Before applying for coverage through Blue Cross Blue Shield, you’ll want to make sure your doctors and hospitals participate in their provider network.
When searching for providers, Blue Cross Blue Shield of Texas has two different networks to choose from, depending on whether you purchase an exchange or non-exchange plan.
- Blue Advantage HMO: This network is available both on and off the Marketplace. Except for emergencies, no coverage outside of the contracted provider network is available.
- Blue Advantage HMO Plus: This network is available on and off the Marketplace beginning with 2016 effective dates. Emergencies will be covered at the in-network level. This is the same provider network as the Blue Advantage HMO, but it also provides coverage outside of the contracted provider network after the calendar-year deductible has been met at 50% of the Medicare rates with no stop-loss protection.
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