Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to offer our Blue Advantage HMO and Blue Advantage … The resources below will direct you to the right place. If there are questions, please call customer service at 877-233-7022 … Health Education Programs. ... Finding the right health insurance … Non-Discrimination Notice. For eligibility-related questions, call the number on the back of the member’s ID card or dial 800-676-BLUE (2583). Provider Finder ® Search for doctors, dentists, hospitals and other health care providers. To return to our website, simply close the new window. 877-299-2377* (Blue Essentials and Blue Advantage HMO) 877-774-8592 (Blue Cross Medicare Advantage PPO & HMO) *interactive voice response (IVR) system - to access, you must have full … With Blue Advantage (HMO) | Blue Advantage (PPO), you get Medicare coverage, plus so much more. HMO Illinois members enjoy: 1. BlueAdvantage HMO’s network providers in your area, you can visit www.regence.com/medicare or call our Customer Service Department at 1 (855) 522-8896, from 8:00 a.m. to 8:00 p.m., Monday through … The BCBSTX HMO product is health care coverage that provides benefits only when services are received from providers in the HMO Blue® Texas network when prescribed, directed, or authorized by the member's Primary Care Physician (PCP) or the HMO. Anthem MediBlue HMO is a Medicare Advantage HMO plan, so you’ll have all the benefits of a Medicare Advantage … From there, you can set up your new online member account. Y0132_21-048_MKLA - Last Updated 9/27/2020. Click below to search for Hospitals or Medical Providers in the Vantage Network. 322Monroe, LA 71201, Toll Free: 1-800-232-4967 (TTY 711)Fax: 1-877-553-6152, Telephone lines are open 8 a.m. to 8 p.m., 7 days a week. Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. If you need help, we’ve created these helpful guides: Step-by-Step PDF Addresses for claims submission are listed in the Evidence of Coverage. Every year, Medicare evaluates plans based on a 5-star rating system. We keep you covered with more than 12,000 doctors in our network. Blue Advantage HMO SM and Blue Advantage Plus SM HMO. Contact us. An online resource for group members to manage your benefit enrollment. All Rights Reserved. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, Box 660027Dallas, TX 75266-0027, Prior authorization of Medical Services for the Health Insurance Marketplace for Blue Advantage HMO Members, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 800-451-0287*, Behavioral health services mental health and chemical dependency, For prior authorization and referrals managed by BCBSTX: (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services). Claim status inquiries contact Availity or other electronic connectivity. Office locations Whether you need help face-to … You may also see our Summary of Benefits for more information. View the most popular pages for providers, including forms, AHIN, coverage policy, the Provider Manual, and the BlueCard program. *interactive voice response (IVR) system - to access, you must have full member's information (for example, member's ID, patient's date of birth, etc. Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. With $16 billion in revenue and more than 12 million plan members across the country, Anthem Blue Cross and Blue … Magellan Behavioral Health Providers of Texas, Inc. Request for claim review form and instructions, Wellness and clinical practice guidelines, Email to submit provider inquires, questions and signed contracts. If a member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage … Submit completed forms to:BCBSTX Behavioral Health UnitPO Box 660241Dallas, TX 75266-0241Fax 877-361-7646, Claims submission address:Blue Cross and Blue Shield of TexasP O Box 660044Dallas, TX 75266-0044, Behavioral health services - claims status inquiries, For services managed by BCBSTX:Contact Availity or other electronic connectivity vendor or call 800-451-0287*, *interactive voice response (IVR) system — to access, you must have full member's information (for example, member's ID, patient’s date of birth, etc. 1-888-872-2531. Claim status inquiries (out-of-state subscribers) contact Availity® or other electronic connectivity vendor. Blue Cross and Blue Shield of Louisiana/HMO Louisiana, Inc.130 DeSiard Street, Ste. You can count on our affordable plans and extensive networks no matter what part of Louisiana you call home. Call 1-866-508-7145, TTY 711 for more … Members electing the HMO are required to choose a PCP from a network of contracting doctors in the HMO Blue Texas network. BCBSTX invites you to participate as a provider in Blue Advantage HMO as your participation helps ensure the program's success. 1 Medicare Advantage and Prescription Drug plan product members can mail their monthly payment or set up an automatic monthly bank draft. Contact us Whether you are looking for insurance, are a current member or are a provider, we offer friendly and convenient customer service with a variety of ways to get the information you need. BlueAdvantage is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties in Arkansas. Choice of a contracting medical group/independent practice association from one of the largest HMO networks in the state 2. Nurses can help you manage chronic conditions, have a healthy pregnancy and more. Blue Cross Medicare Advantage (HMO) SM and Blue Cross Medicare Advantage Dual Care (HMO SNP) SM Blue Cross Medicare Advantage plans offer all the same coverage as Original … Please note that as a Blue Advantage member, you must continue to pay your Medicare Part B premium. Blue Advantage from Blue Cross and Blue Shield of Louisiana HMO is an HMO plan with a Medicare contract. 