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Mid-Market Group Plans

For employers with 51-150 employees, Blue Cross and Blue Shield of Texas offers health care plans with the choice, flexibility and affordable options that growing companies want.

Mid-Market Businesses Plan

Popular Plans for Mid-Market Businesses

Plan Type Blue Choice PPO℠ Blue Essentials℠ Blue Premier Access℠
Type Broad statewide PPO Broad statewide HMO Smart HMO for DFW, Austin, San Antonio and Houston areas
PCP Selection No selection required Selection required No selection required
Specialist Referral No referral required Referral required No referral required
Out-of-Network Benefits Yes No, except for emergencies No, except for emergencies
BlueCard® Yes No, except for emergencies1 No, except for emergencies1

Complementary Value-Add Programs

Putting the power of wellness in members’ hands helps them save money and prevent some types of health conditions, reducing doctor visits and hospitalizations. Complementary programs include:

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Blue365

Employees save on health products from top retailers with no claims or referrals needed.

Visit the member site
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Wondr Health

This online weight management program* teaches skills to improve physical, mental, and emotional wellbeing.

See Wondr's curriculum
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Hinge Health

Members can join this digital musculoskeletal program* with therapists at no extra cost.

Get our producer flyer
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Omada®

Omada helps members reduce chronic disease risk with diabetes prevention and hypertension education, specialized devices, like-minded communities and health coaches.

Wellbeing Management

This complete wellness solution delivers member-centered wellness tools and care management programs, including:

Well onTarget®

This program provides comprehensive tools and rewards members for making healthy choices.

Share our employer flyer

Fitness Program

This program offers a flexible gym network to fit members’ lifestyles and budgets.

Get the details for members

Blue Points

Members earn and redeem points for participating in wellness activities.

Review our member flyer

Mental Health Hub

Digital one-stop-shop for mental health resources, recommended solutions, and access to behavioral health providers

Share member flyer

Employee Assistance Program

Employees get expert help with life’s challenges with access to counseling and legal and financial support.

Get the employer flyer

Health Advisors

A care team addresses the mental, physical, and emotional needs for the most complex cases. 

Access and share the member flyer
diabetes management

Metabolic Health Management

Eligible members have access to a diabetes reversal program. The program improves blood sugar, safely reduces or eliminates medications and reverses type 2 diabetes — all offered as a covered benefit and at no cost.

Ready to Create a Quote?

Get the tips, how-tos, and resources on quoting a mid-market plan for your employer client.

Ancillary Benefits

Bundling Life and Disability Programs Reduces Premiums

Offering ancillary benefits alongside medical coverage can help employers protect their employees’ physical and financial wellbeing. We offer ancillary benefits with medical benefits under a single brand. This approach enables us to focus on supporting the overall health, wellbeing and financial security of your client's employees. Our site offers sales tools to help grow your business and serve your customers. If you're not already using the Ancillary Producers Corner, register today.

Pharmacy & Prescription Management

With the Blue Access for Members account, members can search for in-network pharmacies, find covered medicine, get cost and coverage details on prescriptions and manage refills. Learn more.

Share the Performance Drug List when consulting with employers about standard mid-market group plans. Click here and navigate to the Performance Drug List section.

This webpage does not contain a complete listing of the exclusions, limitations and conditions that apply to the benefits described. For more information on these plans, please contact your BCBSTX Account Representative.

Hinge Health, Omada and Wondr are independent companies that have contracted with Blue Cross and Blue Shield of Texas to provide chronic disease prevention and management solutions for members with coverage through BCBSTX.

Twin Health, Inc. is an independent company that has contracted with Blue Cross and Blue Shield of Texas to provide care and disease management for members with coverage through BCBSTX.

Blue Points Program Rules are subject to change without prior notice. See the Program Rules on the Well onTarget Member Wellness Portal at wellontarget.com for further information. The Well onTarget member rewards redemption service is provided by an independent third party.

Life, Disability, Critical Illness, Accident, and Vision products are issued by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148. Blue Cross and Blue Shield of Texas is the trade name of Dearborn Life Insurance Company, an independent licensee of the Blue Cross and Blue Shield Association.

Medical, Pharmacy, and Dental products are offered by Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. 

1 Available for when members need emergency or urgent care services while outside their service areas, the BlueCard program will help them locate participating doctors and hospitals, allowing them to receive covered care.