Know About BCBSTX 2020 Health Care Plans

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

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

With a BCBSTX health 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

Remember, BCBSTX does not offer temporary or short-term plans.  These plans may not provide the same coverage as a BCBSTX health plan.

Health Plan Basics

Learn what's included with your BCBSTX health plan and network. We offer coverage in Houston, San Antonio, Dallas, Austin and all across Texas.

Plan Network

A network (also called group of providers) 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.  You may also be able to see a network provider by phone or video.

See cost examples

Essential Health Benefits

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

Learn more about coverage

Preventive Care Services

BCBSTX health plans cover a range of preventive care services.  Getting this care in-network means you won't pay out-of-pocket costs.  Examples include screenings, immunizations, wellness programs and more.

See all covered Preventive Care Services 

Pre-Existing Condition Coverage

Insurance companies, like BCBSTX, can't refuse to cover treatment for health problems you had before your new health plan starts.  

Member Discounts

With a BCBSTX health plan, you and your family can save on health care products and services through our discount program, Blue365.  Examples include fitness apparel, gym memberships and more. 

Review Blue 365 discounts

 

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.  This may help you lower your monthly bill.  

Use our tool to see if you can get these savings. Begin premium tax credit estimate.

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Send us a question or request more information. Our team is here to help you get a 2021 health plan for yourself or family.

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NEED ASSISTANCE SHOPPING?

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
Sunday: Closed

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