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Find A Doctor Or Hospital In Your Network.
There are two things you need to know right away:
Here’s what you need to know to get started.
Now that you have new health insurance, it’s time to choose a doctor to help you get the most from your benefits. Choosing a care provider who’s right for you is exactly that – a choice. Here are some tips on ways you can find a doctor and other providers best suited to your unique health care needs. To get started:
When you like what you hear, take the next step. Schedule a visit with your top choice. During your first visit, take note of a couple of things. Is it easy to talk with the doctor? Are you comfortable asking questions? Does the doctor seem like a good fit? Remember, if you are not comfortable, it’s okay to look for another doctor.
If your new health insurance plan includes a pharmacy benefit, the plan will help pay the cost for certain drugs. You’ll be able to get your medicine from several drug stores. Just like providers, certain drug stores contract with your health plan to offer reduced costs on your prescriptions. Make sure you use a drug store that’s in your health plan’s pharmacy network to lower your costs. You may also be able to have your medicine delivered directly to you via the mail. Mail order prescriptions can often help you save money.
You also can lower your drug costs when you use medicines covered by your plan. Check your plan’s formulary, or drug list, to find out what's covered.
To find out if a drug you take is covered, you’ll need to know:
If drug coverage is part of your BCBS health plan, you can look at your plan’s drug list by logging into Blue Access for MembersSM. Look under “Find Care.”
If a drug you take isn’t covered under your formulary, you can take these steps:
Spend a little bit of time learning about your health insurance plans and all the benefits it offers. When you do, you’ll be able to make full use of them to live healthier.
Originally published 10/1/2014; Revised 2023
HI! please call the number on the back of your member id card or send us a private msg & we can help. - HeatherR
Hi , i need to know how to submit receipt from doctor if its out of network
Hi Marilyn, If you're needing preauthorization for a specific drug, your provider should be able to submit that for you. If there's another form that you're needing, please let us know which one. ~ Heather