If you don't go to a participating network provider, your out-of-pocket costs may be higher. Provider Directories list primary care and referral physicians who participate in our network programs. You may not have coverage for services provided by certain provider types listed. Review your benefit booklet for the benefits covered under your plan.
| Type of Product | Plan/Product | Network(s) |
| Group and Individual Medical Coverage | PPO | BlueChoiceŽ PPO Plan BlueOptions ParPlan* (out-of-network benefits) |
| Group Medical Coverage | POS | BlueChoiceŽ PPO Plan BlueOptions ParPlan* (out-of-network benefits) |
| Group Medical Coverage | HMO Blue Texas | HMO (network benefits only) |
| Group and Individual Dental Coverage | Dental | BlueCare Dental PPO Network DentaBlue Network |
*The ParPlan network is a traditional network that may be accessed for out-of-network benefits. ParPlan providers can still help you save time and money; they will usually file claims for you and they won't balance bill you for charges that exceed allowable amounts - a cost saving feature that's not available with all carriers.
Finding your Health/Dental Plan
Look at your benefit booklet or your Member ID card. If you are still unsure, you may contact the Customer Service telephone number listed on the back of your ID card. If you have health coverage through your employer, you can also contact your Benefits or Human Resource department.
How to get the most of your benefits:
- Make sure you receive the highest level of benefits available by using in-network providers.
- Always confirm that referrals are for in-network providers
a. Check Provider Finder
b. Confirm with the doctor's office that they are in-network when making an appointment
c. Confirm with BCBSTX customer service that your referral has been approved a few days prior to visiting the referral provider - Check the status of specialist (such as anesthesiologists, radiologists, pathologists**) to see if they are in-network
- Always verify that a hospital or other facility is in-network before receiving services
- Verify the doctor's network status at the location where the appointment is scheduled. Physicians often have different contractual arrangements that vary from location to location. This means that one location may be in-network, while another is out-of-network.
**This is not a complete list of specialists. All specialists must be verified as in-network to receive the highest level of benefit payment.
NOTICE: ALTHOUGH HEALTH CARE SERVICES MAY BE OR HAVE BEEN PROVIDED TO YOU AT A HEALTH CARE FACILITY THAT IS A MEMBER OF THE PROVIDER NETWORK USED BY YOUR HEALTH BENEFIT PLAN, OTHER PROFESSIONAL SERVICES MAY BE OR HAVE BEEN PROVIDED AT OR THROUGH THE FACILITY BY PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS WHO ARE NOT MEMBERS OF THAT NETWORK. YOU MAY BE RESPONSIBLE FOR PAYMENT OF ALL OR PART OF THE FEES FOR THOSE PROFESSIONAL SERVICES THAT ARE NOT PAID OR COVERED BY YOUR HEALTH BENEFIT PLAN.
