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Blue Advantage HMO Quick Reference Guide - BCBSTX

Major Characteristics Benefits, Eligibility, Claims Status or Verification Claim Reviews, All Correspondence Prior Authorizations and Referrals Laboratory services Behavioral Health services (Mental Health and Chemical Dependency) Blue Advantage HMO membersmust select a Blue Advantage HMOP rimary Care Physician (PCP). Blue Advantage providers may onlybill for copayments, cost share(coinsurance) and deductibles, whereapplicable. Some services may be self -referredto a Blue Advantage HMO physician orprofessional provider ( annual wellwoman exam, annual routine eye exam)as indicated by the member s benefitplan.

Some services may be self-referred to a Blue Advantage HMO physician or professional provider (i.e. annual well ... This guide is intended to be used for quick reference and may not contain all of the necessary information. For detailed information, refer to the ... Contact the customer service number on the member’s ID card to verify the ...

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