Blue Cross and Blue Shield of Texas (BCBSTX) will expand its MyBlue Health HMO network to six Texas counties starting in January.
Physicians in Cameron, Collin, Denton, El Paso (The Valley), Hidalgo, and Tarrant counties are advised to check if they are in network, as they are not always automatically enrolled in the new plan. To do so, physicians must call their local network representative.
MyBlue previously expanded to Bexar, Travis, and Williamson counties in 2022, and Dallas and Harris counties in 2020. Physicians in those areas should continue to ensure they are in network.
The plan also requires primary care clinicians who treat covered patients in those areas to provide referrals for specialist appointments. Referrals are required whether the physician is in or out of network, but the referral must be made to an in-network specialist for MyBlue to cover some or all costs of covered services. Standing referrals can be made for patients who require ongoing treatment.
In-network physicians also must work with the patient’s insurer to get the visit approved, and turn in any additional referrals for other specialists, lab work, or hospital stays, for instance.
For more information, visit the MyBlue Health webpage.
Last Updated On
October 21, 2022
Originally Published On
October 21, 2022
Alisa Pierce
Reporter, Division of Communications and Marketing
(512) 370-1469