Choose a Primary Care Provider
If you are enrolled in HealthSelect of Texas®, you are required to choose a primary care provider (PCP) to get the highest level of benefits and keep your health care costs down. Your PCP serves as your first point of contact when you need non-emergency medical care.
Your PCP is responsible for coordinating your care, making referrals to see specialists and writing orders for lab and imaging services. To get in-network benefits, your PCP will need to submit a referral to Blue Cross and Blue Shield of Texas (BCBSTX) before your visit. If you do not have a referral on file before you see a specialist, you will pay more, because your visit will be considered out-of-network. Your specialist or lab services facility also must be in-network for you to get in-network benefits. You can verify network status by calling a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY: 711).
Learn more about referrals and prior authorizations.
Choose your PCP before getting care
You have 60 days from the effective date of your coverage to choose a PCP. Once you make your PCP selection, all services must be coordinated through your PCP in order to get in-network benefits. After 60 days, if you still have not chosen a PCP, out-of-network benefits will apply for any services you get.
You can choose or change your PCP by calling a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY: 711) or by logging in to Blue Access for MembersSM:
- Log in to Blue Access for Members
- Click on the "Find Care" tab. On the Find Care page, see your current PCP on the right-hand side for each covered family member, if you already have one.
- From the drop-down menu, choose who you would like to choose a PCP for, then click on "Change PCP."
- Enter your search criteria for a provider by location or provider name. Follow the prompts to choose a new PCP.
Learn about Ravi's PCP selection journey.
Learn more about the importance of selecting a PCP by watching the video below: