Know About BCBSTX 2020 Health Care Plans

You may shop for a BCBSTX health care plan if you don’t get health care coverage through your job or other options, like Medicaid.

Individual health care plans have choices for you and your family, such as your spouse or children under the age of 26.

With a BCBSTX health care plan you have:

  • Choice of in-network doctors and hospitals
  • Preventive care services, like an annual exam, shots and screenings
  • Prescription drug coverage with mail order programs
  • Mental health and substance abuse disorder benefits and services
  • Health and wellness programs

 

Health Plan Basics

Here are some important basics to know about the BCBSTX health care plans in Texas.

Plan Network 

A network (also called group of doctors) is part of each plan. If you want to control costs, you’ll need to get care in your plan’s network. If you don’t, you may have to pay for most of or the full cost of your care.  We have networks in Dallas, San Antonio, Austin and all across Texas.

See cost examples

Essential Health Benefits

All of our Texas health care plans cover these essential health benefits and services: wellness, maternity, newborn/pediatric care, ambulance, emergency, hospitalization, labs, prescription drugs, disease management, mental health, substance abuse and rehabilitative devices.

Prescription Drug Coverage

All our health care plans offer prescription drug coverage. Based on your plan, once you have met your deductible, you will either pay a set amount (copayment) or a percentage (coinsurance) of your drug costs. Learn more about coverage.

See If You Qualify for Financial Help

Based on your income and family size, you may be able to qualify for a subsidy, also known as a premium tax credit (PTC). A PTC helps you pay less for your health care plan. 

Use our PTC tool to see if you can get these savings. Begin PTC estimate.

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Sales Questions and Additional Plan Information:
1-800-531-4456

Calls may or may not be answered inside the United States.

Monday – Friday: 8 a.m. – 8 p.m. CT
Saturday: 8:00 a.m. – 6:00 p.m. CT
Sunday: 10:00 a.m. – 2:00 p.m. CT

Customer Service:
1-888-697-0683

Calls may or may not be answered inside the United States.

Monday – Friday: 7 a.m. – 8 p.m. CT
Saturday: 8 a.m. – 5 p.m. CT
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