How Can I Find A Top
You can use Zocdoc to find Empire BlueCross BlueShield HealthPlus Doctors who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.
Important Announcements And Events
Get your no-cost flu shot
The flu shot is the number one way to protect against the flu. Thats why its important to get vaccinated every year.
Visit the dentist regularly
Regular dental visits are good for your overall health. Taking action now will help you avoid issues in the future. Visit our Dental Benefits page to learn more about your dental benefits.
Has your address changed?
Make sure you receive important information from MDHHS. Log in to your MI Bridges account and update your address, phone and email in both the profile section and the Make Changes area.
Member handbook
Find important health plan information in the Member Handbook and Updates to Member Handbook . View COVID Benefits and the Notice of Privacy Practices and Member Rights and Responsibilities .
Pharmacy
Blue Cross Complete is here to help you at the pharmacy. To view your benefits, visit the Pharmacy Benefits page.
Fraud, waste and abuse
Have you seen examples of fraud, waste or abuse? Learn how to report them on the Fraud, Waste and Abuse page.
Are Video Visits With A Primary Care Doctor Online Covered By Empire Bluecross Blueshield Healthplus
Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Doctors who accept Empire BlueCross BlueShield HealthPlus for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.
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A Medicaid And Healthy Michigan Planmanaged Care Health Plan
Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. We help Medicaid members get the health care they need in 32 Michigan counties across the state.
We provide members with the care they need, when they need it. This includes a wide range of benefits, such as transportation services, a 24-hour nurse help line, vision, hearing and dental coverage. We also offer pharmacy, maternity care and integrated care management benefits.
The Healthy Michigan Plan is a health care program from the Michigan Department of Health and Human Services. Blue Cross Complete administers Healthy Michigan Plan benefits to eligible beneficiaries.
When Should I Use A Blue Cross Blue Shield In
Some plans are more restrictive to the Blue Cross Blue Shield network than others, but its generally a good idea to visit an in-network provider whenever possible.
- If you have an HMO plan, you are unlikely to receive any coverage if you visit an out-of-network doctor or other provider except for emergency care.
- If you have a PPO plan, you can often receive some coverage for care when visiting an out-of-network provider, but your out-of-pocket costs for covered services will typically be lower when seeing a Blue Cross Blue Shield in-network provider.
One exception is with Blue Cross Blue Shield Medicare Supplement Insurance plans. These plans do not adhere to a network and are accepted anywhere that Original Medicare is accepted. Please note that Medicare Advantage and Medicare Supplement plans are very different, and you cant have both types of coverage at the same time.
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Where Can I Find A Doctor That Accepts Medicare And Medicaid
To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services’ Physician Compare. You can search by entering a health care professionals last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system. This tool will provide you with a list of professionals or group practices in the specialty and geographic area you specify, along with detailed profiles, maps and driving directions.
Please note that Physician Compare only lists professionals that accept Medicare. Although some may also accept Medicaid, it does not have information about which professionals do accept Medicaid.
Medicaid programs vary by state and each state Medicaid agency maintains their own list of professionals that accept Medicaid. For further assistance, please contact your health plan or state Medicaid agency. For more information about Medicaid, visit the Medicaid & CHIP page on Healthcare.gov.
If you have trouble accessing the Physician Compare website, please call 1-800-MEDICARE and a representative will be able to run the search for you. They can also send you a print version of the search results.
There are other directories on MedlinePlus that will help you find health professionals, services, and facilities, some of which may serve Medicare or Medicaid payments.
What Is Hmo Insurance
An HMO, or Health Maintenance Organization plan, restricts members to the plans network of participating providers. If you stray outside of this network for care, you are unlikely to receive any coverage and, in most cases, will be responsible for the full cost of the service or item out of your own pocket.
Emergency care services is the lone exception and is covered at the same plan rate as non-emergency care.
HMO plans generally practice managed care, which is when a primary care physician coordinates your care within the plans network of specialists and issues referrals for care.
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Blue Cross Complete Mobile App
Access your account anytime, anywhere. The Blue Cross Complete mobile app keeps you up-to-date on your health care information. You can update your member information. You can also find doctors and hospitals. And, you can see a list of your current medications. To download our app, click on the links below or search for “BCCMI” in the App Store® and Google Play.
Access your data on other mobile apps
Before agreeing to share your health data with a third party health or fitness app, youll be directed to sign in and authenticate the third party app using your Blue Cross Complete online account. If you dont already have an online account, youll be prompted to register before this process can proceed.
Once you review the Third Party Data Privacy Information , youll be directed back to the third party app approval process. There you may approve or cancel third party app selection. If, at any time, youd like to revoke consent to providing your health data to a third party app, you may do so from within your online account.
Local / National Search
A location based search for local or national doctors, specialists and providers based on name or specialty. Search for facilities such as hospitals, urgent care and labs by name or type.
