Información importante de la cobertura

Los proveedores que no están afiliados/que no forman parte de la red no tienen la obligación de atender a los asegurados de Blue Cross Medicare Advantage, excepto en situaciones de emergencia. Llame a nuestro número de Servicio al Cliente o consulte su Evidencia de Cobertura para obtener más información, incluidos los gastos compartidos que corresponden a los servicios que no son de la red.

Aviso sobre la cobertura Medicare Parte D:
Las coberturas de medicamentos con receta prestadas por Blue Cross and Blue Shield of Texas, que se refiere a Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), licenciataria independiente de Blue Cross and Blue Shield Association. Un patrocinador de la Parte D aprobado por Medicare. La solicitud de las coberturas HCSC depende de la renovación del contrato.

Aviso sobre la cobertura Medicare Advantage:
Cobertura HMO disponible en los siguientes condados de Texas: Anderson, Andrews, Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Baylor, Bee, Bexar, Borden, Bowie, Brazoria, Brewster, Briscoe, Burnet, Caldwell, Calhoun, Cameron, Camp, Carson, Cass, Castro, Chambers, Cherokee, Childress, Cochran, Coke, Coleman, Collin, Comal, Concho, Crane, Crosby, Culberson, Dallam, Dallas, Dawson, Deaf Smith, Delta, Denton, Dickens, Donley, El Paso, Ellis, Erath, Fisher, Floyd, Foard, Fort Bend, Franklin, Frio, Gaines, Galveston, Garza, Gillespie, Glasscock, Grayson, Gregg, Hale, Hall, Hansford, Hardeman, Hardin, Harris, Harrison, Hartley, Haskell, Hays, Henderson, Hidalgo, Hockley, Hopkins, Howard, Hutchinson, Irion, Jackson, Jeff Davis, Jefferson, Jim Wells, Johnson, Kaufman, Kendall, Kent, Kimble, King, Kinney, Kleberg, Knox, Lamar, Lamb, Lee, Liberty, Live Oak, Loving, Lubbock, Lynn, Marion, Martin, Matagorda, Medina, Menard, Midland, Mitchell, Montague, Montgomery, Moore, Morris, Motley, Nacogdoches, Nueces, Oldham, Orange, Panola, Parker, Pecos, Potter, Presidio, Rains, Randall, Reagan, Red River, Reeves, Roberts, Rockwall, Runnels, Rusk, San Augustine, San Patricio, Schleicher, Shelby, Sherman, Smith, Stephens, Sterling, Stonewall, Sutton, Swisher, Tarrant, Terry, Titus, Tom Green, Travis, Upshur, Upton, Victoria, Waller, Webb, Willacy, Williamson, Wilson, Winkler, Wood, Yoakum, Young y Zavala.

Coberturas HMO SNP disponibles en los siguientes condados de Texas: Anderson, Andrews, Archer, Armstrong, Atascosa, Austin, Bailey, Bandera, Bastrop, Baylor, Bee, Bell, Bexar, Blanco, Borden, Bosque, Bowie, Brazoria, Brazos, Brewster, Briscoe, Brooks, Burleson, Burnet, Caldwell, Cameron, Camp, Carson, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Coke, Coleman, Collin, Colorado, Comal, Concho, Cooke, Coryell, Crane, Crosby, Culberson, Dallam, Dallas, Dawson, Deaf Smith, Delta, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, Ellis, El Paso, Erath, Falls, Fannin, Fayette, Fisher, Floyd, Foard, Fort Bend, Franklin, Freestone, Frio, Gaines, Galveston, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Gregg, Grimes, Guadalupe, Hale, Hall, Hamilton, Hansford, Hardeman, Hardin, Harris, Harrison, Hartley, Haskell, Hays, Henderson, Hidalgo, Hill, Hockley, Hood, Hopkins, Houston, Howard, Hudspeth, Hutchinson, Irion, Jack, Jackson, Jeff Davis, Jefferson, Jim Hogg, Jim Wells, Johnson, Karnes, Kaufman, Kendall, Kenedy, Kent, Kimble, King, Kinney, Kleberg, Knox, La Salle, Lamar, Lamb, Lampasas, Lavaca, Lee, Leon, Liberty, Limestone, Live Oak, Llano, Loving, Lubbock, Lynn, Madison, Marion, Martin, Mason, Matagorda, McCulloch, McLennan, McMullen, Medina, Menard, Midland, Milam, Mills, Mitchell, Montague, Montgomery, Moore, Morris, Motley, Nacogdoches, Navarro, Oldham, Orange, Palo Pinto, Panola, Parker, Pecos, Polk, Potter, Presidio, Rains, Randall, Reagan, Real, Red River, Reeves, Refugio, Roberts, Robertson, Rockwall, Runnels, Rusk, San Augustine, San Jacinto, San Saba, Schleicher, Shackelford, Shelby, Sherman, Smith, Somervell, Stephens, Sterling, Stonewall, Sutton, Swisher, Tarrant, Terry, Throckmorton, Titus, Tom Green, Travis, Trinity, Tyler, Upshur, Upton, Van Zandt, Victoria, Walker, Waller, Washington, Webb, Wharton, Willacy, Williamson, Wilson, Winkler, Wise, Wood, Yoakum, Young, Zapata y Zavala.

