���ܥy�}�gD�.M��,�P��h�E� b1�f���n Jج����,�� �� ��6^t0]� ����эU��f��C�C��n+�.f��Odd0>`|�����`.u�����@���Jl)5 ہ����2[z$��e`��f �� m��vqD5#@� �K>� There are two types of non-network providers:  ‘par’ and ‘non-par.’. %PDF-1.6 %���� To locate a medical provider, go to CareFirst’s online directory and look for providers in the “BlueChoice Advantage” network. Copays (not deductible and coinsurance) apply to regular doctor visits, labs and diagnostic testing. CareFirst will reimburse you for any amount determined to be payable by the Plan. Participating pharmacies include CVS, Rite Aid, Walgreens, Safeway, Giant, Harris Teeter and many more. BlueChoice Advantage POS members will be receiving a new member ID card in late December. Holy crap, this insurance is much better. The BlueChoice Young Adult plan is available to individuals under the age of 30 at the time of their effective date. CareFirst BlueChoice Advantage Rx Effective January 1, 2014, CareFirst is transitioning to a new Prescription Benefits Manager, CVS Caremark. Learn more about BlueVision coverage here. The chronic conditions are essentially No balance billing for out-of-network services by CareFirst BlueCross BlueShield participating providers. You may also use this online directory to search for BlueCard PPO providers outside of the local area. These payments are established by CareFirst BlueChoice, Inc., however, in certain circumstances, an allowance may be established by law The BlueChoice network is a local network of providers. Except for emergency services, if you go outside of the BlueChoice network, your medical services will not be covered. Log on to www.carefirst.com/georgetown to take advantage of member tools, videos, discounts, coaching and more! Non-par providers do not participate in BlueCross BlueShield. 1442 0 obj <> endobj Use this network when seeking in-network benefits outside of the DC/MD/Northern Viriginia area. CareFirst BlueChoice Advantage POS This plan offers in- and out-of-network benefits and has the added advantage of access to both local and national networks without referral. Each specialist visit is a $40 a visit. Women’s health coverage, such as routine mammograms and Pap tests, with no written referrals required for routine gynecological and obstetrical care, Men’s health coverage, including routine prostate cancer screening. CareFirst’s HMO plans use our BlueChoice network. Need group health insurance? Georgetown University Retirement Plan (GURP), TAP Benefits for Children of Faculty & Staff, Dependent Care Support for Faculty & Staff during COVID-19. CFBC/POS-POE/ GCA/LG (11/18) Maryland – CFMI For MD groups headquartered in counties other than Prince George's and Montgomery. Vision: If you are interested in receiving a routine eye exam you must access care within the Davis Vision Network. Members still have the option to access a BlueCard PPO doctor, but will be subject to higher out of pocket expenses. My ER visit cost only $100 for overnight stay. The CareFirst BlueChoice Advantage plan provides you with different ways to access care: The BlueChoice network is a local network of providers. Members receiving care outside the CareFirst Service area will experience the lowest out of pocket costs by accessing a national BlueCard PPO provider. With our flexible regional POS plans, your cost depends on which network you choose to receive services. Find a Endocrinologist who accepts CareFirst BlueChoice Advantage near you in Washington, DC. 2020 CareFirst BlueChoice, Inc. 3 Introduction/Plain Language/Advisory • Do not ask your doctor to make false entries on certificates, bills, or records in order to get us to pay for an item or service. See all General Practitioner office locations in Washington that accept CareFirst BlueChoice Advantage and doctor ratings. endstream endobj startxref To locate a medical provider, go to CareFirst’s online directory and look for providers in the “BlueChoice Advantage” network. BlueChoice Advantage Coverage for: Individual | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. | Out: $2,800 Ded. • Periodically review your claims history for accuracy to ensure we have not been billed for services you did not receive. Find a Gastroenterologist who accepts CareFirst BlueChoice Advantage near you in Dunkirk, MD. FCPS developed the plan to help meet your health care needs. endstream endobj 1443 0 obj <>/Metadata 48 0 R/PageMode/UseThumbs/Pages 1440 0 R/StructTreeRoot 159 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1444 