Policy Documents for Individual Pre-Affordable Care Act Plans

Below is a list of Blue Cross and Blue Shield of Texas policy documents for Pre-Affordable Care Act policies in the individual market, also called grandfathered and transitional plans. These policies describe how the plans generally work and include eligible expenses, claim filing steps, appeals procedures, coverage limitations and exceptions, and more.

The following is true for those with pre-Affordable Care Act individual coverage: 

• You enrolled in a health plan on your own (instead of through an employer),
• Your plan was effective before January 1, 2014, 
• Your policy is a grandfathered or transitional plan, and
• Your plan is not a metallic (platinum, gold, silver or bronze) health plan.

Help locating your policy

• Get your policy documents through your online account .
• Get your policy document through the BCBSTX app. Learn more about the BCBSTX app. 
• Contact a customer service representative at 1-888-697-0683. to get help finding or accessing your policy documents.
• If you know you have an Individual Pre-Affordable Care Act plan, and you know its name, find it below and download the policy.