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The Pregnancy Care Incentive Program offers expectant mothers support and incentives throughout their pregnancy. After visiting your doctor for a prenatal checkup, you’ll be eligible* to earn $75 and a Pregnancy Care Box with items that can support you during your pregnancy. Get Started in MyBlue
Eligibility RequirementsTo be eligible, you must be:
And meet these timeframe requirements:
Here's how to participate:
*You must be 18 or older on a Standard or Basic Option plan to earn this reward. ** Accepted types of medical records include a prenatal flow sheet, prenatal progress/visit notes and electronic medical record. Lab results or ultrasound reports are not necessary. A letter, disability statement or prescription note from your healthcare provider does not meet the program requirements for earning $75 on your MyBlue Wellness Card. Any information or materials included in your Pregnancy Care Box are not meant to replace the advice of your doctor or healthcare professional. What's in a Pregnancy Care Box?The Pregnancy Care Box is full of helpful items you can use during your pregnancy and after your baby arrives such as:
Get a free breast pump kitService Benefit Plan members who are pregnant and/or nursing are eligible to receive one breast pump kit per calendar year by logging in to your MyBlue account and ordering the kits online or by calling 1-800-411-BLUE (2583). You can choose from a selection of breast pumps and accompanying milk storage bags. Order a Free Breast Pump
Talk to a certified lactation consultantIf you need information or help breastfeeding, we cover education and individual coaching by a lactation consultant. Learn More Access helpful breastfeeding resourcesGet additional information and resources from the Office of Women’s Health. Learn More Affordable Health Care Coverage For You And Your TeamOur employer-sponsored group health insurance plans allow you to cover all your employees and their family members.Blue Cross and Blue Shield of Texas (BCBSTX) has the flexibility and choice that growing companies need. BCBSTX provides Texas small business employers with a variety of health care plan options that include access to a large network of providers and comprehensive benefits to fit your employees’ needs and your organization’s budget. Small Business Health Insurance Group Plan OptionsWhen it comes to health plans, “metal” tiers easily identify how costs are split between the insurance company and the insured. Plan options within each metal tier include Participating Provider Option (PPO) and Health Maintenance Organization (HMO) choices. Learn more about the differences between these options:
PPOPPO plans allow members more flexibility than an HMO to see specialists. Members can choose a primary care physician (PCP). HMOMembers in HMO plans choose a primary care physician (PCP) who coordinates the patient's care. To see specialists, members need a referral from their PCP. Network OfferingsOur plan offerings leverage different networks of providers in order to create plan options that fit any small business budget*.Learn more about small business plans available in your area.
Blue Choice PPOSM2-50 Employees Blue Choice PPO gives you flexible benefit design options at a price you can afford while giving your employees a wide range of benefits and the freedom to visit any doctor they choose, with benefits paid at a higher level when the doctor is within the network. Coverage Statewide/Nationwide Medical Group No Out-of-Network Yes
BlueAdvantage HMOSM2-50 Employees This cost-effective health plan is designed to provide affordable quality health care services to the uninsured and underinsured whenever they access care through a participating Blue Advantage HMO network provider. Medical Group Yes Out-of-Network No, with the exception *Metallic-level availability varies by plan and network. Essential Health Coverage For Your EmployeesAll of BCBSTX’s small business health plan options include comprehensive coverage under the Affordable Care Act (ACA), including:
More Access to Health CareBlue Cross and Blue Shield of Texas plans give you and your employees more access to care with in-network Telehealth visits at the same cost as an in-office visit. $0 Preventive Drugs on Health Savings Account (HSA) PlansSelect an HSA plan for you and your employees that features $0 copay for some preventive drugs. HSA plans help employees stick to their treatment regimen and better manage their health conditions. Health Savings Account CopaysSpecific HSA-compatible plans have copays after the deductible is met for office visits with a primary care physician and specialist. Plus, pharmacy benefit copays. Dental Insurance PlansOur small business dental plans include a wide network of providers to help you and your employees receive the right care.1 Contributory dental plans include minimum contribution requirements from employers. Voluntary dental plans do not include minimum contribution requirements from employers. Healthier Employees. Healthier Business.Ready to see your options?or Get in Touch by Phone What does BCBS Texas cover for pregnancy?Maternity care may include tests and services described elsewhere in the SBC (i.e. ultrasound.) Childbirth/delivery professional services 30% coinsurance 50% coinsurance Childbirth/delivery facility services 30% coinsurance 50% coinsurance $250 admission deductible In-Network and Out-of-Network.
Does BCBSTX cover breast pumps?Breastfeeding? You are covered at 100 percent for an electric breast pump from an in-network Durable Medical Equipment provider. A prescription may be required. You can visit pumpingessentials.com to order.
Is BCBS the same as BCBS of Texas?Blue Cross and Blue Shield of Texas is a statewide, customer-owned health insurer.
Is Blue Cross Blue Shield of Texas HMO or PPO?Just like 2021, and continuing an industry-wide trend (no major carriers offer PPO plans in Texas), BCBSTX only offers HMO plans in 2022. However, Blue Advantage Plus plans offer some out of network benefits, unlike traditional HMOs.
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