You may be owed money. Blue Cross Blue Shield of Texas (BCBSTX) agreed to refund consumers after a Texas Department of Insurance (TDI) review found delays in handling off-line emergency claims and incorrect information in consumer communications and marketing.
BCBSTX will also pay a $ 10 million fine.
“Consumers who have had higher out-of-pocket expenses due to errors will receive refunds,” Texas insurance commissioner Kent Sullivan said in a statement on the TDI website. “Ensuring fair consumer treatment and clear and timely consumer information are priorities for TDI.”
The company agreed to start sending consumer communications by May 1st. Once the notification is received, consumers will have 60 days to request a refund.
Consumers with questions should call the number on their BCBSTX ID cards for member information. Former BCBSTX members who no longer have an ID can call 972-766-6900.
Return-seeking consumers will need to have proof that the invoice has been paid or have an outstanding invoice for offline emergency assistance received between August 1, 2017 and December 31, 2019. Proof of payment can be a receipt. or a credit card statement, canceled check, medical vendor receipt, or similar document.
BCBSTX Consumer Refund and Return Information Execution order BCBSTX