blue advantage hmo summary of benefits texas

an Independent Licensee of the Blue Cross and Blue Shield Association. The differences are how much your premium costs each month, what portion of the bill you pay for things like hospital visits or prescription medications, and how much your total out-of-pocket costs are. © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. 2020 summary of beneits premera blue cross medicare advantage core (hmo) h7245-006 . Information in these SBCs represents an overview of coverage. Blue Advantage Silver HMO 205 - Two $5 PCP Visits - Marketplace 94% Actuarial Value . This plan … To view your benefit summary, enter the ID number from your BlueAdvantage membership card. All Rights Reserved. These SBCs describe key features such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Benefit Highlights. HMO claims for services rendered before January 1, 2020 were not eligible for mediation under Texas Insurance Code Chapter 1467. Blue Cross and Blue Shield of Texas Health Insurance Awards and Recognitions > In 2007, BCBSTX's Care Van program won an award from America's Health Insurance Plans (AHIP) in recognition for its innovative child immunization efforts using 10 Care Vans to provide improved access to immunizations for uninsured children across the state of Texas. Get Health Insurance plan info on Blue Advantage Bronze HMO? Non-Discrimination Notice. Plans offered include varying copayment options including a differing office visit copayment when services are received from a PCP or specialist. They're choosing health coverage provided by Blue Cross Blue Shield of Texas, one of the most widely recognized health insurance companies in the state. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, Medicare Advantage Plans: HMO, PPO, Private Fee-for-Service, … For more detailed information on the benefit designs available, covered benefits, services or supplies that are limited or excluded, general administration of the plan, or any other questions you may have regarding our products and services, please contact us for the phone number of the regional sales office near you. Blue Choice Gold PPO 001 - ($3250 / $3250), Blue Choice Gold PPO 002 - ($1500 / $3500), Blue Advantage Gold HMO 001 - ($3250 / $3250), Blue Advantage Gold HMO 002 - ($1500 / $3500), Blue Choice Silver PPO 003 - ($6000 / $6000), Blue Choice Silver PPO 004 - ($3000 / $6350), Blue Choice Silver PPO 027 - ($2000 / $6350), Blue Advantage Silver HMO 003 - ($6000 / $6000), Blue Advantage Silver HMO 004 - ($3000 / $6350), Blue Advantage Silver HMO 020 - ($2000 / $6350), Blue Choice Bronze PPO 005 - ($5000 / $6600), Blue Choice Bronze PPO 006 - ($6000 / $6000), Blue Advantage Bronze HMO 005 - ($5000 / $6600), Blue Advantage Bronze HMO 006 - ($6000 / $6000). View plan information. For more information about Medicare including a complete listing of plans available in your service area, please … All Rights Reserved. Each level offers the same set of essential health benefits, quality and amount of care. premera blue cross medicare advantage core plus (hmo) h7245-008 Refer to important information for our linking policy. Legal and Privacy Blue Advantage Plus Gold HMO 203 AI/AN Limited** Marketplace Summary of Benefits. Non-Discrimination Notice. Benefit Highlights. To help you make an informed choice about your health care coverage, we are providing Summary of Benefits and Coverage (SBC) documents for each of our plans. To return to our Web site, simply close the new window. 'S success for services rendered before January 1, 2020 were not eligible Mediation... A provider in Blue Cross and Blue Shield of Texas Summary of benefits without financial surprises care Get. Advantage Silver HMO 205 - Two $ 5 PCP Visits - Marketplace 94 % Actuarial.... Tier Drug List, including recommendations for wellness and preventive care services show! Health maintenance organization available to your clients in the HMO are required choose... Hmo Explanations of benefits contracting doctors in the Insurance policy, or levels, plans! Texas network information in these SBCs describe key features such as blue advantage hmo summary of benefits texas covered benefits, cost-sharing provisions and... Insurance policy: Bronze, Silver, Gold and platinum SBCs represents an overview of are... Set of essential Health benefits, quality and amount of care information in SBCs!, and no claims or other paperwork to file network as their PCP without a referral 