Coordinación de servicios
Blue Cross and Blue Shield of Texas ofrece algunos servicios para asegurados con necesidades especiales. We can help you find the right level of support, with the help of a service coordinator. These services are no cost to you.
Get the Help You Need
Our Service Coordination team works directly with you, your family, doctors and specialists to coordinate your care. They will also work with you to make a Care Plan to help you reach your health and behavioral health goals. A service coordinator will help to meet your medical, behavioral and cultural needs.
Service coordinators can:
- Help you find the right providers and set up visits with them.
- Help you, your family and your caregiver better understand your health condition(s), medications and treatments.
- Help you learn how your benefits can help improve your health.
- Give guidance before planned admissions, like surgery, and after you leave the hospital.
- Listen to your health concerns and questions.
- Help you find community support and services. These may include programs and classes to help you improve your health.
Learn more about Service Coordination in the Member Handbook for your plan:
Service Coordination Helps With:
- Servicios de salud mental incluidos en la cobertura Medicaid.
- Setting up non-emergency medical transporte.
- Nursing care (home health, private duty, supportive living facilities)
- Therapies (Physical, Occupational, Speech)
- Durable Medical Equipment (DME) and medical supplies
- Coordinación para el manejo de enfermedades
- Personal Care Services (for example, bathing, eating, etc.)
- Caregiver support and resources
- Referrals to community resource programs. This can include getting help with food or electric bills. Más información sobre community support <link to new web page>.
Long-Term Services and Supports (LTSS) for STAR Kids Members
LTSS for STAR Kids members is managed by our Service Coordination team. A service coordinator will help set up acute and long-term care services for you or your child. Estos servicios incluyen enfermería privada (PDN, en inglés) y atención médica personal (PCS, en inglés). Find out more about long-term services and supports.
Blue Access for Members℠
is the secure member portal from BCBSTX. It lets you to review what your plan covers, such as:
- Medical benefits
- Medicamentos con receta
- Your care team
- Your care plan
- Health risk screenings
Sign up and log in to view service coordination information in the My Health > Wellness area.
For STAR Kids members, you can learn about your child's service coordinator when you log in to Blue Access for Members. There you can find the service coordinator's name, phone number, and email address. También recibirá la información del nombre y número de teléfono de su coordinador de servicios por correo.
When you log in, go to My Health > Wellness. You can check your child's most Screening and Assessment Instrument (SAI) or Individual Service Plan (ISP). Find out more about the .
Cómo recibir otros servicios
Do you need to know more about BCBSTX covered programs and services? Do you need help finding a specialist, substance abuse services, or an OB/GYN provider? Call the Service Coordination or the Customer Advocate Department for your plan. They are available at from 8 a.m. to 5 p.m. CT, Monday through Friday. Puede dejar un mensaje de voz si llama fuera de nuestro horario normal de oficina o durante fines de semana y días feriados.
CHIP y STAR
- Llame a Coordinación de Servicios al 1-877-214-5630.
- Llame al departamento de especialistas en Servicio al Cliente al 1-888-657-6061 (TTY: 711).
STAR Kids
- Llame a Coordinación de Servicios al 1-877-301-4394.
- Llame al departamento de especialistas en Servicio al Cliente al 1-877-688-1811 (TTY: 711).