Medicare Advantage, Medicaid, D-SNP and IFM members now receive automated prescription refill reminders via text and email. (Applies to Individual market.)
Month: January 2025
You Can Make PCP Changes in RPP for Your Clients
Did you know you can make primary care physician (PCP) changes on behalf of your clients through the Retail Producer Portal? You can also update certain contact information and generate member ID cards for them. Detailed instructions are available in the linked guide. If you’re not yet registered for an RPP account, the guide also includes step-by-step instructions for signing up. Please note that to backdate a PCP change request, the member will need to contact Customer Service directly at the number on their ID card or at 1-888-697-0683. (Applies to Individual market.)
DentaQual Now Offers Ratings for Dentists in Our PPO Network
BCBSTX members can now see how well dentists in the BlueCare DentalSM network score compared to other dentists in their specialty or geographic area with a new rating system through DentaQual. (Applies to all groups.)
1095 Forms Update; FAQs Included
BCBSTX 1095-B forms are now available on Blue Access for MembersSM. Members can also request a paper form by calling the number on their member ID card or visiting the BCBSTX web page. (Applies to Fully-Insured Groups, Indi vidual market.)
2025 Blue Ribbon for Producers Bonus Program
Let’s grow our business together in 2025. For your hard work and dedication, BCBSTX invites you to reap the rewards of your success through the 2025 Blue Ribbon Producer Bonus Program. (Applies to all groups.)
Make Your Health a Priority with Preventive Care
Help your clients understand the importance of preventive care. Scheduling an annual preventive health exam is a simple first step toward better health, offering a chance to check in on overall well-being and stay on the right track. (Applies to all markets.)
Chronic Conditions Are on the Rise — Help Your Employees Combat Them and Stay Healthy
An estimated 129 million Americans have at least one major chronic disease such as heart disease, diabetes, obesity, or hypertension—a number expected to reach nearly half the population by 2025. While heredity plays a role, lifestyle changes can help reduce the risk of developing these life-threatening conditions, including the interconnected issues of hypertension and prediabetes. (Applies to all groups.)
SBCs Available for 2025 Individual and Dental ACA Plans
Summaries of Benefits and Coverage and Outlines of Coverage are available for 2025 QHPs in the Individual ACA market. Review them via a new brochure. Check out the last page for instructions on accessing policy booklets. (Applies to Individual market.)
Your Client Signed Up for a Health Plan, Now What?
Your clients must take a few steps to make a new health plan they’ve selected official, and they may turn to you for guidance. To cut down on repetitive phone calls to you and the call centers, BCBSTX has a website that explains your clients’ “next steps” after enrolling.
Not so Passive: Next Steps for Passive Renewals
Members must make their first payment for 2025 BCBSTX coverage to take effect, even if they aren’t making any changes. Without this payment, they may have to pay in full at the provider or pharmacy, or risk claim denial. (Applies to Individual market.)
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