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 if I need to see a special doctor? Sometimes your Primary Care Provider (PCP) may send you to a different provider for special care or treatment. Or, if you think you need to see another provider, contact your PCP first.
      Your PCP's office can help you make the appointment.

      Tell your PCP as much as you can about your health so both of you can decide what is best.

      Your PCP will choose a specialist to give you the care you need.

      Your PCP must send an OK to the specialist before you get services.

      A specialist may treat you for as long as he or she thinks you need it.

  • What is a referral? A referral is a request from your PCP to send you to a different health care provider if you have a condition or illness that needs special care.
  • How soon can I expect to be seen by a specialist? You will get your appointment within 30 days of the request. Out-of-network services are not covered unless you get an OK from us before you get the service.
  • What services do not need a referral? Mental Health/Substance Abuse services do not need an OK from your PCP when you are not in the hospital, but you do have to see a Magellan provider.

    Some PCPs and OB/GYNs offer family planning. You do not need an OK from your PCP to get family planning help. Members may use any qualified family planning clinic, certified nurse midwife or provider. The provider does not need to be part of BCBSTX.

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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.