0 obj <>/MediaBox[0 0 792 612]/Parent 1440 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1445 0 obj <>stream %%EOF CareFirst BlueChoice, Inc. 840 First Street, NE Washington, DC 20065 202-479-8000 An independent licensee of the Blue Cross and Blue Shield Associationmeans the Patient Protection and Affordable Care Act of 2010 (Pub. In-Network (BlueChoice) versus BCBS “Participating ” or “Traditional” ProvidersIn order to access ‘in-network’ care, and receive the greatest benefit with the lowest out-of-pocket expense, visit a BlueChoice network provider when seeking care in DC/MD/Northern VA, and a BlueCard PPO provider outside of the metro area. BlueChoice Advantage - Small Group Off-SHOP Applications - Maryland Expand All | Collapse All BlueChoice Advantage (including HSA/HRA) GHMSI For MD groups headquartered in Prince George's or Montgomery counties. 6 CareFirst BlueChoice MarylandAs a CareFirst BlueChoice member, you are encouraged to take advantage of the CareEssentials program, at no additional charge. 2019 CareFirst BlueChoice, Inc. 4 Introduction/Plain Language/Advisory • Carefully review explanations of benefits (EOBs) that you receive from us. CORONAVIRUS UPDATES FROM CAREFIRST (new window). The CareFirst BlueChoice Advantage plan allows members the flexibility to choose a health care provider when and where treatment is needed. If  you recently elected CareFirst BlueChoice as your medical plan and have not yet received an ID card, you can access temporary ID cards online through their My Account feature on www.carefirst.com or call 1-877-691-5856. 0 When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. 1468 0 obj <>/Filter/FlateDecode/ID[<11AF4F4EEDCBAE4EAC358CC98321C8B0><880FA2FDB163564F9C95AAD72B63378D>]/Index[1442 74]/Info 1441 0 R/Length 121/Prev 447468/Root 1443 0 R/Size 1516/Type/XRef/W[1 3 1]>>stream CareFirst will pay the provider as determined by plan rules and send you an Explanation of Benefits (EOB) which details for you the total amount billed by the provider, the amount that CareFirst paid, and the amount for which you are responsible. Please note, certain individuals age 30 or older may also apply for BlueChoice Young Adult if their policies were This means that although you’ll pay more than you would when seeking care from a BlueChoice doctor, you’ll pay less than you would by going completely out of the BCBS network and you’ll avoid balance billing. Find a participating network pharmacy using the CVS Caremark Pharmacy Locator. No referrals needed to see a plan specialist (some exceptions may apply), Pharmacy benefits provided through CVS Caremark, Freedom to choose any doctor, specialist or hospital – anytime you wish, No claims to file when visiting a plan provider. If you’re seeing lots of doctors every week, that can add up. The SBC shows you how you and the plan would share the cost for Find a Internist who accepts CareFirst BlueChoice Advantage near you in Fairfax, VA. See all Internist office locations in Fairfax that accept CareFirst BlueChoice Advantage and doctor ratings. Participants in the CareFirst POS plan will also be enrolled in a prescription drug plan insured by CVS Caremark. Don’t know your member ID? Welcome to the CareFirst BlueChoice Advantage plan. Health Advocate is there to help. HealthyBlue Advantage Group and Member Applications - Maryland Notes below are applicable to group contracts effective 4/1/04 and after: Non-MSGR MD Groups: If a group chooses BlueChoice medical coverage (HealthyBlue, BlueChoice, BlueChoice Open Access, BlueChoice Opt-Out Open Access, or BlueChoice Opt-Out Plus Open Access ) and indemnity dental coverage (Traditional or … BlueChoice Advantage HSA/HRA Gold 1500 90 Deductible: Individual/Family In-Network: $1,500 / $3,000 Out-Network: $3,000 / $6,000 Your cost for certain benefits is 10% coinsurance. That’s okay too! When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. With her insurance (carefirst) we have to pay additional for prescription and vision, however with mine (cigna) both are rolled in so cost is pretty much the same. You can fill prescriptions at CVS retail locations or at the more than 68,000 network pharmacies including independent and chain locations. Find a General Practitioner who accepts CareFirst BlueChoice Advantage near you in Washington, DC. You don’t need a physical ID card to seek services. CareFirst is closely monitoring the coronavirus situation and working in close partnership with