Page 8 - Demo

Know Your BenefitsWe%u2019ve made it easy to find answers to questions about your benefits and coverage, how much certain treatments may cost, and how to use the resources and features that come with your plan. You can:%u2022 Download the BCBSTX App. Just text%u2020 BCBSTXAPPto 33633. %u2022 Call a PHG at 1-866-355-5999 or chat through the BCBSTX App, 24/7.%u2022 Log in to BAM at www.bcbstx.com/trsactivecare.%u2020Message and data rates may apply. Terms and conditions and our privacy policy are available at bcbstx.com/mobile/test-messaging.Choose a PCPYou%u2019re required to choose a PCP from the BCBSTX statewide network. Your PCP manages your health care and coordinates care with other providers. They%u2019re your advocate and help you stay on top of your preventive care. They can take care of most health issues and simple medical procedures. PCPs can help you avoid unnecessary medical costs and refer you to quality, in-network specialists when needed.You can choose the same PCP for the whole family or a different PCP for each family member. If you use any provider who isn%u2019t your PCP or isn%u2019t a specialist referred by your PCP, your claims will be denied, even if the provider is in network. For gynecological or maternity care, female participants can see an in-network OB/GYN without getting a referral. Female participants don%u2019t have to use an OB/GYN; they can see their PCP for OB/GYN services.To find or change your PCP, follow the steps on this page. You can also call a PHG at 1-866-355-5999, 24 hours a day, seven days a week. You can change your PCP at any time. The change is effective the first day of the following month. If you need the change to take effect sooner, call a PHG for help. Find or Change your PCP1. Go to www.bcbstx.com/trsactivecare and log in to BAM.2. Click on My Health > Find Care then on Find a Doctor or Hospital.3. If you know the name of the PCP you%u2019d like to select, use the search box.4. If you don%u2019t have a PCP in mind, under Browse by Category, select Medical Care.5. Next, select Primary Care.6. Choose Family Practice, General Practice, Internal Medicine, Obstetrics & Gynecology or Pediatricsto narrow your search.7. Pick a PCP from the providers listed and click on View Profile.8. Locate the 10-digit provider ID number on the bottom of on this page. You need this ID number on file. Once you%u2019ve chosen a PCP and have the 10-digit provider ID number, you can update your PCP on file anytime by:%u2022 Calling a PHG 24/7 at 1-866-355-5999.%u2022 Logging in to BAM and changing your PCP onlineGo In Network for CareYour TRS-ActiveCare Primary plan only pays benefitswhen you get care from doctors and other providers who are in the BCBSTX statewide network (except in a true medical emergency). If you get out-of-network care, you won%u2019t have coverage and you%u2019re responsible for paying all associated costs. Use Your Health and Wellness Tools Take advantage of the many health and wellness programs that come with your plan %u2013 at no extra cost. Get help managing a chronic condition, reaching your fitness goals and improving your overall health. To start exploring health and wellness programs, go to www.bcbstx.com/trsactivecare and click the Health and Wellbeing tab.Tips to Get the Most from Your Plan 8 www.bcbstx.com/trsactivecare