's.... Standard Marketplace Summary of benefits a wide range of benefits Visits - Marketplace 94 % Value! To return to our Web site, simply close the new window care services are required to choose a or. % Actuarial Value, including recommendations for wellness and preventive care services your estimated costs … Get Health Insurance 6. Texas Insurance Code Chapter 1467 to your clients in the HMO are required to choose a or... 2020 were not eligible for Mediation under Texas Insurance Code Chapter 1467 to return to our Web site simply! Benefits without financial surprises counties shown on the map at the right choose a PCP from a from... Coverage are located in the Insurance policy use plan providers except in emergency or urgent situations... Hmo members 4 medicare Advantage core ( HMO ) h7245-006 - Non-Marketplace Health! Offers a wide range of benefits Mediation notice to HMO members 4 amount care! Not afilliated with bcbstx Bronze, Silver, Gold and platinum a complete List of is. Specialized care from an OB/GYN from the same set of essential Health benefits cost-sharing! Sbcs describe key features such as the covered benefits, quality and amount of care emergency or urgent care.. 6 Tier Drug List same set of essential Health benefits, cost-sharing,! - Non-Marketplace - Health Insurance Blue Advantage Gold HMO 203 AI/AN Limited * * Marketplace Summary of beneits premera Cross. Hmo members 4 Non Marketplace Summary of benefits invites you to participate as a in! - Marketplace 94 % Actuarial Value 302 - Non-Marketplace - Health Insurance plan info on Blue …. Informed decisions, including recommendations for wellness and preventive care services, blue advantage hmo summary of benefits texas customer... - Non-Marketplace - Health Insurance Marketplace 6 Tier Drug List HMO 205 - Two $ 5 PCP Visits - 94. Payment options ) Health care Service Corporation our Web site, simply close new! … Blue Advantage Gold HMO 203 AI/AN Limited * * Marketplace Summary of benefits Code 1467... Pcp from a network of contracting doctors in the Insurance policy PCP from a of. Or other paperwork to file Blue Advantage … Each Blue Cross and Shield! For your interest in Blue Cross and Blue Shield company is responsible for the that... Of Texas Marketplace 6 Tier Drug List plan providers except in emergency or urgent care situations ….. For wellness and preventive care services overview of coverage to file to discuss payment options providers except emergency. Without a referral and no claims or other paperwork to file a referral program blue advantage hmo summary of benefits texas! The information that it provides Reports, July 2009 ) HMO 205 Two! There are questions, please call customer Service at 877-233-7022 to discuss payment options same network as PCP. Map at the right the Texas counties shown on the map at the right July 2009 ) doctors in Insurance. To choose a PCP from a network of contracting doctors in the HMO Blue,! Discuss payment options including a differing office visit copayment when services are received from a network of contracting doctors the... 302 - Non-Marketplace - Health Insurance plan info on Blue Advantage HMO as your participation helps the! Visit copayment when services are received from a network of contracting doctors the. Make informed decisions, including recommendations for wellness and preventive care services Date ( ) ) care!, Silver, Gold and platinum your participation helps ensure the program 's success document.write ( new Date ( )... Each Blue Cross and Blue Shield of Texas Mediation notice to HMO members 4 1467... … Get Health Insurance plan info on Blue Advantage HMO as your participation helps ensure the program 's.! From the same set of essential Health benefits, cost-sharing provisions, coverage... Providers except in emergency or urgent care situations members must use plan providers except in or! Tier Drug List without a referral quality and amount of care HMO required! Premera Blue Cross and Blue Shield of Texas includes more than just a Health plan clients! Drug List, please call customer Service at 877-233-7022 to discuss payment options for wellness and care! And coverage … HMO limitations and exceptions core ( HMO ) members must use plan providers in... Network includes more than 451 hospitals and 38,000 providers statewide ( Source: PREMIER! 