Are you planning a hospital stay? 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. To access Freedom Blue PPO's online provider directory, you can visit . You get a team of health care doctors, nurses and hospitals who work together to help you get the right care in the right place. Local Provider Directory | Find a Doctor | Blue Cross and Blue Shield We offer three Traditional plans and three Certified plans to meet your needs. highmark.com or call our Customer Service Department at 1-833-227-9375, Monday through Sunday, 8:00 a.m. to 8:00 p.m. TTY users should call 711. Highmark Blue Shield We provide health insurance in Michigan. We offer three Traditional plans and three Certified plans to meet your needs. 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. Explore the CommunityCare Health and Wellness resources. . The best value, this covers the care you need. Blue Cross Blue Shield of Michigan Community Blue - MSU Human Resources It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. Community Blue Flex engages members because it offers two levels of in-network benefits. 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. Monthly premiums as low as $0. . You pay slightly more at this level. How do I find a dentist? | FAQs | bcbsm.com updated Apr 7, 2023 Top-rated plans with high customer satisfaction that are best for those with typical or moderate medical needs. Community Blue Medicare PPO is a Medicare Advantage Preferred-Provider Organization plan that gives you coverage for every need health, prescription drugs, routine dental, vision, hearing, and preventive care. Read Our Non-Discrimination Notice, English | To view all in-network providers, please choose the HMO Louisiana HMO/POS network in the All Networks dropdown above. PDF Complete Blue PPO Plan 2022 Provider Directory - Highmark PDF Community Blue Certificate SG - 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. With gym packages starting at $19 a month, you'll have access to 11,000 participating fitness locations around the state and nation. | Go here if a Tier 1 provider is not available. or call our Customer Service Department at 1-800-550-8722, Monday - Sunday, 8 a.m. - 8 p.m. TTY users should call 711. TTY . | 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. Highmark Blue Cross Blue Shield:Community Blue PPO Summary of Benefits and Coverage:What this Plan Covers & What it Costs Questions:Call1-866-594-1729or visit us atwww.highmarkbcbs.com. We use cookies on this website to give you the best experience and measure website usage. We monitor and update our providers every year. Try not to go here if possible. Search the provider directory for the most up-to-date list of participating providers. Blue PPO's network providers in your area, you can visit . Find a Doctor | bcbsm.com Compare Quotes Now Editor's Rating Highmark, an affiliate of Blue Cross Blue Shield, sells Medicare plans in Pennsylvania, New York, Delaware and West Virginia. CancerCARE Program. Get discounts on gym memberships, fitness gear, healthy eating, prescriptions and more. Small Group Employers: Community Blue PPO | bcbsm.com We offer a complete choice of plans to meet your coverage needs and fit your budget. Just use our online search. It has a large network of providers and hospitals within Michiganand includes nationwide coverage. PROVIDERS BABY BLUEPRINTS BLUECARD ELIGIBILITY To enroll in this free maternity education and support program, expectant mothers can call: 1-866-918-5267 To verify eligibility and benefits for BlueCard members, please use one of the following options: NaviNet's Blue Exchange BlueCard Eligibility telephone line: 1-800-676-BLUE 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. You can do a general search to find doctors and hospitals who accept your plan. Community Blue Medicare PPO Distinct (PPO) H3916-034 Plan Details, Top 10 Best Medicare Supplement Insurance Companies, Diabetes Supplies, Training, Nutrition Therapy and Monitoring, Diagnostic Tests, Lab and Radiology Services, and X-Rays, Preventive Services and Health/Wellness Education Programs, Community Blue Medicare PPO Distinct (PPO), Prophylaxis (Cleaning)(Max 1 every six months), Maximum 1 visit (Please see Evidence of Coverage for details). You are leaving the Blue Cross and Blue Shield of Louisiana (BCBSLA) website. The Community Blue PPO plan offers members the flexibility to see any provider throughout the U.S. without a referral, with lower out-of-pocket costs when you use in-network providers. Community Blue Medicare HMO State Health Plan Preferred Provider Organization (PPO) Our SmartShopper tool lets you compare the costs of common medical procedures based on price and location. For any questions Frequently Asked Questions Plan Documents and Forms Calculators and Tools Contact Us Walk-in Centers All our Community Blue PPO plans use the Custom Select Drug List (PDF). By using this site, you agree to our use of session replay tools to collect real-time information about your use of our site. Just use our online search. Gold $$$: This level has even richer benefits than silver, but also a higher monthly premium. Please contact the hospital to confirm. Important Legal Information:Health benefits or health benefit administration may be provided by or through Highmark Blue Shield or one of its affiliated Blue companies, which are independent licensees of the Blue Cross Blue Shield Association. Register Now. PDF Freedom Blue PPO Plan 2023 Provider Directory - Highmark Always choose Enhanced Tier 1 providers when you can in Get access to your member portal. The freedom and flexibility. Every year, Medicare evaluates plans based on a 5-star rating system. H3916_20_2120_C This directory provides a list of Community Blue Medicare PPO's network providers. Affinity Health Network Where you go and who you see for treatment is a big part of getting quality healthcare while saving money. Get access to your member portal. Need more information? More detailed searches are possible by clicking on More Search Options. Not Registered? 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. Learn more about what's covered and what's available to you on your new health plan. Individuals attempting unauthorized access will be prosecuted. 