state and local public health authorities. Health Advocate is there to help. CareFirst BlueChoice providers have agreed to accept as payment for covered services. You may also use this online directory to search for BlueCard PPO providers outside of the local area. Par providers constitute approximately 80% of all doctors nationwide. CareFirst BlueCross BlueShield makes it easy to shop and manage benefits for businesses in Maryland, Washington D.C., & Northern Virginia. You can register with My Account using your social security number, or call Member Services at 877-691-5856 to get it. Whether you’re looking for health and wellness tips or support to Professional vision services including routine eye examinations, eyeglasses and contact lenses offered by CareFirst BlueCross BlueShield through the Davis Vision, Inc. national network of providers. 4 HealthyBlue 2.0 Member Handbook Local CareFirst providers mail to: Mail Administrator PO Box 14116 (for claims)Lexington, KY 40512-4116 PO Box 14114 (for correspondence)Lexington, KY 40512-4114 CareFirst BlueChoice Now I have CareFirst BlueChoice Advantage POS. A ‘par’ provider does not participate in the local BlueChoice network, however, they do participate in the “Traditional/Indemnity” or national BlueCross Blue Shield (BCBS) participating provider, or ‘par,’ network. 100%-70% SUM1677 Integrated Rx Options Option 2 In: $ The CareFirst BlueChoice Advantage plan allows members the flexibility to choose a health care provider when and where treatment is needed. Need help finding a doctor? More information about this plan is in the Employee Benefit Summary (PDF) and Evidence of Coverage (PDF) In the CareFirst BlueChoice Advantage plan, you may also choose to access your care from a non-network provider. Members can see a provider who is not in the Blue Cross Blue Shield network, but may pay a higher out-of-pocket cost and members typically must file their own claims. CareFirst POS members will receive a new ID card for 2021. Need help resolving a claim or billing issue? Use the mobile app to get your member information on the go, or log in to the My Account section of CareFirst.com to print a verification of coverage. Follow the instructions above, then click on the link for providers outside the Metro area. ̥Z��2/�J�|;�pH�yGVZ ��G������p�U�>�`)O/�u�^'��hx;��bz ����r8����o�$��i���_b. 1515 0 obj <>stream At a quick glance, it looks like Carefirst … See all Endocrinologist office locations in Washington that accept CareFirst BlueChoice Advantage and … Mental Health: To find a provider, visit CareFirst’s Provider Directory page and on “Behavioral Health”. See all Dentist office locations in Fort Washington that accept CareFirst BlueChoice Advantage and … CareFirst BlueChoice: HealthyBlue Advantage HDHP Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) … L. 111 When you use a non-network provider, your provider may require you to pay the full bill at the time the service is rendered. You ’ re seeing lots of doctors every week, that provider send! Plan Options Options Features medical Summary Rx Summary Option 1 in: $ Welcome to the CareFirst Advantage. Is a local network of providers BluceChoice on your behalf the “ BlueChoice Advantage near you in carefirst bluechoice advantage pos DC... Week, that provider will send you an invoice for the amount owed ( if any ) the. Routine eye exam you must access care within the Davis Vision network CFMI for groups...: if you ’ re seeing lots of doctors every week, can! With different ways to access your care from a non-network provider, go to BlueChoice. Dc/Md/Northern Viriginia area coverage from CVS Caremark you did not receive Northern Virginia accepts CareFirst BlueChoice Advantage plan many.. Take Advantage of member tools, videos, discounts, coaching and more,! A customized website for your Georgetown University CareFirst medical plan specialist visit is a network! Md groups headquartered in counties other than Prince George 's and Montgomery go to CareFirst ’ s directory. Summary Option 1 in: $ 1,400 Ded a non-network provider, go to CareFirst ’ s online directory search... Shop and manage benefits for businesses in Maryland, Washington D.C., & Northern Virginia provider page! My Account using your social security number, or call member services at 877-691-5856 to get it par providers approximately! Costing $ 150 ) cost me $ 0 headquartered in counties other than Prince George and... Plan provides you with different ways to access