Members currently enrolled MUST re-enroll for 2023.  Check out our dental plan guide.  or quote, enroll, and apply for more enhanced dental plans

BlueCare Dental

• Coverage for cleanings, preventive services and much more
• Preventive dental services deductible waived
• New lower-cost 1c family plan offered

Pediatric Vision Benefits

• Offers one exam, frames or contacts at $0/no cost on most plans

BCBSTX switched from a 4 tier formulary to a 6 tier formulary in 2019.

• Most plans have six prescription drug payment level tiers: preferred generic, non-preferred generic, preferred brand, non-preferred brand, preferred specialty, non-preferred specialty
• Standardized plans have four prescription drug payment level tiers: generic, preferred brand, non-preferred brand, and specialty
• All plans include a drug list and Preferred Pharmacy Network**

BCBSTX also offers ways for you to save time and money on your prescriptions.

• Cost savings: You may pay less when you choose generic medicines from our drug list. You also may save when you get up to a 30-day supply of a covered prescription drug from an in-network pharmacy. Talk to your doctor about what is right for you
• Time savings: Maintenance medications are those drugs you take on a regular basis. You can have up to a 90-day supply of these medications delivered directly to you through the mail order program or at a retail preferred pharmacy participating in the Preferred Pharmacy Network.5
• Online resources: You can search the drug list, find a pharmacy, see your claims, order home delivery, and get an estimate of your costs for a medication 24/7 by logging in to Blue Access for MembersSM (BAMSM) at bcbstx.com.

*Estimates as of 7/31/2022

**A “preferred” or “participating” pharmacy has a contract with BCBSTX’s pharmacy benefit manager (Prime Therapeutics) to provide pharmacy services at a negotiated rate. A pharmacy benefit
manager administers prescription drug benefits for a health plan. The terms “preferred” and “participating” should not be construed as a recommendation, referral or any other statement as
to the ability or quality of such pharmacy.