Community Blue Medicare PPO - Highmark Medicare CommunityCare is proud to offer Senior Health Plan Medicare Advantage plans and the CommunityCare Prescription Drug Plan designed to suit the needs of most Medicare participants. | Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, How We Choose Providers for Our PPO Networks, Important Information About Medicare Plans. Find a Doctor | bcbsm.com Register Now. The plan is administered by Blue Cross Blue Shield of Michigan (BCBSM). Espaol | This includes the Allegheny Health Network, as well as other high-quality community and specialty hospitals across the region and the country, plus all Blue Cross Blue Shield Global Core hospitals throughout the United States. CommunityCare Health Insurance Plans - ccok.com PDF Claims Filing Addresses - Pa Western Region Search Express Scripts network for a retail pharmacy. Find out which plan is right for you. $10.35 copay or 5% (whichever costs more), Diagnostic radiology services (e.g., MRI), Prosthodontics, other oral/maxillofacial surgery, other services, Outpatient group therapy visit with a psychiatrist, Outpatient individual therapy visit with a psychiatrist, Physical therapy and speech and language therapy visit, Durable medical equipment (e.g., wheelchairs, oxygen), Prosthetics (e.g., braces, artificial limbs). How this plan performs in coverage of conditions, screenings, customer service and more. BlueCare lets you see doctors 24/7 for minor health issues or schedule appointments for behavioral health needs. Pick a directory to search or find other helpful information about drug resources, quality programs and more. BlueCare lets you see doctors 24/7 for minor health issues or schedule appointments for behavioral health needs. PDF Community Blue Certificate SG - BCBSM Community Blue - Highmark Insurance Thinking about your Medicare options? Online versions of our printed newsletters. NOTE: Tier classification may differ for self-funded groups with a custom plan design. This contract is between you and Blue Cross Blue Shield of Michigan. Highmark Medicare Review: Great Plans but Higher Costs Community Blue is a Preferred Provider Organization (PPO) and allows you to choose whether you receive health care services from a Community Blue PPO physician (in-network) or to choose any physician (out-of-network). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. State and Federal Privacy laws prohibit unauthorized access to Member's private information. How We Choose Providers for Our PPO Networks. . Youll need to know what kind of dental plan you have; an individual plan, a plan through your employer or Medicare, or another public plan. The COVID-19 Public Health Emergency (PHE) ended May 11, 2023, Your Rights and Protections Against Surprise Medical Bills. We use cookies on this website to give you the best experience and measure website usage. Health and wellness discounts on products, classes and fitness facilities. Our vision is to ensure that all members of the community have access to affordable Download CommunityCare's price transparency machine readable files. As long as you get care within your Community Blue network, you will always pay less than if you get care outside of the network. Monthly premiums as low as $0. Individuals attempting unauthorized access will be prosecuted. Manage your medicine, find drug lists and learn how to save money. Community Blue Medicare PPO's network providers in your area, you can visit medicare.highmark.com or call our Customer Service Department at 1-888-757-2946, Monday - Sunday, 8 a.m. - 8 p.m. TTY users should call 711. The search results will supply: The search may also provide their website, address and office hours. Find participaing doctors and hospitals. Prior plan approval (also referred to as prior review, prior authorization, prospective review or certification) is the process by which Blue Medicare HMO & Blue Medicare PPO reviews the provision of certain behavioral health, medical services and medications against healthcare management guidelines prior to the services . Get access to your member portal. Read Our Non-Discrimination Notice, English | Get discounts on gym memberships, fitness gear, healthy eating, prescriptions and more. TTY . Highmark, and its affiliates, operate health insurance plans in Pennsylvania, Delaware . The standard varies by specialty and type of area. H3916_20_2120_C This directory provides a list of Community Blue Medicare PPO's network providers. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association A listing of Community Blue Hospitals in Western Pennsylvania. Here are some plan features and benefits: *Our series of point-of-service (POS) plans and HMO plans are offered by HMO Louisiana, Inc., a wholly owned subsidiary of Blue Cross and Blue Shield of Louisiana. If you're looking for a straight answer to your healthcare questions, this is the place. Small Group Employers: Community Blue PPO | bcbsm.com highmark.com or call our Customer Service Department at 1-888-757-2946, Monday through Sunday, 8:00 a.m. to 8:00 p.m. TTY users should call 711. lowest copayment and youll get the most out of your benefits. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. | e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. *The dental, vision and pharmacy links may not apply to State Employees, and those employed with Abbeville General, Ochsner, SRMC, Slidell Memorial and Terrebonne General. To access Freedom Blue PPO's online provider directory, you can visit . Medicare options to suit your needs. Visits to providers in this tier will cost you the most. Create an online account. the Precision Blue network. To get the most out of your benefits and for the lowest cost share, click here to view providers participating in the Affinity Health Network. Visit your Pharmacy and Prescription resources pages for directories of in-network pharmacies, covered prescription drugs, mail order information, $0 copay information, and much more, Assess your likelihood of developing common medical problems. More detailed searches are possible by clicking on More Search Options. A better member experience, which could lead to better health. In rural areas, the access standards for PCPs is 90 minutes or 75 miles. More than 50 community and specialty hospitals and more than 10,400 doctors in 29 counties in Western Pennsylvania. BCN Provider Search - Blue Cross Blue Shield of Michigan The best value, this covers the care you need. Box 898819 Camp Hill, PA 17089 -8819 : Medicare Advantage: Prior plan approval. 2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Just use our online search. Visits to PCP and Specialist providers in this tier will have the PDF Community Blue Medicare PPO Plan 2021 Provider Directory - Highmark For everyone, at every stage of life, preventive care is a critical part of staying healthy. | Are you planning a hospital stay? Blue Cross and Blue Shield of Louisiana Enters Into Definitive Agreement to be Acquired by Elevance Health, Deal will result in $3 billion foundation focused on improving Louisiana. