Blue Review
A newsletter for physician, professional, facility, ancillary and Medicaid providers

December 2016

HMO Blue TexasSM Name Change to Blue EssentialsSM and Product Update

Effective Jan. 1, 2017, Blue Cross and Blue Shield of Texas (BCBSTX) will change the name of the HMO Blue Texas network to Blue Essentials. Existing HMO Blue Texas agreements will remain in effect under the new Blue Essentials name. This notification of the name change does not require any action on your part. As with any name change, there will be a transition period before the HMO Blue Texas name will cease to exist. You will continue to see HMO Blue Texas collateral information for a period of time in 2017.

Blue Essentials, formerly HMO Blue Texas, will maintain the same features including:

  • Product design and benefits are not changing.
  • Members are still required to select a primary care physician and get referrals for services with network providers.
  • No out-of-network coverage, except for emergency services.
  • Support, tools and guidance are available to help our members make informed decisions and the best use of their benefits.

Additionally, there is a new benefit plan option effective Jan. 1, 2017, that will be called Blue Essentials Access. This new benefit plan option allows “open access” within the Blue Essentials provider network (formerly HMO Blue Texas) where PCP selection and referrals are NOT required. All other HMO requirements remain unchanged.

BCBSTX will be providing additional information in the coming weeks on the provider website at bcbstx.com/provider and in Blue Review.

If you have any questions, please contact your BCBSTX Network Management Representative.