![]() Please contact your BCBSTX account representative if you have any other questions. That means you cant be charged for your PrEP medication or the clinic. Blue Cross ® Blue Shield ® of Arizona pays you for taking care of your health. stand-alone dental or vision, Medicare and retiree-only plans). Under the Affordable Care Act, PrEP must be free under almost all health insurance plans. Preventive Health & Wellness Rewards Take care of your health and earn rewards. This data is not necessary for plans that are not required to submit RxDC reporting to CMS (i.e. The contact information for those agencies is: the plan at Blue Cross and Blue Shield of Texas at 1-88 or visit You may also contact your state insurance department at 1-80 or Department of Labors Employee Benefits Security Administration at 1-866-444-EBSA (3272) or /ebsa/healthreform. Groups should refer to their own legal or regulatory counsel for any additional information on this requirement. Since this data is required by CMS, any employer groups not included in the BCBSTX submission will need to submit their own average monthly premium data directly to CMS by June 1, 2023. If this data is not submitted to BCBSTX by April 27, BCBSTX will not be able to include it in our RxDC submission to CMS. The form and instructions are available by logging into BAE and clicking on Prescription Drug Data Collection under the Regulatory Data Collection section. To register your account, you’'ll need your subscriber ID number, which is listed on your BCBSTX ID. Groups who have not submitted their data received reminder emails last week notifying them that the deadline for inclusion in BCBSTX’s RxDC submission was extended to April 27. Blue Access for Members (BAM) You can now use Blue Access for Members SM (BAM SM), the Blue Cross and Blue Shield of Texas’ (BCBSTX) member site, by clicking on Log In in the top right corner of the TRS-ActiveCare website’s homepage. This submission can be completed in Blue Access for Employers SM (BAE SM) by the employer group or a broker (Primary Producer of Record or Delegated Producer with Maintenance Use).Įmployer group contacts for active groups received instructions via email in March on how to submit this data to BCBSTX. To complete this reporting requirement for our group customers, the account’s benefits administrator must provide us with some information.Īction required: These groups must submit both their average monthly premiums paid by members and by the employer for the 2022 reference year to BCBSTX by April 27. And again there are some good insurance companies and some bad ones but like I said, I guess our BCBSTX has been good because of the company it’s through that my husband works for.Action Required: Average Monthly Premium Data is Due April 27īlue Cross and Blue Shield of Texas (BCBSTX) is assisting our fully insured, Blue Balance Funded SM and Minimum Premium group customers with the Prescription Drug Data Collection (RxDC) Reporting to the Centers for Medicare & Medicaid Services (CMS) for the 2022 reference year. I like we have our own Accolade contacts to help when needed. Especially when the doctor wants you to go 3 times a week. ![]() Walmart NO!!! I know Physical Therapy is too much as well as the chiropractor. We like the little mom and pops places because they seem to care more and know who you are when you come in. There are two times you may not have a copay. It will have a list of your copays for different types of visits. Member Services These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. ![]() Let us go to whatever pharmacy or at least add some more. A trip to the ER could be as much as a 200 copay. Prescription Drugs Insurance Basics Member Services Prescription Drug List A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas. These 2 places makes it difficult for people to get some of their medicines the doctor prescribes and you have to go back to the doctor for them too rewrite a new one. Prescriptions, why are we only allowed 2 places, CVS & Express Scripts? And our CVS is so short staffed, we have to wait and wait wand wait. Members may have lower out-of-pocket costs for some services provided by non-emergency freestanding outpatient facilities than the out-of-pocket costs for services provided in a hospital setting. There is a few things I would like to be better Lower out of pocket, these days with all that’s happening, it is difficult too pay that much out of pocket every year. 0 copay applies only for appointments if you choose a Select Primary Care Physician. I assume the BCBSTX Insurance we have is a blessing through the company my husband works for and thank the good Lord for it. ![]() I am thankful for Blue Cross Blue Shield Insurance that we have. BCBS Insurance has been great for me & my family
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