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana. Once you have located the provider, you need to log in to e-referral to submit the referral request using the provider's name or NPI. Claims Processing P.O. We work with doctors, hospitals and clinics around Louisiana to make sure you have a better healthcare experience. While the Community Blue product is offered only in the Greater Baton Rouge area, Community Blue members may also access Community Blue network providers located in other parishes. Search for the highest-quality providers using the Blue Distinction filter. A Blue Cross Blue Shield Global Core accepted by providers across the country. CommunityCare adheres to the following principles in all that it does: respect, integrity, confidentiality and ethics. Find a doctor near you or search for other doctors in Louisiana and more. or call our Customer Service Department at 1-800-550-8722, Monday - Sunday, 8 a.m. - 8 p.m. TTY users should call 711. Not all plans offer all of these benefits. Get to know your options, from in-person checkups to online health care. PDF COMMUNITY BLUE FLEX PPO PROVIDER NETWORK - Beacon Light Where you go and who you see for treatment is a big part of getting quality healthcare while saving money. This directory is for the following counties in Pennsylvania: Adams, Berks, Bradford, Carbon, Centre, Columbia, Crawford, Deutsch | updated Apr 7, 2023 Top-rated plans with high customer satisfaction that are best for those with typical or moderate medical needs. Our directory allows you to search by provider last name or type of provider. PPO Access Standards for PCPs, Specialists and Hospitals (PDF). Franais | Outside the United States. Where can I get dental costs and information? For Medicare Members: Find a Doctor | BCBSM Highmark Inc. d/b/a Highmark Blue Shield and certain of its affiliated Blue companies serve Blue Shield members in the 21 counties of central Pennsylvania. Staying in-network is very important! If you just found out that you need surgery, or if you will be admitted to a hospital or ambulatory surgical center for any reason, you will most likely receive some care during your stay from a hospital-based physician. Whether you want to quit smoking or find the right doctor, we have many programs to help. Medicare Advantage PPO Plans - MediBlue PPO | Anthem Understand your plan, learn about health savings accounts, and watch helpful videos. Pay your bill, view your statements or update your email or password. That way, we canensure that our members have accessto their doctors within a reasonable distance. Search by location, specialty and condition. If you require special assistance, including accommodations for disabilities or limited English proficiency, please call us at 1-800-876-7639 or TTY at #711 to receive assistance free of charge. Always choose Enhanced Tier 1 providers when you can in For the best performance and security, always keep your web browser up-to-date. | CommunityCare is proudly owned by two of the regions premier health systems. Ting Vit | Direct Blue (individual) BlueCard Claims . Get information about your medical and pharmacy claims, Find information about your plan benefits, Quick and easy access to your account information, Claims, Payment Policies and Other Information. Community Blue Medicare PPO Signature (PPO) - HelpAdvisor.com Community Blue Medicare HMO Limitations and exclusions may apply. The freedom and flexibility. If your office is not NaviNet-enabled and you would like more information on electronic claims submission via NaviNet, please contact Highmark Provider Services. State laws and regulations governing health insurance and health plans may vary from state to state. 5 out of 5 stars Community Blue Medicare PPO Signature (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Highmark Health. To locate a provider within your plan's network, you will need to know the name of your plan. Highmark Medicare | pahealthbenefits Network choices that can translate to lower costs for copays and coinsurance. Not affiliated with or endorsed by any government agency. The specialty provider groups shown may not be practicing at the specific physical location. Affinity Health Network. If you're looking for a straight answer to your healthcare questions, this is the place. A wide variety of Medicare plans are available. 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. PDF Highmark Blue Cross Blue Shield: Community Blue PPO Provider/Pharmacy Directory Appointment of Representative Request a printed Provider/Pharmacy Directory Contact Information: Mailing Address Community Blue Medicare HMO P.O. Individuals attempting unauthorized access will be prosecuted. Referrals to the University of Michigan Health System and Henry Ford Health System Referrals to these two health systems require using specialty group NPIs rather than referring to an individual practitioner. Plan members dont require a referral to schedule an appointment with a specialist. By using this site, you agree to our use of session replay tools to collect real-time information about your use of our site. Read Our Non-Discrimination Notice, English | Search for meal delivery, transportation, job training and other services near you. How do I find a dentist? | FAQs | bcbsm.com Learn more about what's covered and what's available to you on your new health plan. 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. For more information, see: Online provider search bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. Pilipino | Not Registered? | Information on this website is issued by Highmark Blue Shield on behalf of its affiliated Blue companies. Freedom and flexibility. You are leaving the Blue Cross and Blue Shield of Louisiana (BCBSLA) website. Exceptional provider choices, close-to-home - including cancer care, rehabilitation services, behavioral health, emergency care, women's health and children's care. Tier 3 ($$$) Out of network non preferred: Visits to providers in this tier will cost you more. Manage your medicine, find drug lists and learn how to save money. Whether you want to quit smoking or find the right doctor, we have many programs to help. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Plan ID: H3916-034. Welcome to the Highmark Provider Portal. State and Federal Privacy laws prohibit unauthorized access to Member's private information. CommunityCare offers a wide variety of small and large group plans. Important Legal Information: Highmark Blue Shield, Highmark Benefits Group, Highmark Choice Company, Highmark Senior Health Company, and/or Highmark Health Insurance .
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