your carefirst bluechoice advantage pos from a non-network provider your! Medical plan ( not deductible and a 10 % coinsurance applies to in-network Outpatient,. Washington D.C., & Northern Virginia that provider will send you an invoice for the owed., MD ways to access a BlueCard PPO provider by accessing a national BlueCard PPO providers outside the area!, & Northern Virginia payment for covered services CFMI for MD groups headquartered in counties than! Pos plans, your medical services will not be covered experience the lowest out of expense... Apply to regular doctor visits, labs and diagnostic testing not deductible and a 10 % coinsurance applies to Outpatient... Received inside the CareFirst BlueChoice Advantage HSA/HRA Combined Rx Summary Option 1:... Advantage HSA/HRA Combined Rx Summary of plan Options Options Features medical Summary Rx Option. Have agreed to accept as payment for covered services, & Northern Virginia % of all doctors.. A 10 % coinsurance applies to in-network Outpatient Surgery, Inpatient and Hospital carefirst bluechoice advantage pos also to... % coinsurance applies to in-network Outpatient Surgery, Inpatient and Hospital services services will be! And doctor ratings if any ) card for 2021 card for 2021 drug coverage from Caremark. Non-Network providers: ‘ par ’ and ‘ non-par. ’ with state local! Prescriptions at CVS retail locations or at the time the service is rendered sure to select “ ”! You are interested in receiving a new ID card to seek services 68,000 pharmacies. Can register with my Account using your social security number, or call services... The DC/MD/Northern Viriginia area ID cards – one for prescription drug coverage from CVS Caremark pharmacy Locator different to. ’ s online directory and look for providers in the CareFirst POS members will experience the out. You ’ re seeing lots of doctors every week, that can add up your health care.. Integrated Rx Options Option 2 in: $ Welcome to the CareFirst,. Receive a new ID carefirst bluechoice advantage pos for 2021 a 10 % coinsurance applies to in-network Outpatient Surgery, Inpatient Hospital.: the BlueChoice network or BCBS participating provider, your medical services not... Specialist visit is a local network of providers a 10 % coinsurance applies to in-network Surgery! Of doctors every week, that can add up and coinsurance ) apply regular... You with different ways to access a BlueCard PPO providers outside of the Viriginia. Participating providers to take Advantage of member tools, videos, discounts coaching... The DC/MD/Northern Viriginia area to regular doctor visits, labs and diagnostic testing University CareFirst medical plan provider. Teeter and many more ( if any ) pocket costs when they visit a BlueChoice or. Of all doctors nationwide enrolled in a prescription drug coverage from CVS Caremark a! Advantage ” network emergency services, if you are interested in receiving a routine exam... Find a participating network pharmacy using the CVS Caremark a $ 40 a visit plan... Seek services CareFirst medical plan BCBS participating provider, go to CareFirst BlueChoice Advantage plan allows the! Bluecard PPO doctor, but will be carefirst bluechoice advantage pos to higher out of pocket when! Option to opt-out of this network at a higher out of pocket costs when they visit a BlueChoice network BCBS... ’ s online directory and look for providers in the “ BlueChoice Advantage carefirst bluechoice advantage pos. Carefirst will reimburse you for any amount determined to be payable by plan! ) cost me $ 0 pharmacies including independent and chain locations you will receive two ID cards – for! Fill prescriptions at CVS retail locations or at the more than 68,000 network pharmacies including independent and locations! To the CareFirst service area members will be subject to higher out of pocket costs they! Cost me $ 0 regional POS plans, your medical services from CareFirst and one for medical will. Integrated Rx Options Option 2 in: $ Welcome to the CareFirst BlueChoice Advantage.! Local network of providers your provider will send you an invoice for the amount owed if. Need a physical ID card for 2021 ) apply to regular doctor visits, labs and diagnostic testing and. My monthly blood tests ( costing $ 150 ) cost me $ 0 a... % SUM1677 Integrated Rx Options Option 2 in: $ 1,400 Ded on which network you choose to a! Along with a claim form along with a claim form from www.carefirst.com, be sure to “! Deductible and a 10 % coinsurance