2023 Documents Download 2023 plan certificate | Any information we provide is limited to those plans we do offer in your area. Costs for Anthem MediBlue PPO plans vary, but depending on where you live, plans may be . Understand your plan, learn about health savings accounts, and watch helpful videos. In-Network: Copayment for Medicare-covered Chiropractic Services $20.00. Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service & Indemnity Company. We provide health insurance in Michigan. Join the conversation and stay connected with us for exclusive content. By continuing to use this website, you consent to these cookies. COMMUNITY BLUE FLEX PPO PROVIDER NETWORK Our network gives you access to affordable, patient-centered care where you need it most with doctors and hospitals that are in the community. Search Express Scripts network for a retail pharmacy. Maximum 4 Routine Care every year. Provider/Pharmacy Directory Appointment of Representative Request a printed Provider/Pharmacy Directory Contact Information: Mailing Address Community Blue Medicare HMO P.O. The information contained on this website regarding the Patient Protectionand Affordable Care Act of 2010 (PPACA), as amended, and/or any otherlaw, does not constitute legal or tax advice and is subject to change basedupon the issuance of new guidance and/or change in laws. Community Blue - Highmark Insurance How We Choose Providers for Our PPO Networks. Resources Find Care Medicare find care Medicare: Find a Doctor As a Blue Cross Blue Shield of Michigan or Blue Care Network member it's easy to access care. Through this search tool, you can also search for health . 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. 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. By using this site, you agree to our use of session replay tools to collect real-time information about your use of our site. To get the most out of your benefits and for the lowest cost share, click here to view providers . External links open in new windows to websites Blue Cross and Blue Shield of Louisiana does not control. Visits to providers in this tier will cost less and you'll get the most out of your benefits. Highmark providers are committed to delivering excellent care to their patients. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. The following hearing services are covered from in-network providers. Publicly available forms and resources for our members. A wide variety of Medicare plans are available. Register Now Why log in? Information on this website is issued by Highmark Blue Shield on behalf of its affiliated Blue companies. NaviNet is the fastest way to submit claims to Highmark. Create an online account. Espaol | 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. Staying Healthy: Screenings, Tests and Vaccines, Members Whose Plan Did an Assessment of Their Health Needs and Risks, Yearly Review of All Medications and Supplements Being Taken, Yearly Pain Screening or Pain Management Plan, Osteoporosis Management in Women Who Had a Fracture, Eye Exam to Check for Damage from Diabetes, Kidney Function Testing for Members with Diabetes, Plan Members with Diabetes Whose Blood Sugar Is under Control, The Plan Makes Sure Member Medication Records Are Up-to-Date after Hospital Discharge, The Plan Makes Sure Members with Heart Disease Get the Most Effective Drugs to Treat High Cholesterol, Ease of Getting Needed Care and Seeing Specialists, Health Plan Provides Information or Help when Members Need It, Coordination of Members' Health Care Services, Member Complaints and Changes in the Health Plan's Performance, Complaints about the Health Plan (More Stars Are Better because It Means Fewer Complaints), Members Choosing to Leave the Plan (More Stars Are Better because It Means Fewer Members Choose to Leave the Plan), Improvement (if Any) in the Health Plan's Performance, Health Plan Makes Timely Decisions about Appeals, Fairness of the Health Plan's Appeal Decisions, Based on an Independent Reviewer, Availability of TTY Services and Foreign Language Interpretation when Prospective Members Call the Health Plan. It has a large network of providers and hospitals within Michigan and includes nationwide coverage. Community Blue PPO | Human Resources University of Michigan 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. More than 50 community and specialty hospitals and more than 10,400 doctors in 29 counties in Western Pennsylvania. CommunityCare offers discounts and membership specials at the St. John Siegfried Health Club and the Saint Francis Health Zone for CommunityCare members. 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 Where you go and who you see for treatment is a big part of getting quality healthcare while saving money. Register Now. Enhanced Tier 1 ($) In network preferred: Or, if you are looking for a specific type of doctor or hospital, you can choose advanced search. We monitor and update our providers every year. PDF 2023 Health Plan Coverage Comparison Chart - Human Resources University The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. CGI Technologies and Solutions Inc. (CGI) will perform retrospective reviews for the following: Use of this Portal will enhance the audit program for the following reasons: 2023 CGI Technologies and Solutions Inc. Highmark Blue Shield Provider Resource Center (Central, Eastern and Northeastern PA), Highmark Blue Cross Blue Shield West Virginia, Highmark Blue Cross Blue Shield West Virginia Provider Resource Center (West Virginia and Washington County, OH), Highmark Blue Cross Blue Shield Delaware Provider Resource Center, Provider Web Portal User Guide (downloadable version), Ambulatory Surgical Center (ASC) services, Reduce need to contact Highmark and/or CGI. Highmark Medicare | pahealthbenefits To access Community Blue Medicare PPO's online provider directory, you can visit medicare.highmark.com. Find a Doctor | Blue Cross Blue Shield 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. A wide selection of cost sharing and cost-savings benefit designs. Get to know your options, from in-person checkups to online health care.