NYS Sponsored Health Plans
All Other Excellus BCBS Plans
Log in for results based on your plan and location
Modal for Excellus BCBS Service Area
Modal for Changes to this Directory
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Horizon Medicare Blue Supplement Plan Advantages:
- See any doctor that accepts Medicare
- No membership fees and no application fees
- Exclusive member discounts through Blue365®
- Save up to $24/per year with EFT payments
- Option to add a prescription, vision and/or dental plan
Plan C and Plan F are only available to eligible applicants who turned age 65 prior to January 1, 2020, or to those who turned 65 onor after January 1, 2020, but have a Part A effective date prior to January 1, 2020
Procedure Code And Fee Schedule Updates
As part of our commitment to help inform our independently contracted providers of certain developments, Blue Cross and Blue Shield of Illinois has designated a specific section in the Blue Review to notify you of any significant changes to the physician fee schedules.
On Jan. 1, 2023, BCBSIL will implement Current Procedural Terminology and Healthcare Common Procedure Coding System procedure code additions, deletions and revisions. Please note that deleted codes will not be accepted for payment for dates of service on or after Jan. 1, 2023.
The information above is not intended to be an exhaustive listing of all changes. For more information on the above change, use our Fee Schedule Request Form and specifically request the updates on the codes listed in the Blue Review. Annual and quarterly fee schedule updates may be requested by using the Fee Schedule Request Form. The downloadable form is available on the Forms page on our Provider website. Professional providers participating in our Preferred Provider Option , Blue High Performance NetworkSM and Blue Choice PPOSM networks may use the Fee Schedule Listing tool on Availity® Essentials to submit electronic requests and receive the contracted price allowance for specific codes.
CPT copyright 2021 American Medical Association . All rights reserved. CPT is a registered trademark of the AMA.
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Aim Specialty Health Prior Authorization Program
Blue Cross and Blue Shield of New Mexico has contracted with AIM to provide certain utilization management prior authorization services for certain Commercial, Retail and ASO members and Blue Cross Community Centennial Members. Services requiring prior authorization through AIM are outlined below. AIM is an independent company that provides specialty medical benefits management for BCBSNM.
Use the AIM ProviderPortal for Pre & Post-Service Reviews
Use the AIM ProviderPortal to request prior authorization and respond to post-service review requests by AIM. Do not submit medical records to BCBSNM for prior authorization or post-service reviews for the care categories managed by AIM. Medical records may or may not be needed for pre or post service reviews using the AIM portal due to the smart clinical algorithms within the portal.
Benefits of the AIM ProviderPortal for Pre & Post-Service Reviews
Services requiring prior authorization through AIM:
- Molecular and Genomic Tests
Use the AIM ProviderPortal for Pre & Post-Service Reviews
AIM Contact Information
How Can I Book An Appointment Online With An Empire Bluecross Blueshield Healthplus Primary Care Doctor
Zocdoc is a free online service that helps patients find Empire BlueCross BlueShield HealthPlus Doctors and book appointments instantly. You can search for Empire BlueCross BlueShield HealthPlus Doctors by symptom or visit reason. Then, choose your location. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.
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What Is Ppo Insurance
PPO, or Preferred Provider Organization, is a type of plan that allows members to visit doctors and other providers outside of the plans network and still receive at least partial coverage in most cases. However, plan coverage will typically be maximized when staying inside the network for care.
PPO members may still have a primary care physician but are not dependent on them for referrals and their care is not coordinated the way it is with an HMO plan.
Like HMO plans, emergency care is not restricted to network use with a PPO plan.
Changes To This Directory
Were committed to providing you with up-to-date provider information. Upon joining our network, we verify a providers credentials, license and practice information before posting it in our provider directory. We also perform a routine audit of provider records at least once every three years. Providers also send practice information changes as they occur. Due to our verification process, please allow up to 10 business days for changes sent to us to appear in our directory.
While we make every effort to ensure the accuracy of this information, it may contain errors or discrepancies. If you have questions about a providers participation or any information found here, please contact the provider directly.
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How To Determine Your Medicaid Provider Network
If youre eligible to enroll in Medi-Cal, you are automatically placed into the Fee-Fo-Service plan until you select your managed care provider. Your access to Medi-Care health plans depends on what California county you live in. Once you select a Medi-Cal managed care plan, you will select your primary care physician , which is the main doctor you will see for your routine checkups and visits when youre sick.
You can view the Medi-Cal Managed Care Health Plan Directory to determine which health plans are available in your county. You must select a plan no more than 30 days after youve been informed you qualify for Medi-Cal services. Otherwise, the state of California will select your health plan for you.
If your county only has one plan listed, then that is the only option available for all Medi-Cal enrollees. If there is more than one option available, you should compare plans to choose the best one that will meet your health and medical needs.
