Choice Medical

Daily Tip:

BCBS of TEXAS

  • All claims will go through here, no matter what state they actually are from

  • However prior auths will need to come from the home plan state.

  • BCBS Federal

  • IF STANDARD OR BASIC  - BCBS FED WILL PAY MEDICARE DED AND CO- INSURANCE WITH NO OOP TO PATIENT

  • IF FOCUS - MEMBER MUST PAY BCBS FED’S DEDUCTIBLE BEFORE BCBS FED WILL PAY MEDICARE CO- INSURANCE AND DED,

BCBS MEDICARE ADVANTAGE:

  • PAP and supplies go through Evicore for prior auth

Plans/Networks Accepted

Employer- offered Plans (28)

  • Blue Access Choice

  • Blue Access PPO (New York)

  • Blue Alternative

  • Blue Choice PPO℠ [BCA]

  • Blue Connect

  • Blue Open Access POS

  • Blue Preferred (Oklahoma)

  • Blue Preferred POS (Missouri)

  • Blue Preferred POS (Wisconsin)

  • Blue Priority NY

  • Blue Priority WI

  • Blue Value

  • BlueChoice Advantage Open Access

  • BlueChoice Open Access POS

  • Blueprint Health

  • CO Pathway

  • Community Blue

  • Empire POS

  • HealthSync

  • High Value Network

  • Horizon Managed Care Network

  • Network Blue

  • Network S

  • ParPlan [PAR]

  • Preferred Blue Option (Utah)

  • Preferred Care Blue

  • Premier Select BlueChoice

  • Select PPO

Employer- offered Medicare Plans (3)

  • 65 Plus Medicare Advantage Plan (PPO)

  • Blue Cross Group Medicare Advantage (PPO) Open Access℠

  • Blue Cross Group Medicare Advantage (PPO)℠

When I Buy My Own Medicare Plan (2)

  • Blue Cross Medicare Advantage Flex (PPO)℠ and Flex Access (PPO)℠

  • Blue Cross Medicare Advantage PPO℠

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