Provider Finder®

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Primary Care Provider (PCP) Information

You must choose a PCP from the Provider Network when you join. You can choose a different PCP for each member. A PCP is your main health care provider and will arrange your care with other doctors and hospitals. Your PCP can be a:

  • Pediatrician
  • Family or General Practitioner
  • Obstetrician/Gynecologist (OB/GYN)
  • Internist (Internal Medicine)
  • Nurse Practitioner (NP) or Physician Assistant (PA)
  • Clinic such as Federally Qualified Health Centers (FQHCs) or Rural Health Clinics (RHCs)

You can call customer service at 1-888-657-6061 (TTY 7-1-1) for help choosing a PCP.

Referral Information
  • What is a referral? A referral is when your Primary Care Provider (PCP) sends you to another provider to get health care services. If you think you need to see another provider, contact your PCP first.
  • How soon can I/my child expect to be seen by a specialist? You will get your child's referral within 30 days of the request.
  • What services do not need a referral? Several types of care do not need an OK from your child's PCP:
      OB/GYN services (You must choose doctors in the BCBSTX network.)

      Family planning services (birth control pills, unless needed for a medical condition, are not covered.)

      Emergency care

      Outpatient behavioral health care such as mental health, drug and/or alcohol dependency services You must choose doctors in the Magellan Health Services network.

      Vision services

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Contact Us

If you have any questions or need help scheduling an appointment, please call:

1-888-657-6061 (TTY 7-1-1)

We are open 8 a.m. to 8 p.m. Central Time, Monday through Friday.

You may leave a voicemail outside of our normal business hours or on weekends and holidays.