Blue Cross Blue Shield Of Texas Emergency Room Copay



  1. Blue Cross Blue Shield Maternity Coverage
  2. Blue Cross Blue Shield Of Texas Emergency Room Copays
  3. Blue Cross Blue Shield Of Texas Ppo Emergency Room Copay
Room
Get access to care 24 hours a day, seven days a week by online video, mobile app or phone.
MDLIVE, a leading virtual visits vendor, lets you visit independently contracted MDLIVE board-certified doctors when you may need care. They may help treat non-emergency medical and pediatric health issues. Plus, they may even write and send prescriptions to a nearby pharmacy (when appropriate).

You may want to have a virtual visit:

Blue Cross and Blue Shield of Texas is a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. MDLIVE is an independent company that does not provide Blue Cross and Blue Shield of Texas products or services. The $250. copayment for usage of an emergency room may be waived when the subscriber had no reasonable medical alternative. The absence of a reasonable medical alternative is determined by reference to the following circumstances. You may also have a copay after you pay your deductible, and when you owe coinsurance. Your Blue Cross ID card may list copays for some visits. You can also log in to your account, or register for one, on our website or using the mobile app to see your plan’s copays.

  • Instead of going to the ER or urgent care for non-emergency visits
  • If your doctor is booked
  • While at home, work or on-the-go

ER (medical emergency) $175 per day per facility Lab work (such as blood tests) $0 copay 1: Diagnostic services (such as sleep studies, CT scans) Up to $100 in an office 1. Up to $150 in a hospital 1. Chiropractic Care. Third Party Website Icon: Please be aware when you are on the Blue Cross and Blue Shield of Minnesota (Blue Cross) website and see this Third Party Website icon, you will be connected to a third party site, whether via links provided by Blue Cross or otherwise, and you will be subject to the privacy policies of the third party sites.

Check your benefit book for availability and costs or call the Customer Service number shown on the back of your Blue Cross and Blue Shield of Texas (BCBSTX) member ID card.

Here are some of the most common reasons for visiting an MDLIVE doctor:

  • Acne
  • Allergies
  • Bronchitis
  • Cold & Flu
  • Constipation
  • Cough
  • Diarrhea
  • Earache
  • Fever
  • Headache
  • Insect bites
  • Nausea
  • Pink eye
  • Rash
  • Respiratory problems
  • Sinus infection
  • Sore throat
  • Sport injuries
  • Vomiting
  • ...and more

Behavioral Health Counseling

MDLIVE licensed therapists may offer help through video chat for:

  • Sleep disorders
  • Anxiety & depression
  • Child behavior issues
  • Eating disorders
  • Obsessive compulsive disorders
  • Post traumatic stress disorders
  • Smoking addiction
  • ...and more
Behavioral Health counseling may not be offered with all health care coverage plans.

Due to COVID-19 impact, Virtual Visits are temporarily
being covered at no cost for all HealthSelect plan participants, including Consumer Directed HealthSelect, throughout the public health emergency. Non-COVID related visits are also covered at no cost to you.
Read these Frequently Asked Questions for more details.

Get the health care support you need from the comfort of your home with two types of virtual visits:

Medical Virtual Visits

Getting sick is never convenient. When you don't feel well or your child is sick, you may not be able to leave your home or office to go to the doctor’s office. With medical Virtual Visits, you and your eligible dependents can consult a doctor online for your urgent health care needs.

How it works

  • You have access to a licensed board-certified doctor 24 hours a day, 7 days a week, including weekends and holidays
  • You have no cost if you are enrolled in HealthSelect of Texas®, HealthSelectSM Out-of-State or HealthSelectSM Secondary - that means you will have 100% coverage for medical Virtual Visits under your plan for medical services (excluding mental health care)
  • Consumer Directed HealthSelect participants will be required to meet their annual deductible before Virtual Visits are covered, subject to the coinsurance for those plans after deductible is met
  • You can choose between Doctor On Demand and MDLIVE*

Mental Health Virtual Visits

Consult a licensed mental health professional any day of the week online. A mental health Virtual Visit is similar to an outpatient visit to a mental health provider’s office but the visit is conducted online (video conference only, telephonic not available).

How it works

Blue Cross Blue Shield Maternity Coverage

  • You must make appointments in advance – appointments are typically available within 5-7 days on average, but could take up to two weeks
  • Only psychiatrists are able to prescribe medication, if deemed necessary and appropriate, but will not prescribe controlled substances
  • Benefits apply based on the mental health in-office visit benefit as follows:
    • HealthSelect of Texas and HealthSelect Out-of-State: $25 copay then 100%
    • HealthSelect Secondary: 70% of the allowable amount after the annual deductible is met
    • Consumer Directed HealthSelect: 80% of the allowable amount after the annual deductible is met
  • You can choose between Doctor On Demand and MDLIVE*

Blue Cross Blue Shield Of Texas Emergency Room Copays

What can be treated

Licensed mental health professionals can provide treatment for:

  • Anxiety
  • Depression
  • Stress
  • Anger Management
  • Insomnia
  • Substance Abuse
  • Trauma and Loss
  • Addiction

Get Started

Click here to create an account with Doctor On Demand.
Click here to create an account with MDLIVE, or you can text the word Activate to 635-483 if you would like help getting started.

* In the event of an emergency, this service should not take the place of an emergency room or urgent care center. MDLIVE and Doctor On Demand doctors do not take the place of your primary care doctor. MDLIVE and Doctor On Demand are independent companies that provide Virtual Visit services for Blue Cross and Blue Shield of Texas. Virtual Visits, Powered by MDLIVE may not be available on all plans. Virtual Visits are subject to the terms and conditions of your benefit plan, including benefits, limitations, and exclusions. MDLIVE and Doctor On Demand operate and administer the Virtual Visit program and are solely responsible for their operations and that of their contracted providers. MDLIVE and the MDLIVE logo are registered trademarks of MDLIVE, Inc. and may not be used without written permission.

Blue Cross Blue Shield Of Texas Ppo Emergency Room Copay

The telemedicine services made available through Doctor On Demand are provided by licensed physicians practicing within a group of independently owned professional practices collectively known as “Doctor On Demand Professionals”. These professional practices provide services via the Doctor On Demand telehealth platform. Doctor On Demand, Inc. does not itself provide any physician, mental health or other healthcare provider services. MDLIVE is not an insurance product nor a prescription fulfillment warehouse. MDLIVE does not guarantee that a prescription will be written. MDLIVE and Doctor On Demand do not prescribe DEA-controlled substances, non-therapeutic drugs and certain other drugs that may be harmful because of their potential for abuse. MDLIVE physicians reserve the right to deny care for potential misuse of services. Internet/Wi-Fi connection is needed for computer access. Data charges may apply when using your tablet or smartphone. Check your phone carrier’s plan for details. MDLIVE operates subject to state regulations and may not be available in certain states. Non-emergency medical service in Idaho, Montana, New Mexico and Oklahoma is limited to interactive audio/video (video only), along with the ability to prescribe. Non-emergency medical service in Arkansas is limited to interactive audio/video (video only) for initial consultation, along with the ability to prescribe. Service availability depends on location at fthe time of consultation.