Coberturas PPO disponibles en los siguientes condados de Texas: Anderson, Andrews, Aransas, Archer, Armstrong, Atascosa, Austin, Bailey, Bandera, Bastrop, Baylor, Bee, Bell, Bexar, Blanco, Borden, Bosque, Bowie, Brazoria, Brazos, Brewster, Briscoe, Brooks, Burleson, Burnet, Caldwell, Calhoun, Cameron, Camp, Carson, Cass, Castro, Chambers, Cherokee, Childress, Clay, Cochran, Coke, Coleman, Collin, Colorado, Comal, Concho, Cooke, Coryell, Crane, Crosby, Culberson, Dallam, Dallas, Dawson, Deaf Smith, Delta, Denton, Dewitt, Dickens, Dimmit, Donley, Duval, Ector, Edwards, El Paso, Ellis, Erath, Falls, Fannin, Fayette, Fisher, Floyd, Foard, Fort Bend, Franklin, Freestone, Frio, Gaines, Galveston, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grayson, Gregg, Grimes, Guadalupe, Hale, Hall, Hamilton, Hansford, Hardeman, Hardin, Harris, Harrison, Hartley, Haskell, Hays, Henderson, Hidalgo, Hill, Hockley, Hood, Hopkins, Houston, Howard, Hudspeth, Hunt, Hutchinson, Irion, Jack, Jackson, Jeff Davis, Jefferson, Jim Hogg, Jim Wells, Johnson, Karnes, Kaufman, Kendall, Kenedy, Kent, Kimble, King, Kinney, Kleberg, Knox, La Salle, Lamar, Lamb, Lampasas, Lavaca, Lee, Leon, Liberty, Limestone, Live Oak, Llano, Loving, Lubbock, Lynn, Madison, Marion, Martin, Mason, Matagorda, Maverick, McCulloch, McLennan, McMullen, Medina, Menard, Midland, Milam, Mills, Mitchell, Montague, Montgomery, Moore, Morris, Motley, Nacogdoches, Navarro, Nueces, Oldham, Orange, Palo Pinto, Panola, Parker, Pecos, Polk, Potter, Presidio, Rains, Randall, Reagan, Real, Red River, Reeves, Refugio, Roberts, Robertson, Rockwall, Runnels, Rusk, San Augustine, San Jacinto, San Patricio, San Saba, Schleicher, Shackelford, Shelby, Sherman, Smith, Somervell, Starr, Stephens, Sterling, Stonewall, Sutton, Swisher, Tarrant, Terry, Throckmorton, Titus, Tom Green, Travis, Trinity, Tyler, Upshur, Upton, Uvalde, Van Zandt, Victoria, Walker, Waller, Wharton, Washington, Webb, Wharton, Wheeler, Willacy, Williamson, Wilson, Winkler, Wise, Wood, Yoakum, Young, Zapata y Zavala.

Las coberturas Medicare Advantage son provistas por Blue Cross and Blue Shield of Texas, que hace referencia a HCSC Insurance Services Company (HISC) (coberturas HMO, PPO y HMO Special Needs), y también a GHS Insurance Company (GHSIC) (coberturas HMO y PPO). Las coberturas HMO y PPO grupales a través del empleo/sindicato se ofrecen mediante Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC).  HCSC, HISC y GHSIC son licenciatarias independientes de Blue Cross and Blue Shield Association. HCSC, HISC y GHSIC son organizaciones de Medicare Advantage que tienen contrato con Medicare. GHS es una organización de Medicare Advantage que tiene contrato con Medicare y con el programa Medicaid en Texas. La solicitud de cobertura en estas aseguradoras depende de la renovación del contrato.