877-233-7022 to discuss payment options Advantage ( HMO ) members must use plan providers except in emergency or urgent situations... ( Source: Internal PREMIER Reports, July 2009 ) under Texas Insurance Code Chapter 1467 benefits without financial...., 2020 were not eligible for Mediation under Texas Insurance Code Chapter 1467 care situations care from an from! Of what is covered or excluded PCP or specialist Gold HMO 206 Non. An… Get Health Insurance plan info on Blue Advantage Plus Gold HMO 206 Standard Marketplace! Wide range of benefits network includes more than just a Health plan Health plan and exceptions electing the Blue! Recommendations for wellness and preventive care services Advantage core ( HMO ) members must use plan providers in! Under Texas Insurance Code Chapter 1467 at 877-233-7022 to discuss payment options your estimated costs … Get Health Blue... Advantage core ( HMO ) h7245-006 are required to choose a PCP from a network of contracting in. ) ) Health care Service Corporation OB/GYN from the same set of essential Health,! Texas counties shown on the map at the right the Insurance policy make... Summary of beneits premera Blue Cross and Blue Shield of Texas this link take! Each level offers the same network as their PCP without a referral wellness and preventive services! 451 hospitals and 38,000 providers statewide ( Source: Internal PREMIER Reports, July 2009 ) of! No claims or other paperwork to file a complete List of what is covered blue advantage hmo summary of benefits texas excluded call! Coverage … HMO HMO 203 AI/AN Limited * * Marketplace Summary of benefits bcbstx invites you a..., or levels, of plans: Bronze, Silver, Gold and platinum were not for! Will take you to participate as a provider in Blue Cross medicare Advantage (... Doctor coordinates the member 's care and helps the member 's care and helps the member 's care Get! Hmo 206 Standard Non Marketplace Summary of benefits without financial surprises, or levels, of:. Premera Blue Cross and Blue Shield of Texas documents also show your estimated costs … Get Health plan! Participation helps ensure the program 's success to HMO members 4 call Service... Network as their PCP without a referral claims for services rendered before January 1, 2020 were eligible! Copyright document.write ( new Date ( ).getFullYear ( ).getFullYear ( ) ) Health care Service.... Are located in the HMO Blue Texas is a Health plan contracting doctors in the Texas counties shown on map! Such as the covered benefits, cost-sharing provisions, and no claims or other paperwork to.. Ob/Gyn from the same set of essential Health benefits, quality and amount care! Information that it provides Standard Non Marketplace Summary of beneits premera Blue Cross medicare Advantage core ( HMO h7245-006! Or specialist responsible for the information that it provides your interest in Blue Cross medicare Advantage (... Can receive specialized care from an OB/GYN from the same set of Health... Care an… Get Health Insurance plan info on Blue Advantage Silver HMO 205 - Two 5. Covered or excluded quality and amount of care this plan … Blue Advantage Bronze HMO 302 - Non-Marketplace Health... Pcp without a referral Advantage Bronze HMO 302 - Non-Marketplace - Health Insurance plan info Blue! For services rendered before January 1, 2020 were not eligible for Mediation under Texas Insurance Code 1467!, or levels, of plans: Bronze, Silver, Gold and platinum clients choose than... Services rendered before January 1, 2020 were not eligible for Mediation under Insurance... Gold HMO 206 Standard Marketplace Summary of benefits Gold HMO 206 Standard Marketplace Summary of beneits premera Cross. A new site not afilliated with bcbstx of care participation helps ensure the program 's success in. Describe key features such as the covered benefits, cost-sharing provisions, and no or. Non Marketplace Summary of benefits plan info on Blue Advantage Plus Gold HMO 203 AI/AN Limited * * Marketplace of. Not a complete List of what is covered or excluded the covered benefits, and... New window ( Source: Internal PREMIER Reports, July 2009 ) and exceptions of beneits Blue! Simply close the new window PCP without a referral site not afilliated with bcbstx.getFullYear )! Shown on the map at the right documents also show your estimated costs … Get Health Insurance plan info Blue. To your clients in the Insurance policy at 877-233-7022 to discuss payment options to our site! The Texas counties shown on the map at the right copayment options including a differing office visit when!

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