Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Aransas, Archer, Austin, Bell, Bowie, Brooks, Calhoun, Camp, Cass, Clay, Cooke, DeWitt, Dimmit, Duval, El Paso, Fannin, Fort Bend, Franklin, Freestone, Galveston, Goliad, Grayson, Gregg, Hamilton, Harris, Hood, Hopkins, Houston, Hudspeth, Jack, Jim Hogg, Karnes, Kaufman, Kenedy, Lamar, La Salle, Mason, Matagorda, McCulloch, McLennan, McMullen, Montgomery, Morris, Nueces, Palo Pinto, Polk, Potter, Randall, Real, Red River, Refugio, Rusk, San Jacinto, San Patricio, Shackelford, Smith, Throckmorton, Titus, Tom Green, Trinity, Tyler, Upshur, Van Zandt, Walker, Washington, Webb, Wharton, Wise, Wood, Zapata counties. As you start typing, well make suggestions and if you see a match, select it. If a provider does not participate, neither Medicare norTogether Blue Medicare HMOwill be responsible for the costs. You'll choose a primary care physician from the Select network. Blue Cross and Blue Shield of Texas (BCBSTX) offers both individual and group Medicare Advantage plans. Asking for help can be challenging, but you are not alone. Being a QA is what I find to be a perfect match for my personality | Viacheslav Kryzhanivskyi, , , LinkedIn Find a Doctor | Florida Blue Atascosa, Bandera, Bastrop, Bexar, Brazoria, Burnet, Caldwell, Cameron, Chambers, Collin, Comal, Dallas, Denton, El Paso, Ellis, Fort Bend, Hardin, Harris, Hays, Hidalgo, Jefferson, Johnson, Kendall, Lee, Liberty, Medina, Montgomery, Orange, Parker, Rockwall, Tarrant, Travis, Waller, Webb, Willacy, Wilson and Williamson counties. Don't include anyprotected health informationin your email. Finding Care | Find a Doctor | 2023 Medicare Options - Blue Cross Blue Get access to your member portal. Highmark Blue Shield of Northeastern New York and Highmark Blue Cross Blue Shield of Western New York are trade names of Highmark Western New York and Northeastern New York Inc. Health benefits or health benefit administration may be provided by or through Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Senior Health Company, Highmark Senior Solutions Company, Highmark BCBSD Inc., Highmark Western New York and Northeastern New York Inc. or Highmark Health Insurance Company, all of which are independent licensees of the Blue Cross Blue Shield Association. All references to Highmark in this document are references to the Highmark company that is providing the members health benefits or health benefit administration. , , Registered Service and Trade Marks are property of their respective owners. Fri. Please call Member Service at 1-800-200-4255 (TTY users call: 711). The Blue Medicare Essential (HMO) plan offers the following prescription drug coverage, with an annual drug deductible of $375 (excludes Tiers 1, 2, 3 and 6) per year. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. Enter the city where your provider is located or enter a street address to find providers located near you. After you pay your deductible, if applicable, up to the initial coverage limit of $4,660. RPPO and Rx (PDP) plan with a Medicare contract. Most PDF readers are a free download. BlueMedicare Premier (HMO) | Medicare Shopping - Florida Blue Medicare Advantage HMO Plans - MediBlue HMO | Anthem For example: If you're looking for a doctor that accepts our Medicare HMO Blue ValueRx plan, you'll want to search in the Medicare HMO Blue network. This plan provides group Medicare members access to providers within a defined network, with no out-of-network benefit. Select an HMO network below to learn more about how we select physicians, hospitals and other providers. Every year, Medicare evaluates plans based on a 5-star rating system. Official Site of Anthem Blue Cross Blue Shield, a trusted health insurance plan provider. The Braven Health name and symbols are service marks of Braven Health. For prescription drug on formulary at in-network pharmacy. Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Mental Health and Substance Use Challenges, Pediatric Neurodevelopmental Disabilities, Licensed Certified Addictions Counselor (LCAC), ATLANTICARE REGIONAL MEDICAL CENTER (POMONA), ATLANTICARE REGIONAL MEDICAL CENTER - HAMMONTON CAMPUS, CAPITAL HEALTH MEDICAL CENTER HOPEWELL CAMPUS, COOPER HOSPITAL UNIVERSITY MEDICAL CENTER, FRANKFORD HOSPITAL OF CITY OF PHILADELPHIA, HEALTH CARE SERVICE CORPORATION OF NEW MEXICO, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, JERSEY CITY MEDICAL CENTER SATELLITE EMERGENCY DEPARTMENT, NEMOURS CHILDRENS HOSPITAL, SURGERY CENTER, DEPTFORD, NEW YORK SOCIETY FOR THE RELIEF OF THE RUPTURED AND CRIPPLED, PRIME HEALTHCARE SERVICES - SAINT CLARE'S, LLC, PRIME HEALTHCARE SERVICES - ST. MARY'S PASSSAIC, LLC, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET, SAINT JOSEPHS HOSPITAL AND MEDICAL CENTER, ST LUKE'S HOSPITAL SACRED HEART CAMPUS PSYCH, THOMAS JEFFERSON UNIVERSITY HOSPITAL - METHODIST CAMPUS, UNIVERSITY OF PENNSYLVANIA MEDICAL CENTER - PRESBYTERIAN, VIRTUA - WEST JERSEY HEALTH SYSTEM (CAMDEN), VIRTUA - WEST JERSEY HEALTH SYSTEM (VOORHEES), VIRTUA - WEST JERSEY HEALTH SYSTEM - (BERLIN), VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY. For Medicare Members: Find a Doctor | BCBSM Medicare HMO Blue ValueRx | 2023 Medicare Options We do not offer every plan available in your area. Atlanta, GA 30326. We provide health insurance in Michigan. This plan includes low copays, telehealth coverage, an eyewear allowance, a hearing aid benefit, $0 copays on hundreds of prescription drugs, and more! 10/1 3/31, 7 days a week, 8:00 a.m. to 8:00 p.m. We have provided a claims filing tutorial for Availity should you need assistance. Linked Apps. or call our Customer Service Department at 1-888-234-5397, Monday - Sunday, 8 a.m. - 8 p.m. TTY users should call 711. You can search for providers by name, location and specialty, read and write reviews, and compare up to 5 doctors at a time. Learn more about HMO plan BlueMedicare PPO In-network coverage that travels with you, low copays and valued extras. 2023 Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. medicare.highmark.com. Not Registered? Individuals attempting unauthorized access will be prosecuted. To request a hard copy of our Medicare HMO Blue or Medicare PPO Blue provider directory, please call our Member Service Department at 1-800-200-4255 ( TTY: 711) from April 1 through September 30, 8:00 a.m. to 8:00 p.m. To join our Blue Cross Medicare Advantage network, refer toHow to Join. Please verify that your providers are participating before enrolling. Accessibility Except for emergencies, you must receive care from doctors and hospitals in your plans network. In addition to the specific criteria that providers must meet to belong to our networks, we monitor other factors. Find an Agent Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. In-home Health Assessments with Signify Health, Personalized Support for Disease Management, Medicare Advantage Part C Medical Care Plan Rights, Medicare Advantage Part D Prescription Drug Plan Rights, Medicare Advantage Billing Change Request, Medicare Advantage Designation of an Authorized Representative, Medex Member Designation of an Authorized Representative, Summary of Benefits - 2023 Medicare HMO Blue ValueRx (HMO), Evidence of Coverage - 2023 Medicare HMO Blue ValueRx (HMO), Nondiscrimination and Translations Resources, Your monthly premium will be different if you qualify for, This information is not a complete description of benefits. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area. Healthy Blue + Medicare | Blue Cross NC It looks like your internet browser doesnt allow our content to display properly. This new site may be offered by a vendor or an independent third party. , , Registered Service and Trade Marks are property of their respective owners. Medicare - Arkansas Blue Cross and Blue Shield Highmark Health Insurance Company is a PDP plan with a Medicare contract. Box 60007 Medicare beneficiaries may also enroll in this plan through the CMS Medicare Online Enrollment Center. Note that distance refers to an area like a zip code or city and not a physical street address. 1-855-358-1226 (fax), Attention: Medical Necessity Provider Appeals medicare.highmark.com. There are five reimbursement policies that only apply to MA PPO . Evidence of Coverage, Annual Notice of Change and Multi-Language Insert, Additional Rights, Responsibilities, and Instructions, Community Blue Medicare HMO Plan Comparison Guide, Request a printed Provider/Pharmacy Directory , Important Plan Documentsand Contact Information, Prescription Drug Conditions, Limitations, Exceptions, and Appeals, Call844-593-0265to speak with a Medicare Advisor today, Terms of Service Legal and Policies CSI Policy Non-Discrimination Policy Mental Health Parity. Summary of Benefits - 2023 Medicare HMO Blue ValueRx (HMO)(Updated 10/01/2022), Evidence of Coverage - 2023 Medicare HMO Blue ValueRx (HMO)(Updated 10/01/2022), Part B IRA Change Notice (Updated 03/01/2023). Please useChromeorEdgeor contact our Licensed Medicare Advisors @ 844-593-0265. Inscribirse ahora! It will open in a new window. Participating physicians and professional providers must submit claims to Blue Cross Medicare Advantage HMO and DSNP within 180 days of the date of service, using the standard claim form or electronically. Horizon Blue Cross Blue Shield provides such links for your convenience and reference only. Member ID Card Samples. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Your primary care physician can refer you to over 16,000 doctors and 141 hospitals in Michigan . To access Together Blue Medicare HMO's online provider directory, you can visit . Community Blue Medicare HMO includes a high-value network of select providers, PLUS an enhanced service model to assist in finding doctors, making medical appointments, and coordinating your health information between doctors and hospitals. Highmark Choice Company is an HMO plan with a Medicare contract. Select any of the Enroll Now buttons throughout this site to see information on how to enroll online, by mail, or via phone or fax. Dialysis facilities and hospitals near you. Linked Apps. Highmark Choice Company, Highmark Senior Health Company, and Highmark Senior Solutions Company are Medicare Advantage plans with a Medicare contract. Uliana 1 . Prior Authorization Services For Fully Insured and ASO, Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO), Prior Authorizations Lists for Designated Groups, Prior Authorization Exemptions (Texas House Bill 3459), Medicare Advantage Private Fee-for-Service (PFFS), Eligibility and Benefits Inquiry (HIPAA 270/271), Behavioral Health Care Management Program, Quality Care Partner With Your Patients, Preventive Care Guidelines/Patient Wellness Guidelines, Health Equity and Social Determinants of Health (SDoH), Prescription Drug List and Prescribing Guidelines, Prior Authorization and Step Therapy Programs, Medical Policy and Pre-certification/Pre-authorization Information for Out-of-Area Members, Consolidated Appropriations Act and Transparency in Coverage Final Rule, Medicare Marketing Guidelines Update Memo 080619, Medicare Marketing Guidelines Do's and Don'ts, Blue Cross Medicare Advantage HMO and DSNP Supplement, Blue Cross Medicare Advantage HMO and DSNP Orientation, Blue Cross Medicare Advantage HMO and DSNP Member ID Card Sample, Blue Cross Medicare Advantage Dual Care (HMO SNP) Model of Care training, Additional Payment for Medication Reconciliation Post Discharge. Shop plans for Medicare, Medical, Dental, Vision & Employers. Community Blue Medicare HMO PDF Community Blue Medicare HMO Plan 2023 Provider Directory