How to Find Providers, Doctors, Medical Offices and Hospitals
Once you have selected your health plan, you can determine which providers are covered. You can use DHCSfind a provider form to help by following only three simple steps when you search by location:
What Is A Blue Cross Blue Shield In
A Blue Cross Blue Shield in-network doctor is one who accepts Blue Cross Blue Shield health insurance and agree to adhere to the terms, conditions and reimbursements set forth by the plans coverage. The provider also needs to accept Medicare patients.
Blue Cross Blue Shield in-network doctors can include :
- General practitioners
- Suppliers of medical equipment and supplies
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Find Care That Fits With Blue Distinction
Choosing the right doctor or facility is important when it comes to specialty care. Thats why Blue Cross and Blue Shield companies created a national recognition programBlue Distinction Specialty Care. The program recognizes treatment expertise as well as quality care matched with affordability across eleven specialty areas:
- Bariatric Surgery
- Substance Use Treatment and Recovery*
*Blue Distinction Center designation only.
Find a Doctor and see Blue Distinction®Centers highlighted, or search for them directly: Find a Blue Distinction®Center
What’s The Difference Between Medicare Advantage And Medicare Supplement
Medicare Advantage plans cover all services you receive under Original Medicare , and many plans include vision, dental and hearing benefits. Some plans also include prescription drug benefits. Medicare Supplement plans cover the costs Original Medicare leaves you to pay. These costs can include 20% coinsurance and your Medicare Parts A and B deductibles. Your coverage works together with your Original Medicare Parts A and B benefits and does not include prescription drug benefits.
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How Can I Make A Same
On average, patients who use Zocdoc can search for a Primary Care Doctor who takes Empire BlueCross BlueShield HealthPlus insurance, book an appointment, and see the Primary Care Doctor within 24 hours. Same-day appointments are often available, you can search for real-time availability of Doctors who accept Empire BlueCross BlueShield HealthPlus insurance and make an appointment online.
Clinical Labs Home Medical Equipment And Specialty Pharmacy
Please call the toll free Member Services phone number listed on the back of your ID card for independent clinical laboratory services, Durable Medical Equipment and supplies, or specialty pharmacy services. These services must be filed in specific states based on Blue Cross Blue Shield Association guidelines, which vary depending upon where a member receives services, where the member lives, where the laboratory or other facility is located, and other criteria.
Members who do not contact BCBSND before seeking these services may incur significantly higher costs. BCBSND may provide minimal reimbursement for some covered services, depending upon the situation.
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Blue Cross Community Health Planssm
Blue Cross and Blue Shield of Illinois offers Blue Cross Community Health Plans which includes a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support and other health care providers through which Illinois Medicaid members may obtain covered services. Learn more
Find A Doctor Pharmacy Or Dentist
Blue Cross Complete of Michigan has a network of providers for all your health care needs. You can find a Blue Cross Complete doctor or pharmacy using our online search. If you’re pregnant or enrolled in the Healthy Michigan Plan, you can also find a dentist. Get started below.
If you have questions or need assistance, call Customer Service at . TTY users should call .
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Take A Look At Two Of Our Most Popular Plans
If you’re looking to save money on premiums, Plan G offers you all the same benefit of Plan F, except it does not cover your Medicare Part B deductible.
You pay a lower premium in exchange for smaller copayments at doctor’s office and emergency room visits.
- $0 outofpocket costs for hospital stays
- Up to $20 per office visit and up to $50 for emergency room visits
Take a moment to review the important information in this official government guide. It includes information about:
- Medicare Supplement Insurance policies
- What Medigap policies cover
- Your rights to buy a Medigap policy
Check To See If Your Doctor Accepts Your Health Insurance
Do you have a favorite doctor or other health care provider? Make sure he or she accepts your health insurance!
The only way to guarantee your provider accepts your plan is to ask him or her directly, but you can start by using your health insurance companys provider directory. You can also look up your doctors when you get a quick quote through HealthSource RI.
Provider Directories
You can also use these provider directories to find a new doctor who accepts your health insurance.
Find a Medicaid Provider
If you are enrolled in Medicaid, use EOHHSs Provider Search to find doctors or other health care professionals who are designated as Medicaid Providers. PLEASE NOTE: this provider search does not guarantee that the Medicaid provider is currently accepting new patients. If you are enrolled in a health plan, please contact your health plans Member Services department for participating providers.
HealthSource RI connects you with health and dental insurance from these companies:
You are leaving the informational HealthSource RI page and entering our secure website for comparing and purchasing health insurance coverage.
You are leaving the informational HealthSource RI page and entering our secure website for comparing and purchasing health insurance coverage.
You are leaving the informational HealthSource RI page and entering our secure website for comparing and purchasing health insurance coverage.
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