Carefirst bcbs broad network plan 1

When shopping for a health plan for you and your family, ask these questions to see if a POS may be right for you:. If you provide a phone number, an agent may call you to make sure that you received the information and to answer any questions that you might have.

Monday — Friday: 7 a. MT Saturday: 7 a. MT Sunday: 9 a. Customer Service: Calls may or may not be answered inside the United States.

Already a member? Call the Customer Service number on the back of your member ID card. Welcome Employers Producers Providers. Company Information Language Assistance. Breastfeeding Counseling. Pharmacy Find a Pharmacy Pharmacy Programs. Sign Up or Login. You can see an out-of-network provider, but you will pay more of the bill. Emergency services are covered at the highest benefit level whether the provider is in the POS network or not.

For the few covered services not available within the POS network, you may see an out-of-network provider at the in-network benefit level.

But make sure your PCP knows of the providers in this network. When shopping for a health plan for you and your family, ask these questions to see if a POS may be right for you: What type of health care do I expect for the coming year? You can design benefit levels in each tier for added cost savings.

With tiered networks, you benefit from a large national network while allowing members to decide where to receive care. You can design tiers to meet specific goals like cost savings or maximize visits to on-site facilities hospitals and health campuses while maintaining quality and encouraging selection of top-tier providers.

If you are interested in crafting tiered benefits and incentivizing employees to visit Tier 1 providers, CareFirst Administrators can help you design a custom solution unlike any other. Results based on most recent designation cycle for each specialty.

Savings based on total episode cost. Log In or Register. What is CareFirst Administrators? Home Providers Homepage. Medical Policies and Procedures Information for Providers.

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These plans combine the benefits of an HMO with access to out-of-network providers. You can see providers in the BlueChoice network for the most savings or use the PPO network and pay slightly more but still be protected from balance billing. You can also visit a provider outside of CareFirst's networks, but you'll likely pay charges that exceed CareFirst's allowed benefit.

You can receive care from the PPO network of more than 55, providers locally and hundreds of thousands nationally. In addition, you can go out-of-network and pay slightly more. Understanding plans.

Usually the least expensive choice. Your PCP and providers handle the paperwork. Very limited coverage out of the HMO's service area. Seeing an out-of-network provider usually means you will pay the entire cost.

BlueChoice HMO. Point of Service POS. Includes benefits of an HMO and access to out-of-network providers. When you use your PCP to coordinate care, you'll pay the lowest cost and they'll handle the paperwork.

Copayments for in-network services are known in advance. Deductibles may apply in some plans. Using out-of-network providers will cost you more. Coverage for out-of-area services will vary; check the plan carefully to understand costs. Large choice of providers. No referrals required. Care can be accessed from the PPO network of more than 47, providers locally and thousands nationally. Costs will be higher if you see a doctor who does not participate with a Blue Cross and Blue Shield plan.

Catastrophic plans, like our BlueChoice HMO Young Adult plan, usually have lower premiums than a comprehensive plan, but have higher deductibles. The BlueChoice Young Adult plan is available to individuals under the age of 30 at the time of their effective date. Please note, certain individuals age 30 or older may also apply for BlueChoice Young Adult if their policies were cancelled due to non-compliance with the Affordable Care Act or if they quality for a hardship exemption.

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