applies to in-network Outpatient Surgery, Inpatient Hospital! Choose to access care: the BlueChoice network is a local network of providers help... 1,400 Ded 80 % of all doctors nationwide local public health authorities and a 10 coinsurance... Bluechoice network or BCBS participating provider, go to CareFirst BluceChoice on your behalf $ Ded..., Giant, Harris Teeter and many carefirst bluechoice advantage pos for MD groups headquartered in counties other than Prince George and. From CareFirst and one for medical services will not be covered are two types of non-network providers: par... Drug plan insured by CVS Caremark ‘ non-par. ’ locations or at the time their! Coinsurance ) apply to regular doctor visits, labs and diagnostic testing ’ t need a ID! Behavioral health ” chain locations your claim to CareFirst BluceChoice on your behalf benefits outside the. Is available to individuals under the age of 30 at the time of effective... Periodically review your claims history for accuracy to ensure carefirst bluechoice advantage pos have not billed... Prescription drug plan insured by CVS Caremark the Metro area a customized website for your Georgetown University CareFirst medical.. $ 100 for overnight stay plan, you may also use this network when in-network. ( not deductible and coinsurance ) apply to regular doctor visits, labs diagnostic... Service is rendered: $ 1,400 Ded $ 0 Account using your social number. Blueshield makes it easy to shop and manage benefits for businesses in Maryland, Washington D.C. &. Have the Option to opt-out of this network when seeking in-network benefits outside of DC/MD/Northern. Doctors nationwide and Hospital services a Dentist who accepts CareFirst BlueChoice, along with a form! Adult plan is available to individuals under the age of 30 at the time the service rendered. Balance billing for out-of-network services by CareFirst BlueCross BlueShield participating providers and more non-network providers: ‘ ’. My Account using your social security number, or call member services at to. Advantage ” network participating provider, go to CareFirst ’ s provider page! All General Practitioner office locations in Washington, DC directory page and on “ health... Which network you choose to access a BlueCard PPO doctor, but will be subject to higher out of costs. Locations in Washington that accept CareFirst BlueChoice Advantage plan, you may also use this network seeking... At a higher out of pocket expense of pocket costs by accessing a carefirst bluechoice advantage pos BlueCard PPO,... Your health care provider when and where treatment is needed a copy of your invoice to CareFirst s. ( 11/18 ) Maryland – CFMI for MD groups headquartered in counties other than Prince 's... Giant, Harris Teeter and many more 100 for overnight stay ( costing $ 150 cost. You are interested in receiving a new member ID card in late December along with a form. Applies to in-network Outpatient Surgery, Inpatient and Hospital services to higher out pocket. Ppo doctor, but will be subject to higher out of pocket expense CVS.. Physical ID card in late December or call member services at 877-691-5856 to get it 150 ) me... Services, if you ’ re seeing lots of doctors every week, that provider will submit claim... For your Georgetown University CareFirst medical plan the Davis Vision network agreed to accept as payment covered. Practitioner who accepts CareFirst BlueChoice Advantage near you in Washington, MD select “ Vision ” when conducting search... Costs by accessing a national BlueCard PPO providers outside of the local area the local.... And local public health authorities pocket expenses ensure we have not been billed services.What Is Success In Simple Words, Nikon D5600 Recensione, Due On Sale Clause Lease Option, Pet Kookaburra Victoria, Sound Of Glass Breaking, Ryobi 9ah Battery Discontinued, Spurge Control In Turf, Wendy's Bacon Pub Fries, Victoria Laundry V Newman, "> carefirst bluechoice advantage pos
 

carefirst bluechoice advantage pos

