Eligibility and benefits(out-of-state subscribers)800-676-BLUE (2583). If you need help, we’ve created these helpful guides: Step-by-Step PDF All Rights Reserved. This link will take you to a new site not affiliated with BCBSTX. An online resource for group members to manage your benefit enrollment. Call us. 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. This information is not a complete description of benefits. Flexible plan design options with deductible/coinsurance and copay features This Minnesota Medical Assistance health care … 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 … 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 … 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 … *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. Provider Finder ® Search for doctors, dentists, hospitals and other health care providers. 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. Non-Discrimination Notice. 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 … The resources below will direct you to the right place. Call 1-866-508-7145, TTY 711 for more … ... Blue Access for Members and quoting tools will be unavailable from 3am - 6am on Saturday, October 20. *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*. Legal and Privacy Even if you’re not a member, you can search for doctors, hospitals and other providers. You also get extra benefits at no additional cost. O. We keep you covered with more than 12,000 doctors in our network. From your online account, click the Payments link to enter your December 2020 premium payment. an Independent Licensee of the Blue Cross and Blue Shield Association. Enrollment in a Blue Advantage plan may be limited to specific times of the year. Find YOUR drugs and the convenience to pick them up at YOUR pharmacy. Anthem MediBlue HMO is a Medicare Advantage HMO plan, so you’ll have all the benefits of a Medicare Advantage … Office locations Whether you need help face-to … 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. Choice of a contracting medical group/independent practice association from one of the largest HMO networks in the state 2. Call 800-528-7264 or the phone number listed on the back of the member's/subscriber's ID card. If there are questions, please call customer service at 877-233-7022 … 877-774-8592 (Blue Cross Medicare Advantage) 800-676-2583 (Eligiblity - … 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). 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 members enjoy: 1. Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. Over 12,000 doctors and 100 hospitals in the statewide network. If a member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage … Members electing the HMO are required to choose a PCP from a network of contracting doctors in the HMO Blue Texas network. Addresses for claims submission are listed in the Evidence of Coverage. Y0132_21-048_MKLA - Last Updated 9/27/2020. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, Give … This doctor coordinates the member's care an… Contact Us Looking for help? 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 … Claim status inquiries (out-of-state subscribers) contact Availity® or other electronic connectivity vendor. 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. Our Medicare Advantage plans (HMO and PPO) offer all of the coverage of Original Medicare, plus other benefits. Blue Cross and Blue Shield of Louisiana HMO offers Blue Advantage (HMO). Use our tools and resources to locate a provider near you. Contact us. Claim status inquiries contact Availity or other electronic connectivity. Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. View the most popular pages for providers, including forms, AHIN, coverage policy, the Provider Manual, and the BlueCard program. Please contact us at 1-866-508-7145 … 1-888-872-2531. With Blue Advantage (HMO) | Blue Advantage (PPO), you get Medicare coverage, plus so much more. The phone … Nurses can help you manage chronic conditions, have a healthy pregnancy and more. With $16 billion in revenue and more than 12 million plan members across the country, Anthem Blue Cross and Blue … To return to our website, simply close the new window. Blue Advantage Families and Children from Blue Plus is a Minnesota Medical Assistance program (Minnesota’s state Medicaid program). Please note that as a Blue Advantage member, you must continue to pay your Medicare Part B premium. A Medicare Advantage HMO plan is a Medicare Part C plan that works like a Health Maintenance Organization (HMO) plan. Call 1-866-508-7145, TTY 711 for more information. Blue Advantage from Blue Cross and Blue Shield of Louisiana HMO is an HMO plan with a Medicare contract. 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. 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. 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). Blue Advantage (HMO) members must use network providers except in emergency or urgent care situations. … Health Education Programs. You may also contact Customer Service for assistance. ... Finding the right health insurance … Our Medicare Advantage plans combine medical, hospital and prescription drug coverage in one convenient and affordable plan. 1 Medicare Advantage and Prescription Drug plan product members can mail their monthly payment or set up an automatic monthly bank draft. BCBSTX invites you to participate as a provider in Blue Advantage HMO as your participation helps ensure the program's success. Our plans combine medical, hospital and prescription drug coverage in one convenient and affordable plan. © Copyright document.write(new Date().getFullYear()) Health Care Service Corporation. This information is not a complete description of benefits. It will open in a new window. Blue Advantage HMO SM and Blue Advantage Plus SM HMO. 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. Y0090_Web2021RN_2021 Last Updated 01/01/2021 . )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. 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. Skip to Main Content. Blue Cross and Blue Shield of Texas (BCBSTX) is pleased to offer our Blue Advantage HMO and Blue Advantage … Click below to search for Hospitals or Medical Providers in the Vantage Network. No claim forms 3. Refer to important information for our linking policy. You can count on our affordable plans and extensive networks no matter what part of Louisiana you call home. Enrollment in a Blue Advantage plan may be limited to specific times of the year. Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Customer Service. Want to learn more about how to use this tool. 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. Blue Cross and Blue Shield of Louisiana/HMO Louisiana, Inc.130 DeSiard Street, Ste. You may also see our Summary of Benefits for more information. 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 Blue Cross and Blue Shield of Louisiana, an independent licensee of the Blue Cross and Blue Shield Association, offers Blue Advantage (PPO). Enrollment in either Blue Advantage plan depends on contract renewal. The BlueAdvantage HMO plan is brought to you by HMO Colorado, Inc., a subsidiary of Anthem Blue Cross and Blue Shield. Notice of Non-Discriminatory Practices & Multi-Language Interpreter Services. 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