Carefirst blue choice maryland providers

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Other Benefits. Back to top. CareFirst BlueChoice Advantage offers you the flexibility and freedom to choose from both in- and out-of-network providers. CareFirst BlueChoice Advantage does not require you to designate a primary care provider PCP or to obtain a referral to see a specialist. However, if you select a patient centered medical home PCMH PCP , they can help you to better manage your health care needs and overall well-being by providing comprehensive care coordination.

Your portion of the cost of the medical coverage is deducted from your pay on a pre-tax basis. Express Scripts drug coverage is included with your cost for the CareFirst medical coverage. The Plan Allowance for covered services is determined by the contracted rate or fee schedule that participating providers have agreed to accept for that service or the rate or fee that is established by law.

The in-network annual deductible applies to non-preventive care services. Preventive care such as annual physicals and mammograms are not subject to the deductible, however, copayments still apply. The BlueChoice plan does not cover any portion of your medical bills until you first meet your annual deductible; copayments still apply and do not count toward the deductible.

After the deductible is met for the year, you pay the copayment for certain covered services. The out-of-network plan does not cover any portion of your medical bills until you first meet your annual deductible. If your provider participates with BCBS through another plan, they are required to submit your claims on your behalf and BCBS will reimburse them directly. You are responsible for arranging your own hospital certifications.

There is a financial penalty if pre-certification is not arranged. Please call the provider's office directly to confirm that they still participate in the CareFirst network, even if they are listed as a provider on the CareFirst site.

To find an in-network provider, visit www. If your provider is not listed in the online directory, they are considered out-of-network. You will still have coverage, but your out-of-pocket costs will be greater.

Please call the provider's office directly to confirm that they still participate in the CareFirst network, even if they are listed as a provider on the BCBS site. In addition, you can schedule visits for other needs such as behavioral health support from a therapist or psychiatrist, guidance from a certified nutritionist or breastfeeding support from a lactation consultant.

Visit www. Patient centered medical home PCMH doctors provide coordination of care for patients with serious and chronic health conditions. If your physician participates, they will get streamlined access to specialist reports, test results, and hospitalization information. A nurse in your physician's office is designated to be available to answer questions, support the treatment process, and be proactive in providing care.

The program is confidential, voluntary, and provided at no additional cost to you. If you are contacted by your doctor, we strongly encourage you to enroll in the program so that you can get personalized care and support for you and your family. To find out if your physician participates in the program, go to www. CareEssentials is a personalized, confidential, and voluntary health coaching program to help people with chronic conditions, like diabetes or asthma, to manage their overall health.

Highly trained nurses provide one-on-one telephone support and health information, help you prepare questions for doctor visits, answer questions about new diagnoses and medications; and assist with other health issues.

Ashley Artis, M. Cordelia Nwankwo, MD. Meredith Nachbahr, MD. Rene Johnson, C. Natalie Moore, M. Steven Miller, M. Christos Ballas, M. Allan Rubin, MD. Robert Pegues, MD. Jeanette Wolff, CNM. Harvey H. Kasner, M. Thelma Asare, MD. Nadim Hawa, M. Courtney Levenson, M. Iralia Georgiou, M. Sarah S. Rivera, M. Gillian Jacob, M. Roy Khoury, M. Lisa Holloway, C.

Cathleen Mills, M. Jane Allen, M. Anne Brown, M. Sona Patel-Grimm, M. Dorothy Lee, M. Brad Norman, M. Sheila Bennett, C. Thomas Ein, M. Kara Jefferies, M. Andrew Oh, M. Kimberly Severn, C. Laura Burnham, C. Bandhana Bajaj, M. Kimberly Capone, C. Gerald Renzi, M. Lorraine Bowen, C. Randolph Lizardo, M. Marvin Davis, M. Ivette Couret, M. Anne Shrout, M. Michael Kusic, M. Leonard Bienkowski, M. Lawerence Fogelson, M. Jonathan Elias, M. Cynthia King, M. Ashok Rangnath , M. Nicole DeQuattro, M. Michael Giudice, M.

David Solberg, M. Lisa Miller, M. Patricia DeHof, C. Lori Picco, M. Brian Heyman, D. Thu Tran, M. Craig Dickman, M. George Resta, M. Michelle Spector, M. David Berry, M. Laura Toso, M. Christine Tran, M. Gerrit Schipper, M. Laura Kiszkiel , M. Diane Laurin, M.

Jacqueline Apgar, M. Barbara Butler, M. Tamara Coates, M. Tracy Duke, M. Elizabeth Kane, M. Kenneth Blank, M. Kari Schichor, M. Julian Safran, M. Amy Heyman, D. Dawn Mossburg, C. Richard Margolis, M. David Grossman, M. Heather Sine, M. Judith Gurdian, M. Melinda Munson, M. Helen Hannah, C. Damon Hou, M. Edward Wolfgram, M. Andrea Groag, C. Stephen Lakner, M. Elizabeth Krinn, M. Corliss Newhouse, M. Michelle Stas, M. Monica Buescher, M.

Nicole Pilevsky, M. John Maddox, M. Shannon Cothran, M. Jan Master, C. Renee Thomas-Spencer, M. Debra Acerenza, M. Jessica Berger-Weiss, M. Anders Apgar, M. Darryn Band, M. Adrienne Potts, M. Michele Klein, M. Syeda Naureen Alam, M. Mitesh Kothari, M. Glen Silas, M. Pascale Duroseau, M.

Constance Bohon, M. Deena Kleinerman, M. Steven Maggid, M. Susan Funke, C. Mary Anne Facciolo, M. Christine Richards, M. Anita Pillai-Allen, M. David Wagar, M. Gina Hibshman, M. Yeung Lee, M. Jie Gao, M.

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They play a huge role in keeping you healthy now and in the long run. Your PCP's office is your medical "home base. Your PCP:. Then from the list of types of care, select Medical Care.

You will then see an option to search Primary Care Providers. This tool will show you primary care physicians who are in-network for CareFirst's Blue Cross Blue Shield coverage, with their specialty, whether they are accepting new patients, what languages they speak, where they went to medical school, and their practice address and phone number.

Skip Navigation. Login Register. Have questions about health insurance? Explore our Insurance Basics pages. This process allows you or your dependents to receive care from out-of-network providers for up to 90 days.

Complete the Continuity of Care form and submit it to CareFirst to determine if you qualify for this process. Viewing and printing this document requires Adobe Acrobat Reader, which can be downloaded free from the Adobe site. Toggle navigation. Provider Network. Our Network Advantage. A World of Choices Your membership gives you a world of choices. Provider In-Network Facts.