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Your 2025 Plan Year Medical Changes

This is your chance to review, enroll or make changes to your health benefits for 2025. Take some time to watch the following videos to learn more about Blue Access for MembersSM, Member ID card, Prior Authorization and Transition of Care.

Welcome

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    SPEAKER: Welcome to Blue Cross and Blue Shield of Texas. We are honored to provide you and your family with medical benefits starting January 1, 2025.

    We don't take that trust for granted. Every day, we'll be here, working diligently to ensure you get the most from your medical benefits. Helping you and your family live healthy and inspired lives is our passion.  We believe life is better with someone you can count on by your side. Blue Cross and Blue Shield of Texas looks forward to showing you all the ways you can count on us. 

Blue Access for Members

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    [MUSIC PLAYING] 

    SPEAKER 1: Welcome to Blue Cross and Blue Shield of Texas. We are honored to provide you and your family with medical benefits starting January 1, 2025. We don't take that trust for granted. Every day, we'll be here, working diligently to ensure you get the most from your medical benefits.

    Helping you and your family live healthy and inspired lives is our passion. We believe life is better with someone you can count on by your side. Blue Cross and Blue Shield of Texas looks forward to showing you all the ways you can count on us.

    SPEAKER 2: When it comes to your health care, knowledge is power, right? Blue Cross and Blue Shield of Texas puts everything you need to know about your medical plan right at your fingertips, 24/7. Blue Access for Members, known as BAM, is a secure, user-friendly member portal that houses everything you need to understand your medical plan benefits.

    To register, you'll need the ID number on your Member ID card, sent to you via mail. Once you have it, go to bcbstx.com to get started. If you don't have your Member ID card yet, call the number shown here after open enrollment for help.

    Once you're registered, use BAM to confirm who's covered under your medical plan. Find a doctor or hospital in your network. Check the status of a claim. View an explanation of benefits. Read info on hundreds of health topics. Enjoy wellness tools and perks. Order a replacement ID card and more.

    The BCBSTX app even makes it easy to use BAM on the go, including a digital version of your Member ID card. Just go to the Apple store or Google Play to download it, or text BCBSTXAPP to 33633.

    SPEAKER 1: Thank you again for choosing Blue Cross and Blue Shield of Texas. Nothing is more important to us than providing you with access to the care you need to live healthier.

Member ID Card

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    [MUSIC PLAYING]

    SPEAKER 1: Welcome to Blue Cross and Blue Shield of Texas. We are honored to provide you and your family with medical benefits starting January 1, 2025. We don't take that trust for granted. Every day we'll be here working diligently to ensure you get the most from your medical benefits.

    Helping you and your family live healthy and inspired lives is our passion. We believe life is better with someone you can count on by your side. Blue Cross and Blue Shield of Texas looks forward to showing you all the ways you can count on us.

    SPEAKER 2: Your Blue Cross and Blue Shield of Texas member ID card unlocks all your medical plan benefits. You'll receive yours in the mail right before the new year. So keep it close. Your member ID card provides details about your medical plan benefits along with phone numbers and other info your care provider will want. You'll need it any time you go to the doctor or get health care services. No matter where you live your member ID card will always say Blue Cross and Blue Shield of Texas. Even if you're not in Texas, you'll still be able to use in-network providers without any hassle.

    And once you have your member ID card, you can register for Blue Access for Members called BAM for short. BAM is a secure member portal that makes it easy to make the most of your benefits. Use BAM to see details about your coverage, access claims information, and find a doctor or facility in your network. You can even order a replacement ID card or print a temporary one. Our app makes it easy to use BAM on the go, including a digital version of your member ID card. Just go to the Apple App Store or Google Play to download it, or text BCBSTXAPP to 33633.

    SPEAKER 1: Thank you again for choosing Blue Cross and Blue Shield of Texas. Nothing is more important to us than providing you with access to the care you need to live healthier.

Prior Authorization

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    [MUSIC PLAYING]

    SPEAKER 1: Welcome to Blue Cross and Blue Shield of Texas. We are honored to provide you and your family with medical benefits starting January 1, 2025. We don't take that trust for granted. Every day we'll be here working diligently to ensure you get the most from your medical benefits. Helping you and your family live healthy and inspired lives is our passion. We believe life is better with someone you can count on by your side. Blue Cross and Blue Shield of Texas looks forward to showing you all the ways you can count on us.

    SPEAKER 2: Understanding your health insurance is the best way to enjoy all of its benefits. When you know what steps you need to take before treatment, things go more smoothly. One of the most important steps is prior authorization. It's very common that your doctor may need to get approval or prior authorization before your medical plan will cover certain health care services and prescription medications. Prior authorization helps protect against unsafe or unnecessary care and medication.

    Worried getting a prior authorization might be a hassle? It's easier than you think. Your in-network doctor will submit a request for prior authorization before ordering a test or prescription. If you use a non-network provider, you'll need to get prior authorization yourself. Just call the number on your member ID card. Things like diagnostic images and complex care always need prior authorization before treatment. Prior authorization for MRIs and CT scans is standard. Your care provider will know to ask for prior authorization before ordering care. But don't hesitate to make sure.

    What if you already have prior authorization that was required for services you are currently receiving at a hospital or a care facility? You're already set and don't need to apply for transition of care benefits. For example, let's say you have approvals in place for inpatient admission or admission at a residential treatment center. In these cases, we will contact your current medical carrier and determine the medical necessity of continued care. There's nothing more you need to do. You can always find out if a health care service needs prior authorization by calling the number on your member ID card. 

    SPEAKER 1: Thank you again for choosing Blue Cross and Blue Shield of Texas. Nothing is more important to us than providing you with access to the care you need to live healthier.

Transition of Care

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    [MUSIC PLAYING]

    SPEAKER 1: Welcome to Blue Cross and Blue Shield of Texas. We are honored to provide you and your family with medical benefits starting January 1, 2025. We don't take that trust for granted. Every day we'll be here working diligently to ensure you get the most from your medical benefits. Helping you and your family live healthy and inspired lives is our passion. We believe life is better with someone you can count on by your side. Blue Cross and Blue Shield of Texas looks forward to showing you all the ways you can count on us.

    SPEAKER 2: One of the most important ways you can save on your out-of-pocket health care costs is to use in-network providers. But what if you have a care provider you trust and have already been seeing before your Blue Cross and Blue Shield of Texas coverage begins? First, check to see if your provider is in the network by visiting the Provider Finder website. The URL listed on the screen. Click Search for Providers in Your Area. With the largest PPO network in the country, chances are high your provider is already in our network. If it turns out your provider isn't in the network, you may qualify for transition-of-care benefits for these covered health services-- pregnancy, scheduled nonelective surgery and postoperative care, Inpatient or outpatient treatment for a complex condition or terminal illness, and applied behavioral analysis or ABA. 

    Transition of care allows you to continue to get care with your current provider for up to 90 days at the in-network benefits level. While your current provider isn't in the Blue Cross and Blue Shield of Texas network, they should be an in-network provider with your current carrier. Call the number on your member ID card to confirm your provider's network status and ask for a transition of care request form or download the form now. If approved, we'll authorize ongoing care with your provider for up to 90 days at the in-network benefits level. At Blue Cross and Blue Shield of Texas, we care about your good health.

    SPEAKER 1: Thank you again for choosing Blue Cross and Blue Shield of Texas. Nothing is more important to us than providing you with access to the care you need to live healthier.