Show How do I find a network provider?Access the most up-to-date provider information with our Find a Doctor search tool. Here, you can locate providers by name, specialty, county or zip code The Provider Search information is updated weekly. You can also contact Customer Service at 1-877-258-3334 for assistance locating a provider or to obtain a paper copy of a directory. Additionally, many employers stock directories in their Benefits Department. What is a primary care physician?Blue Cross NC believes in the value of maintaining a relationship with a primary care provider. These providers are general practice, family practice, internal medicine and pediatric doctors who deal with a broad range of health care issues. They also help members manage their health and make decisions about their health care needs. In addition, participating primary care providers participate in cost-saving quality assurance and utilization management programs. They also coordinate patient care, allowing the patient to easily navigate the health care system. These activities serve to enhance the physician-patient relationship, as well as increase the practice of cost-effective, high-quality medicine. What types of providers are eligible to provide services?The following is a list of licensed medical and behavioral health professionals whose services are eligible for Plan benefits:
The following is a list of some ineligible providers:
The following providers would not be eligible to contract directly with Blue Cross NC. These types of providers generally provide services under a Home Health Agency contract.
What are the advantages of using network providers?Network providers agree to:
What happens if my current physician is not a network provider?If your current physician is not a Blue Cross NC network provider and you are just joining a Blue Cross NC health plan or changing health plans, we will assist you in finding a new provider. The continuity of care process will apply to Blue Care, Blue Choice and Blue Options plans if you are being seen regularly for an ongoing special condition or if you are in the second or third trimester of pregnancy or completing post-partum care. If you are changing health plans, you can obtain information on how to request continuity of care from your employer or benefit administrator or by contacting Blue Cross NC Customer Service at 1-877-258-3334. Continuity of care requests will be reviewed by a medical professional based on the information provided about specific medical conditions. Notification about eligibility for continuity of care will be sent after a decision is made. If a continuity of care request is approved, you may continue to see your current specialist for up to 90 days. Blue Cross NC will assist you in finding a network provider for any future services before the 90-day period expires. Is Blue Cross Blue Shield the same as Florida Blue?Florida Blue, Florida's Blue Cross and Blue Shield company, is a leader in Florida's health care industry. Driven by its mission to help people and communities achieve better health, Florida Blue has more than 4 million health care members across the state.
What lab does Blue Cross Blue Shield of Florida use?Your contract includes an agreement to refer members to participating providers in most circumstances. Quest Diagnostics and its subsidiaries AmeriPath and Dermpath Diagnostics are the preferred laboratory providers for most Florida Blue plans.
What does internist doctor mean?Internal Medicine Physicians, sometimes known as Internists or Doctors of Internal Medicine, are experts in complexity. They specialize in adult medicine, and are specially trained to solve diagnostic problems, manage severe long-term illnesses, and help patients with multiple, complex chronic conditions.
Is Florida Blue Health Insurance Good?Florida Blue earned an A+ rating from the Better Business Bureau and 4.5 of 5 stars for overall customer experience from the National Committee for Quality Assurance (NCQA).
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