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HMO option with primary-care-focused benefits described by Blue Cross and Blue Shield of Texas. Confirm participating providers and policy terms. This entry is state-specific and should not be interpreted as a nationwide policy. Premiums, deductibles, coinsurance, out-of-pocket maximums, covered services and provider availability must be confirmed in the official policy documents for the applicable plan year.
Verify local availability and policy terms
This plan may be worth comparing for applicants in Texas. Before enrollment, review the official Summary of Benefits and Coverage, provider directory, prescription drug formulary, referral rules and out-of-pocket maximum. This CMS description is not a substitute for the actual policy document or a personalized quote.
Blue Cross Blue Shield
Key Insights
Founded
1929
Blue Cross Blue Shield was established 97 years ago and has built strong credibility over time, backed by its long-standing presence in the market.
Claims Experience
0% CSR, calculated as a 3-year average
Blue Cross Blue Shield settles 0% of all claims it receives.
Network Hospitals
9000+
Blue Cross Blue Shield has a network of 9000+ hospitals, ensuring wide accessibility and convenience for policyholders.
HMO plan design; confirm the exact local policy
Confirm the exact benefit in the official policy documents.
Provider access is subject to the local network
Confirm the exact benefit in the official policy documents.
Primary-care provider requirements need verification
Confirm the exact benefit in the official policy documents.
Specialist referral rules depend on the selected policy
Confirm the exact benefit in the official policy documents.
Prescription coverage subject to the applicable formulary
Confirm the exact benefit in the official policy documents.
Conditions or treatments that the policy clearly says it will not cover.
Insurer
Blue Cross Blue Shield plans and claim process
This entry refers to Texas. Availability depends on the applicable service area and plan year.
A fixed premium has not been verified. Obtain a quote using the applicant’s ZIP code, household details and eligibility.
Confirm these values in the official Summary of Benefits and Coverage for the exact policy.
Disclaimer: Premium amounts are indicative and may vary based on age, health, and plan selected. Ratings and figures are based on publicly available company disclosures and state insurance department filings. Finzony is not an insurance broker or agent. Verify all details on the official Blue Cross Blue Shield website before purchasing.
Contact Details
1-800-810-2583
Headquarters: 200 E. Randolph Street (Aon Center), Chicago, IL 60601, United States
Official Website
bcbs.com
Visit the official Blue Cross Blue Shield website for plan brochures, premium quotes and policy services.
The aforementioned ratios have been averaged over three years (FY24-FY26)
Use the local insurer’s provider directory and confirm that providers participate in the exact plan network.
Prescription coverage and member costs depend on the policy formulary, drug tier and pharmacy rules.
Inclusion has not been verified for this medical plan. Check the local insurer’s official documents for separate optional coverage.