MyBlue Health^SM Network Expansion Effective Jan. 1, 2025

10/15/2024 

Blue Cross and Blue Shield of Texas is expanding the MyBlue HealthSM network, effective Jan. 1, 2025, for Jefferson and Nueces Counties. MyBlue Health members in these areas will access care through providers contracted in the MyBlue Health network.

Note these additional counties have no impact on the current MyBlue Health network benefits applicable to:  

MyBlue Health members must choose a Primary Care Physician (PCP). Members can choose a family practitioner, internist, pediatrician, physician assistant (PA) or advanced practice registered nurse (APN), and/or obstetrician/gynecologist as their PCP.

In Jefferson and Nueces Counties, some MyBlue Health members may choose a MyBlue Health Select PCP within the following practice groups which may result in a lower copayment for scheduled PCP office visits as indicated in their schedule of copayments and benefit limit:

Members covered by MyBlue Health can be identified through their BCBSTX ID card:

• MyBlue Health is displayed on the ID card.
• MyBlue Health members have a unique network ID: BFT
• The 3-character prefix is on the ID card: T2G  

Patient eligibility and benefits should be checked prior to every scheduled appointment through the Availity Essentials Provider Portal® or your preferred web vendor. Eligibility and benefit quotes include participant confirmation,

Coverage status and other important information, such as applicable copayment, coinsurance, and deductible amounts. It’s strongly recommended that providers ask to see the participant's ID card for current information and photo ID at every visit to guard against medical identity theft. When services may not be covered, participants should be notified they may be billed directly.

If you have any questions, please contact your Network Management Representative.

Additional information regarding MyBlue Health will be available in future Blue Review and on our provider website.

Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. If you have any questions, call the number on the member's ID card.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX.

BCBSTX makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as Availity.