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INDIVIDUAL & FAMILY COVERAGE
MEDICARE SUPPLEMENT PLANS
MEDICARE ADVANTAGE PLANS
MEDICARE PART D PRESCRIPTION DRUG PLANS
GROUP HEALTH INSURANCE

CLICK HERE to view and print a BlueCross and BlueShield of Texas Individual Application

BCBSTX Individual Coverage Product Information and Applications

PPO Select® plan options from BlueCross and BlueShield of Texas, offer choice and flexibility for individual health care coverage. They are not pre-packaged, one-size-fits-all health insurance plans, but rather health coverage that gives you a selection of benefits to fit your health care coverage needs now and in the future.

Child-Only coverage is available through BlueCross and BlueShield of Texas Individual Products.

Click here for a quick comparison of all three PPO Select Series III products. 40127.0305

• Select Blue Advantage - Series III
  Click here for a Select Blue Advantage Enrollment Guide and Application - be sure to return your application to All Plan Insurance for processing. 42978.0405

• PPO Select® Choice - Series III
  Click here for a PPO Select Choice Enrollment Guide and Application - be sure to return your application to All Plan Insurance for processing. 42979.0405

• PPO Select Saver® - Series III
  Click here for a PPO Select Saver Enrollment Guide and Application - be sure to return your application to All Plan Insurance for processing. 42980.0405

• Changes to your existing PPO Select Series III plan?
  Click here for a Series III Enrollment Application / Miscellaneous Change Form - be sure to return this form to All Plan Insurance for processing. 41745.1004

• BlueEdgeSM Individual HSA - BlueEdge Individual HSA is a new kind of health plan - a consumer-centered plan. This plan allows you to decide how, when and where your health care dollars are spent.

Click here for information about BlueEdge Individual HSA. 43240.0905

Click here for BlueEdge Individual HSA banking information from Mellon Bank. 42997.0405

Click here to download a BlueEdge Individual HSA application. Be sure to return your application to All Plan Insurance for processing. 42498.0505

• PPO Select® Value Care - offers you several health care coverage options that help you control the monthly cost of your insurance protection and gives you a choice of health care providers from the BlueChoice network. The higher coinsurance maximum level you choose, the lower your premiums can be!

Click here for a quick comparison of the PPO Select Value Care plan options. 43235.0505

Click here for a PPO Select Value Care Enrollment Guide and Application. Be sure to return your application to All Plan Insurance for processing. 42989-0505

• PPO Select® Basic – this preferred provider health insurance plan, either in whole or in part, does not provide state-mandated health benefits normally required in accident and sickness insurance policies in Texas. This standard health benefits plan may provide a more affordable health insurance policy for you although, at the same time, may provide fewer health benefits.

Click here for a PPO Select Basic Enrollment Guide and Application. Be sure to return your application to All Plan Insurance for processing. 40835-804

Foundation Hospital Care

A plan that provides the freedom to choose your hospital each and every time you need inpatient hospital care, 24 hour worldwide coverage, BlueCard Program, no balance billing above the allowable amount, and no claims to file for inpatient hospital services.

• Foundation Hospital Care Outline of Coverage
• Foundation Hospital Care Application

• SelecTEMP® - is the affordable temporary health insurance plan from BlueCross and Blue Shield of Texas. It is individual health coverage that provides you, your spouse and your children essential, basic protection against unexpected accidents or illnesses. SelecTEMP offers various benefit periods and deductibles to give you the control to tailor coverage, premium rates and out-of-pocket expenses according to your own needs.

Click here to download the SelecTEMP Enrollment Guide and Application. Be sure to return your application to All Plan Insurance for processing. 8710.792-0605

Dental Indemnity USA
The Individual Dental Indemnity plan is available in combination with your Individual BlueCross and Blue Shield of Texas health insurance plan. There is an additional premium for the Individual Dental Indemnity plan.

Dental Indemnity USA can be used to provide dental benefits to:
• A single individual above the age of 18;
• An individual plus one eligible dependent; or
• Family

Region 2 Gold
Zip Codes beginning with - 754-759; 764; 766-767; 765, 778, 768-769; 788; 797-798; 776-777; 779, 781; 780, 782, 783-785, 790-792, 793-796.
(Longview, Tyler, Lufkin, Stephenville, Hillsboro, Waco, Killeen, Bryan, College Station, San Angelo, Odessa, Del Rio, Midland, Beaumont, Port Arthur, Victoria, Beeville, Karnes City, San Antonio, Laredo, Kerrville, Corpus Christi, Brownsville, McAllen, Amarillo, Planview, Dumas, Abilene, Lubbock)

Click here to download dental benefits for Region 2 Gold. 40107.404

Region 4 Gold
Zip Codes beginning with – 750-751; 752-753, 760-761; 762-763; 770; 772; 773-775; 786-787; 789; 799; 885
(Garland, Irving,. Sherman, Denison, Dallas, Arlington, Fort Worth, Wichita Falls, Denton, Houston, Conroe, Pasadena, Galveston, Austin, San Marcos, La Grange, El Paso)

Click here to download dental benefits for Region 4 Gold. 40108.404