BlueCard® Program

The BlueCard program links participating health care providers and the independent Blue Cross and Blue Shield Plans across the country and around the world through a single electronic network.

BlueCard enables our members to obtain health care services while traveling or living in another Blue Cross and/or Blue Shield Plan’s service area.

Program Advantages for Providers:

  • The program allows you to submit claims for members from other BCBS Plans to the Texas Plan.
  • BCBSTX is your sole contact for claims payment, problem resolution and adjustments.

Covered/NonCovered Services:

Covered Services Under BlueCard

  • All inpatient, outpatient and professional services

Services Not Covered Under BlueCard

  • Prescription Drugs
  • Hearing/Vision
  • Dental (non-surgical)
  • Federal Employee Program® (FEP)

How the BlueCard Program Works:

- Eligibility/Benefits
1-800-676-BLUE or 1-800-676-2583

- Prior Authorizations
Home Plan — (See member's card)

- Claim Adjustments (BCBSTX)
1-800-451-0287

  • Eligibility and Benefits

- Call 1-800-676-2583 for eligibility and benefits prior to services benefits prior to services being rendered.

- Provide the three-character prefix as it is listed on the member's identification card.

- A BlueCard Eligibility Representative will connect you to the appropriate plan where eligibility and benefits can be obtained.

Related Resources

BlueCard® Provider Manual

BlueCard Specialty Pharmacy Claims Guide