![]() ![]() In 1997, a law named the Balanced Budget Act created what is called Medicare Part C. Part B is medical insurance which pays for medical services and supplies that are certified as medically necessary for treating a health condition. Part A is hospital insurance which pays for inpatient hospital stays, skilled nursing facility stays, some types of surgery, hospice care, and other forms of home health care. ![]() Ever since its beginning in 1965, Medicare has provided medical services to millions of people for free or at a reduced cost. federal health insurance program known as Original Medicare. Please contact your Network Management office.If you are 65 years old, younger than 65 with a disability, or have end-stage rental disease, you are eligible for the U.S. In-network providers will be paid at their contracted rate.īlueStages members also can see providers nationwide who accept Medicare assignment. Out-of-network providers will be paid the Medicare-allowed amount less any member cost-sharing. Out-of-Network Note: If you see Medicare members or accept Medicare assignment and are willing to bill BCBSTX, you may treat Blue Cross Group Medicare Advantage Open Access (PPO) members. UT CARE TM Medicare PPO Open Access Retiree Plan BlueStages SM is a Medicare supplement insurance plan that helps cover some costs beyond what is covered by Original Medicare. Our retiree group Medicare plans are Blue Cross Group Medicare Advantage (PPO), Blue Cross Group Medicare Advantage Open Access (PPO) SM and Blue Cross Group MedicareRx (PDP) SM. New individual providers and new medical groups desiring to apply for network participation or existing medical groups who wish to add additional providers to their current contract, will need to complete the Provider Onboarding Form. ![]() Network Participationīlue Cross and Blue Shield of Texas (BCBSTX) would like to extend the opportunity to you for participation as a provider in the Blue Cross Medicare Advantage (PPO) plan. Additional Blue Cross Medicare Advantage (PPO) Service Areas effective :Īndrews, Armstrong, Bailey, Baylor, Borden, Brewster, Briscoe, Carson, Castro, Cochran, Coke, Coleman, Concho, Crane, Crosby, Culberson, Dallam, Dawson, Deaf Smith, Dickens, Donley, Ector, Edwards, Fisher, Floyd, Foard, Frio, Gaines, Garza, Gillespie, Glasscock, Hale, Hall, Hansford, Hardeman, Hartley, Haskell, Hockley, Howard, Hutchinson, Irion, Jeff Davis, Kent, Kimble, King, Kinney, Knox, Lamb, Live Oak, Loving, Lubbock, Lynn, Marion, Martin, Menard, Midland, Mitchell, Montague, Moore, Motley, Oldham, Pecos, Presidio, Reagan, Red River, Reeves, Roberts, Runnels, San Augustine, Schleicher, Sherman, Stephens, Sterling, Stonewall, Sutton, Swisher, Terry, Upton, Wheeler, Winkler, Yoakum, and Zapata counties. Blue Cross Medicare Advantage (PPO) Service AreasĪnderson, Aransas, Archer, Austin, Bee, Bell, Bexar, Blanco, Bosque, Bowie, Brazoria, Brazos, Brooks, Burleson, Calhoun, Cameron, Camp, Cass, Cherokee, Clay, Collin, Coryell, Dallas, Delta, Denton, DeWitt, Dimmit, Duval, El Paso, Ellis, Erath, Falls, Fort Bend, Franklin, Freestone, Galveston, Goliad, Grayson, Gregg, Grimes, Hamilton, Harris, Harrison, Henderson, Hidalgo, Hopkins, Houston, Hudspeth, Hunt, Jack, Jackson, Jefferson, Jim Hogg, Jim Wells, Karnes, Kaufman, Kenedy, Kleberg, La Salle, Lamar, Lavaca, Leon, Liberty, Limestone, Madison, Mason, Maverick, McCulloch, McLennan, Mills, Montgomery, Morris, Nacogdoches, Nueces, Orange, Palo Pinto, Panola, Parker, Polk, Potter, Rains, Randall, Refugio, Robertson, Rusk, San Jacinto, San Patricio, San Saba, Shackelford, Shelby, Smith, Somervell, Starr, Tarrant, Throckmorton, Titus, Tom Green, Travis, Trinity, Tyler, Upshur, Uvalde, Van Zandt, Victoria, Walker, Waller, Washington, Webb, Willacy, Williamson, Wise, Wood, Young, and Zavala counties. Blue Cross and Blue Shield of Texas (BCBSTX) offers both individual and group Medicare Advantage plans. Blue Cross Medicare Advantage plans offer all the same coverage as Original Medicare - plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options. ![]()
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