris, Hays, Hidalgo, Jefferson, Kendall, Lee, Liberty, Medina, Montgomery, Orange, Webb, Willacy, Wilson or Williamson counties.

BCBSTX would like to extend the opportunity to you for participation as a provider in the Blue Cross Medicare Advantage (HMO) plan.

Effective January 1, 2020, Blue Cross Medicare Advantage (HMO)SM networks are expanding in the following areas:

Collin, Dallas, Denton, Tarrant and Travis counties

The Blue Cross Medicare Advantage HMO SNP plans offer health coverage to members who reside in:

Bastrop, Burnet, Caldwell, Hays, Lee and Williamson counties.

Effective January 1, 2020, Blue Cross Medicare Advantage (HMO SNP)SM networks are expanding in the following areas:

Atascosa, Bandera, Bastrop, Bexar, Blanco, Bosque, Brazos, Burleson, Burnet, Caldwell, Collin, Colorado, Comal, Coryell, Dallas, Denton, Falls, Fayette, Gonzales, Grimes, Guadalupe, Hays, Hill, Kendall, Lampasas, Lavaca, Lee, Leon, Limestone, Llano, Madison, Medina, Milam, Mills, Navarro, Robertson, Rockwall, San Saba, Somervell, Tarrant, Travis, Williamson and Wilson counties.

Retiree group Medicare plans

Our retiree group Medicare plans include Blue Cross Group Medicare Advantage (HMO)SM. This plan provides group Medicare members access to providers within a defined network, with no out-of-network benefit.

Network Participation

BCBSTX believes that our long-standing history in providing affordable health care coverage to the people of Texas, our strong brand recognition, and our historical relationship with Medicare makes BCBSTX an excellent choice for Medicare-eligible individuals. We maintain and monitor a network of participating providers including physicians, hospitals, skilled nursing facilities, ancillary providers, and other health care providers through which members obtain covered services.

  • New individual providers, new medical groups desiring to apply for network participation and existing medical groups who wish to add additional providers to their current contract, will need to complete the Provider Onboarding Form
  • Providers can select the question mark icon where available if they need assistance with those fields.

Have questions?

Please contact your Network Management office.