June 1, 2016

Learn About the Benefits of the BCBSTX BlueEdge^SM Product Portfolio

Blue Cross and Blue Shield of Texas (BCBSTX) offers the BlueEdge product portfolio for our employer groups and subscribers who are looking for consumer-driven health plans. The BlueEdge product portfolio includes the Health Care Account (HCA) and the Health Savings Account (HSA) products. Both products provide preventative care covered at 100 percent even before the deductible is met. There are no deductibles or office visit copayments for the following preventative/wellness services:

• Physicals
• Routine lab and X-ray
• Diagnostic tests
• Mammograms
• Well child care and immunizations

To ensure the accurate and quick processing of BlueEdge member claims:

• Ask the member to show his or her BlueEdge ID card; this card will list “BlueEdge” in the lower right corner of the ID card.
• Call the toll-free Provider Customer Service number to check benefits and eligibility
• Submit all claims to BCBSTX

With BlueEdge, providers do not need to collect deductible amounts from the member at the time of service. Providers will be reimbursed for claims submitted from the member’s account until the account is depleted. If the member has a remaining balance, BCBSTX will notify you of any patient responsibility through the distribution of the Provider Claims Summer (PCS). Following the receipt of the PCS, you may bill the member directly for any deductible and coinsurance amount owed.