Need help understanding your health plan and coverage? A Personal Health Guide is a plan expert who can help!
Here are five ways a PHG can make your life easier.
- Get answers to your questions quickly.
Call a PHG 24/7 at 1-866-355-5999. When making a phone call isn’t convenient, chat in the BCBSTX App anytime. A PHG can even help you register for Blue Access for MembersSM, get your digital ID card or help you download the BCBSTX App.
- Find an in-network provider or facility or change your Primary Care Provider.
Finding a provider, hospital or facility you can trust with your care shouldn’t be hard.
A PHG makes it easy to:
use Provider Finder® to find a Top Performing Physician like a PCP or specialist
compare in-network providers, hospitals or urgent care facilities
compare quality ratings for providers and hospitals
compare participant reviews
schedule an appointment with a provider
find lower-cost options
Did you know? PHGs can even help you earn Member Rewards by helping you shop for reward-eligible providers, procedures, screenings, surgeries and more.
Find an Attestation Form, Transition of Care Form or another form.
Sometimes, you need to fill out a form, but you don’t know where to find it or how to start. Call a PHG. They can help you quickly find the right forms, fill them out and tell you where to send them.
Get help with a referral or prior authorization.
PHGs can help you understand when and why you need a referral or a prior authorization. They can help with that and schedule appointments.
Get an estimate, compare costs or get help with a claim or bill.
Do you have a procedure coming up and want an idea of what your out-of-pocket cost will be? Need to know if you’ll have a separate facility and provider cost?
Call a PHG to get estimates and compare costs for providers or facilities based on:
copays
coinsurance
deductibles for in-network care
Sometimes medical claims and bills can be confusing, but you don’t need to figure them out alone. Let a PHG:
explain your charges
help you understand a claim
check the status of claims
share what’s been paid and what you might still owe
Learn More
Watch the video, How to Get Plan Help, to find out more about how a PHG can help you.
Resources
Member Rewards
Earn up to $599 per year by shopping with Member Rewards, a program that rewards you for choosing a cost-effective, trusted provider for services like MRIs, CT scans, colonoscopies, and mammograms.
Provider Finder®
Use Provider Finder® to find out where you can get your in-network colonoscopy. You can also find a Primary Care Provider to talk about what is right for you.
Let's Move by UnitedHealthcare®
Mental well-being is just as important as physical health. Stay socially connected by joining clubs, volunteering, or taking classes. Consider mindfulness practices like meditation or tai chi to reduce stress. Check out Let's Move by UnitedHealthcare®, available at no added cost to you! With simple resources, tools, fun events and personalized support, Let's Move by UnitedHealthcare is here to help keep your mind, body and social life active. Start today at Let's Move by UnitedHealthcare .
Real Appeal®
Lose weight with a personal coach and a program designed just for you. Real Appeal is a proven weight management program designed to help you get healthier and stay healthier. It's available to you and eligible family members at no added cost as part of your TRS-Care Medicare Advantage benefits. Join today at Real Appeal by Rally Coach.
Silver Sneakers
Thirty minutes of moderate physical activity each day can help control diabetes and obesity – two risk factors for colorectal cancer. As a TRS-Care Medicare Advantage participant, you have access to SilverSneakers, a fitness and lifestyle program, at no added cost. It includes:
- Memberships to thousands of fitness locations — visit as many times as you wish
- Group exercise classes for all abilities — fun activities held outside the gym
- SilverSneakers On-DemandTM — online workout videos that feature tips on fitness and nutrition
- SilverSneakers LIVE — virtual classes and workshops throughout the week
- SilverSneakers GOTM mobile app
Get started today. Visit SilverSneakers.com or call 1-888-423-4632, TTY 711.
Wellness Coaching
Online and live coaching support that provides access to a variety of digital health and wellness courses. For Wellness Coaching, call 1-800-478-1057, TTY 711.