Payment  of the difference between the cost of a brand name drug and a generic may also be required if a generic drug is available. BlueCare Direct is ideal for your customers who live and work in the greater Chicago area and have no need to pay more for a network that includes providers in other parts of the state. Register Now. The referral must be in writing and must specifically state the services that are to be rendered. Forgot Username? BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. In the United States, Puerto Rico and U.S. Virgin Islands. Provider Directory Primary Doctor/Hospital Search. We comply with applicable Federal civil rights … ©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. Ask your provider if the services. Register Now. Once you have located the provider… $60/office visits; deductible does not apply 50% coinsurance for other outpatient services, Primary Care: $60 Specialist: $85; deductible does not apply. To find out what Doctors or other Health Care Providers … BlueCare Tennessee is an Independent Licensee of the Blue Cross Blue Shield Association. BlueCare Direct provides access to … 2. I. In-Network Preventive Health Care services and services with a copay are covered before you meet your deductible. Dental Provider Network. Must be affiliated with member’s chosen medical group or referral required. BlueCare Direct provides access to Advocate Health Care’s vast network of doctors and hospitals in Cook, DuPage, Kane, Lake and Will counties and available to individual, family and small groups. With 98 percent of Michigan pharmacies in our network, it's easy to find one that accepts these plans. Your cost if you use a Participating Provider, Your cost if you use a Non-Participating Provider, $100/lab, $150/X-Ray; deductible does not apply. HMO Provider Directory May 2019 Visit BlueKC.com for the most current listing. Get access to your member portal. Childbirth/delivery professional services. Site Map | Feedback | Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Important Information About Medicare Plans. You may be eligible to synchronize your prescription refills, please see your benefit booklet* for details. Non-emergency care when traveling outside the U.S. Chiropractic care (Limited to 25 visits per calendar year. Individuals attempting unauthorized access will be prosecuted. Telepsychiatry benefits are available; see your benefit booklet* for details. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. You may also file a complaint verbally with a BlueCare Plus Member Services representative by calling 1-800-332-5762, TTY:711, 1-800-332-5762, TTY:711, 7 days a week from 8 … We provide health insurance in Michigan. Up to a 90-day supply at mail order. Except for emergencies or accidental injuries, you aren't covered out-of-network. It provides health care coverage that gives members access to the resources of the largest health care system in Illinois, including: Because of its Advocate-exclusive network, BlueCare. Excluded Services & Other Covered Services: $20/office visits; deductible does not apply 30% coinsurance for other outpatient services, Primary Care: $20 Specialist: $40; deductible does not apply, $30/office visits; deductible does not apply 50% coinsurance for other outpatient services, Primary Care: $30 Specialist: $65; deductible does not apply, Lower monthly premiums and lower out-of-pocket costs than most other HMO plans available to individual plan members, Same day mammograms, and get the results on the same day**. Provider Login. Credentialing … Access to Advocate’s network of over 250 sites of care, including: © 2007-2021, Illinois Health Agents, Inc. 2021 Cigna Connect Health Plans – Chicago, 2021 Cigna Plus Silver Diabetes Care Options, Illinois Health Insurance Laws & Regulations, www.healthcare.gov/coverage/preventive-care-benefits/. Welcome to BlueCare Tennessee. Along with all the features of an HMO, BlueCare Direct offers: BlueCare DirectSM is a unique product that combines the strength, expertise and reputation of two of the state’s leading health organizations. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Learn more about plan monthly cost,premimum deductibles,prescription drug … You get the savings of a local network and primary care physicians who'll conveniently guide your care. Not Registered for the Provider Portal? You'll choose a primary care physician … The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, … You'll choose a primary care physician from the Select network. Table of Contents Blue-Care Blue-Care Accessing Mental Health Services 3 BDTC Provider Listing 4 Retail Health and Urgent … One pair of glasses up to age 19 per year. 1.1 BlueCare … 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 … BlueCare Direct– BlueCare Direct … Learn more about plan monthly cost,premimum deductibles,prescription drug … Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay. Facility fee (e.g., ambulatory surgery center), Per occurrence copayment waived upon inpatient admission. ® … Blue Cross and Blue Shield of Illinois (BCBSIL) has a new low-cost health plan for members who use Advocate Health Care services. You will go to the United Concordia website where you can start your search. Maternity care may include tests and services described elsewhere in the SBC (i.e. The Blue Precision HMO Plans use the Blue Precision HMO network, one the largest HMO networks in Illinois, including Northshore University Hospital Systems. Blue Cross ® Select HMO plans combine two great features in one plan. Forgot Password? ultrasound). If you are shopping and there is no alpha prefix, … Your primary care physician can refer you to over 16,000 doctors and 141 hospitals in Michigan, Michigan's largest HMO network. i . Under the … Blue Cross and Blue Shield Licensees have made reasonable efforts to validate … You will pay less if you use a provider in the plan’s network. See your benefit booklet* for details. Table of Contents . Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. *For more information about limitations and exceptions, see the plan or policy document here. Description of Health Plans and Health Plan Sub-Programs 1. In the United States, Puerto Rico and U.S. Virgin Islands. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. BlueCross Total and Total Value PPO – In-state providers BlueCross Total and Total Value PPO – Out-of-state providers BlueCross Secure HMO … It is contracted to manage a network of dental providers for Highmark and Highmark Health Insurance … Benefits will be limited to those specifically stated services. This planwill pay some or all of the costs to see a specialistfor covered services but only if you have a, Self-refer to specialists within the Advocate network without a PCP referral (except in some instances such as for surgical procedures or physical therapy regimens), The state’s largest integrated children’s network, The state’s largest home health and hospice companies, One of the region’s largest medical groups, More than 4,000 Advocate primary care and specialty physicians across Cook, DuPage, Lake, Kane and Will counties, 10 Advocate hospitals, including Advocate Children’s Hospital with campuses in Park Ridge and Oak Lawn, Advocate Illinois Masonic Medical Center in Chicago, Advocate Good Samaritan Hospital in Downers Grove, Advocate Condell Medical Center in Libertyville, Advocate Christ Hospital Medical Center and Advocate Children’s Hospital in Oak Lawn, Advocate General Hospital and Advocate Lutheran General Children’s Hospital in Park Ridge, Advocate’s home health and hospice agency for transition from hospital to home. 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