877-774-8592 (Blue Cross Medicare Advantage) 800-676-2583 (Eligiblity - … of-network provider, submit the bill to the plan for processing. BlueCard®BlueCard is our out-of-area program that allows members from other Blue Cross and Blue Shield Plans to receive health care benefits when travelling or residing in another Blue Plan's service area. O. You also get extra benefits at no additional cost. Enrollment in a Blue Advantage plan may be limited to specific times of the year. *interactive voice response (IVR) system – to access, you must have document control number (claim number), Eligibility and benefits contact Availity or other electronic connectivity vendor or call 800-442-4607*, Behavioral health services mental health and chemical dependency prior authorization and referrals (includes inpatient, residential treatment center (RTC) programs, partial hospitalization and outpatient behavioral health services) call 800-528-7264, Behavioral health services – claims status inquiries contact Availity or other electronic connectivity vendor or call 800-442-4607*, Behavioral health services – claim adjustments call 800-442-4607, Eligibility and benefits contact Availity or other electronic connectivity vendor or call 877-299-2377*, Claim status inquiries contact Availity or other electronic connectivity vendor, Medical Management Correspondence for the Health Insurance Marketplace for Blue Advantage HMO Members, Blue Cross Blue Shield of TexasMedical Care ManagementP. The phone … Enrollment in either Blue Advantage plan depends on contract renewal. You may also contact Customer Service for assistance. Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Find YOUR drugs and the convenience to pick them up at YOUR pharmacy. Blue Advantage HMO SM Product Overview (51–150 employees) (151+ employees) ... frames and permanent contact lenses, vision correction surgery and disposable contact lenses; ... BlueAdvantage HMO offers one of the largest provider … Use our tools and resources to locate a provider near you. Legal and Privacy Flexible plan design options with deductible/coinsurance and copay features Blue Cross and Blue Shield of Louisiana, an independent licensee of the Blue Cross and Blue Shield Association, offers Blue Advantage (PPO). … Utilization management/Medical Management/Case Management, Blue Cross and Blue Shield of TexasArboretum Plaza II9442 Capital of Texas Hwy N, Suite 500Austin, TX 78759800-336-5696512-349-4847Fax: 512-349-4853Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas7901 Wallace BlvdAmarillo, TX 79124806-371-3058Fax: 806-783-4666Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas4444 Corona, Suite 148Corpus Christi, TX 78411361-878-1623Fax: 361-852-0624 Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas114 Mesa Park Dr. Suite #300El Paso, TX 79912 -6156915-496-6600, press 2Fax: 915-496-6614 Email to submit provider inquires, questions and signed contracts, Golden Triangle (Beaumont, Orange, Port Arthur), Blue Cross and Blue Shield of Texas2615 Calder, Suite 700Beaumont, TX 77702800-637-0171, press 3 or 713-663-1149Fax: 713-663-1227 Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas1800 West Loop South, Suite 600Houston, TX 77027-3279800-637-0171, press 3713-663-1149Fax: 713-663-1227 Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of TexasPO Box 64844Lubbock TX 79424806-783-4610Fax: 806-783-4666 Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas3300 North A St., Bldg 8, Suite 120Midland, TX 79705877-400-5507432-620-1406Fax: 432-620-1428Email to submit provider inquires, questions and signed contracts, North Texas (Dallas, Fort Worth, East Texas), Blue Cross and Blue Shield of Texas1001 E. Lookout DriveRichardson, TX 75082800-749-0966972-766-8900Fax: 972-766-2231Email to submit provider inquires, questions and signed contracts, Blue Cross and Blue Shield of Texas17806 IH 10 West, Bldg II, Suite 200San Antonio, TX 78257361-878-1623Fax: 361-852-0624 Email to submit provider inquires, questions and signed contracts, Phone: 713-354-8140Fax: 713-663-1227Email to submit provider inquires, AmbulanceIP Only Rehab Facilities ImagingLTAC (Long-Term Acute Care Hospital)Radiation Therapy Center, Phone: 972-766-4628Fax: 972-766-2231Email to submit provider inquires, Home HealthSkilled Nursing FacilitiesPost-Acute Brain Injury Facilities, Phone: 210-558-5101Fax: 210-558-5176Email to submit provider inquires, Diabetic ManagementDisease ManagementDurable Medical Equipment (DME)Hearing Aid SupplierProsthetics/Orthotics Sleep Studies Centers, Phone: 972-766-1613Fax: 210-340-1401Email to submit provider inquires, Home Infusion TherapyHome Health DialysisHospiceRenal Dialysis, Phone: 972-766-5125Fax: 210-340-1401Email to submit provider inquires. Blue Cross and Blue Shield of Louisiana HMO offers Blue Advantage (HMO). Call 800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. This information is not a complete description of benefits. Hear what Blue Advantage members love about their plans. This Minnesota Medical Assistance health care … Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. ), For services managed by Magellan:Contact Availity or other electronic connectivity vendor or call Magellan Behavioral Health 800-729-2422, Claim filing address for Commercial products, Availity®--- Authorizations & Referrals submissions (replacing iExchange system)— electronic claims filing system, Benefit disclosure information (form available online), Predetermination requests (form available online), Mail: Blue Cross and Blue Shield of TexasAttn: Predetermination Dept.P.O. This information is not a complete description of benefits. ... Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. Blue Cross and Blue Shield of Texas (BCBSTX), Electronic Commerce ServicesFor information about Electronic Data Interchange (EDI) transactions, such as electronic claim submission, Need Assistance/Have Questions?Email ecommerceservices@bcbstx.com. HMO Illinois/Blue Advantage HMO; HMO: Call the toll free number on the back of your ID card: HMO Blue USA (away from home urgent care) 800-810-BLUE (2583) PPO; PPO: Call the toll free number on the back of your ID card: Out-of-Area BlueCard PPO Providers: 800-810-BLUE … Enjoy overall package of benefits and wellness rewards that meet YOUR needs. If a Blue Advantage (HMO) member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage will be responsible for the costs. A Medicare Advantage HMO plan is a Medicare Part C plan that works like a Health Maintenance Organization (HMO) plan. Behavioral Health Facilities Psychiatric FacilitiesResidential Treatment Centers for Mental Health andSubstance Abuse FacilitiesNote: For behavioral health professional providers, refer to the Network Management Office Locations listed above. It will open in a new window. Our Medicare Advantage plans (HMO and PPO) offer all of the coverage of Original Medicare, plus other benefits. Over 12,000 doctors and 100 hospitals in the statewide network. Call 1-866-508-7145, TTY 711 for more information. Please contact us at 1-866-508-7145 … an Independent Licensee of the Blue Cross and Blue Shield Association. Skip to Main Content. No claim forms 3. Customer Service. Eligibility and benefits(out-of-state subscribers)800-676-BLUE (2583). Notice of Non-Discriminatory Practices & Multi-Language Interpreter Services. Enrollment in a Blue Advantage plan may be limited to specific times of the year. Blue Advantage (HMO) members must use network providers except in emergency or urgent care situations. Horizon Insurance Company ("HIC") has a Medicare contract to offer HMO, HMO-POS, PPO and Part D Medicare plans, including group-Medicare Advantage … Refer to important information for our linking policy. From your online account, click the Payments link to enter your December 2020 premium payment. © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. Even if you’re not a member, you can search for doctors, hospitals and other providers. Contact Us Looking for help? This link will take you to a new site not affiliated with BCBSTX. Box 660044Dallas, TX 75266-0044For status call:800-451-0287* (Blue Choice PPO), 877-299-2377* (Blue Essentials and Blue Advantage HMO) 877-774-8592 (Blue Cross Medicare Advantage PPO & HMO). Our Medicare Advantage plans combine medical, hospital and prescription drug coverage in one convenient and affordable plan. *interactive voice response (IVR) system — to access, you must have document control number (claim number), Eligibility and benefits contact your electronic connectivity vendor, Availity or other electronic connectivity vendor or call 800-451-0287*. Blue Advantage Families and Children from Blue Plus is a Minnesota Medical Assistance program (Minnesota’s state Medicaid program). Our plans combine medical, hospital and prescription drug coverage in one convenient and affordable plan. Y0090_Web2021RN_2021 Last Updated 01/01/2021 . Phone: 972-766-1380Fax: 713-663-1227Email to submit provider inquires, Ambulatory Surgery Centers (ASC) – Independent, Non-Hospital ownedCatherization CenterIndependent (Non-Hospital owned) Surgery Centers, Phone: 713-354-7033Fax: 713-663-1227Email to submit provider inquires, Birthing CentersFreestanding Emergency Rooms, Phone: 972-766-1110Fax: 713-663-1227Email to submit provider inquires, 1001 E. Lookout DriveRichardson, TX 75082Phone: 972-766-7100TexasMedicareAdvantageNetwork@bcbstx.com, Home Call us. )For urgent requests only:Fax to: 888-579-7935Predetermination form andInstructions for submitting requests for predeterminationNote: Predetermination requests for members with Blue Cross and Blue Shield benefits in another state should be sent to the Plan indicated on the member’s ID card. If a member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage … The BlueAdvantage HMO plan is brought to you by HMO Colorado, Inc., a subsidiary of Anthem Blue Cross and Blue Shield. Want to learn more about how to use this tool. This doctor coordinates the member's care an… Give … Part of Louisiana HMO is an HMO plan with a Medicare Part C plan that works like a Health Organization! Keep you covered with more than 12,000 doctors in the statewide network state Medicaid program ) our,... C plan that works like a Health Maintenance Organization ( HMO ) | Blue Advantage member, you Medicare., Inc.130 DeSiard Street, Ste electing the HMO are required to a! From Blue Cross and Blue Shield of Louisiana you call home you manage chronic conditions, have healthy... Medical providers in the HMO are required to choose a PCP from a network of contracting doctors in the Blue... 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