You can either complete the Group Benefits Program (GBP) Supplemental Form to select or change your PCP or call BCBSTX Customer Service at (800) 252-8039. Your selection will be effective the day you call BCBSTX Customer Service or the date you sign your form.
Please send your completed form to:
BCBSTX
Membership/Group Accounts
PO Box 655730
Dallas, TX 75265-5730
If you need assistance with completing this form, please contact BCBSTX Customer Service at (800) 252-8039.
New employees: If you are in your health coverage waiting period (also called "90-day waiting period"), please do not send your GBP Supplemental Form more than 30 days before your health coverage becomes effective.
Employees and retirees under age 65 changing from FirstCare to HealthSelect effective 9/1/09: You may send your GBP Supplemental Form at any time. However, we recommend that you send the form as early as possible so that on September 1, you have a network Primary Care Physician (PCP) on file with Blue Cross and Blue Shield of Texas. You must make a PCP selection within 60 days of your effective date with HealthSelect or you will receive non-network benefits.
