Access the most up-to-date provider information with our 找到一个医生搜索工具. 在这里, 您可以通过名称查找提供者, 专业, county or zip code The Provider 搜索 information is updated weekly.
You can also contact 客户服务 at 1-877-258-3334 for assistance locating a provider or to obtain a paper copy of a directory. Additionally, many employers stock directories in their 好处 Department.
蓝十字数控 believes in the value of maintaining a relationship with a primary care provider. 这些提供者是一般惯例, 家庭医疗, internal medicine and pediatric doctors who deal with a broad range of health care issues. They also help members manage their health and make decisions about their health care needs.
除了, participating primary care providers participate in cost-saving quality assurance and utilization management programs. They also coordinate patient care, allowing the patient to easily navigate the health care system. These activities serve to enhance the physician-patient relationship, as well as increase the practice of cost-effective, 高质量的医学.
The following is a list of licensed medical and behavioral health professionals whose services are eligible for Plan benefits:
- Certified Substance Abuse Counselor (CSAC) with appropriate licensure
- Licensed Clinical Addiction Specialist (LCAS)
The following is a list of some ineligible providers:
- Individual who is not licensed and/or credentialed by the appropriate state/governing professional organization.
The following providers would not be eligible to contract directly with 蓝十字数控. These types of providers generally provide services under a 365betway下载 Health Agency contract.
- Coordinate prior plan approvals, order records, verify benefits
- Require no out-of-pocket payment for covered services provided to you, except where copayments or coinsurance may apply
- 坚持证明, cost-saving medical management practices such as certification for hospital admissions, 并发审查, 病例管理和出院计划
- Accept 蓝十字数控's reimbursement as payment in full
- Participate in 蓝十字数控's quality assurance program
If your current physician is not a 蓝十字数控 network provider and you are just joining a 蓝十字数控 health plan or changing health plans, we will assist you in finding a new provider. The continuity of care process will apply to Blue Care, Blue Choice and Blue Options plans if you are being seen regularly for an ongoing special condition or if you are in the second or third trimester of pregnancy or completing post-partum care.
如果你要改变365betway下载计划, you can obtain information on how to request continuity of care from your employer or benefit administrator or by contacting 蓝十字数控 客户服务 at 1-877-258-3334.
Continuity of care requests will be reviewed by a medical professional based on the information provided about specific medical conditions. Notification about eligibility for continuity of care will be sent after a decision is made. If a continuity of care request is approved, you may continue to see your current specialist for up to 90 days. 蓝十字数控 will assist you in finding a network provider for any future services before the 90-day period expires.
To change your primary care provider, call 客户服务 at 1-877-258-3334 or 登录蓝色连接.
是的. You may designate a new primary care provider at any time.