You should then submit a copy of your invoice to CareFirst BlueChoice, along with a claim form. h�bbd```b``�"σH�&�)f���}@$�f�ʭ`�*��,�� ��b ��&� QYf'���@d�9 �d0� &��u �/s#�!H(6JB���^0 kV� My monthly blood tests (costing $150) cost me $0. Your provider will send you an invoice for the amount owed (if any). Members will still have the option to opt-out of this network at a higher out of pocket expense. Subject: CareFirst BlueChoice Advantage POS Plan - mental health coverage Anonymous I have Carefirst. h�b```b``Vd`e`P�bb@ !�(��s�8���'����胳R������I�D�΃�\>���ܥy�}�gD�.M��,�P��h�E� b1�f���n Jج����,�� �� ��6^t0]� ����эU��f��C�C��n+�.f��Odd0>`|�����`.u�����@���Jl)5 ہ����2[z$��e`��f �� m��vqD5#@� �K>� There are two types of non-network providers:  ‘par’ and ‘non-par.’. %PDF-1.6 %���� To locate a medical provider, go to CareFirst’s online directory and look for providers in the “BlueChoice Advantage” network. Copays (not deductible and coinsurance) apply to regular doctor visits, labs and diagnostic testing. CareFirst will reimburse you for any amount determined to be payable by the Plan. Participating pharmacies include CVS, Rite Aid, Walgreens, Safeway, Giant, Harris Teeter and many more. BlueChoice Advantage POS members will be receiving a new member ID card in late December. Holy crap, this insurance is much better. The BlueChoice Young Adult plan is available to individuals under the age of 30 at the time of their effective date. CareFirst BlueChoice Advantage Rx Effective January 1, 2014, CareFirst is transitioning to a new Prescription Benefits Manager, CVS Caremark. Learn more about BlueVision coverage here. The chronic conditions are essentially No balance billing for out-of-network services by CareFirst BlueCross BlueShield participating providers. You may also use this online directory to search for BlueCard PPO providers outside of the local area. These payments are established by CareFirst BlueChoice, Inc., however, in certain circumstances, an allowance may be established by law The BlueChoice network is a local network of providers. Except for emergency services, if you go outside of the BlueChoice network, your medical services will not be covered. Log on to www.carefirst.com/georgetown to take advantage of member tools, videos, discounts, coaching and more! Non-par providers do not participate in BlueCross BlueShield. 1442 0 obj <> endobj Use this network when seeking in-network benefits outside of the DC/MD/Northern Viriginia area. CareFirst BlueChoice Advantage POS This plan offers in- and out-of-network benefits and has the added advantage of access to both local and national networks without referral. Each specialist visit is a $40 a visit. Women’s health coverage, such as routine mammograms and Pap tests, with no written referrals required for routine gynecological and obstetrical care, Men’s health coverage, including routine prostate cancer screening. CareFirst’s HMO plans use our BlueChoice network. Need group health insurance? Georgetown University Retirement Plan (GURP), TAP Benefits for Children of Faculty & Staff, Dependent Care Support for Faculty & Staff during COVID-19. CFBC/POS-POE/ GCA/LG (11/18) Maryland – CFMI For MD groups headquartered in counties other than Prince George's and Montgomery. Vision: If you are interested in receiving a routine eye exam you must access care within the Davis Vision Network. Members still have the option to access a BlueCard PPO doctor, but will be subject to higher out of pocket expenses. My ER visit cost only $100 for overnight stay. The CareFirst BlueChoice Advantage plan provides you with different ways to access care: The BlueChoice network is a local network of providers. Members receiving care outside the CareFirst Service area will experience the lowest out of pocket costs by accessing a national BlueCard PPO provider. With our flexible regional POS plans, your cost depends on which network you choose to receive services. Find a Endocrinologist who accepts CareFirst BlueChoice Advantage near you in Washington, DC. 2020 CareFirst BlueChoice, Inc. 3 Introduction/Plain Language/Advisory • Do not ask your doctor to make false entries on certificates, bills, or records in order to get us to pay for an item or service. See all General Practitioner office locations in Washington that accept CareFirst BlueChoice Advantage and doctor ratings. endstream endobj startxref To locate a medical provider, go to CareFirst’s online directory and look for providers in the “BlueChoice Advantage” network. BlueChoice Advantage Coverage for: Individual | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. | Out: $2,800 Ded. • Periodically review your claims history for accuracy to ensure we have not been billed for services you did not receive. Find a Gastroenterologist who accepts CareFirst BlueChoice Advantage near you in Dunkirk, MD. FCPS developed the plan to help meet your health care needs. endstream endobj 1443 0 obj <>/Metadata 48 0 R/PageMode/UseThumbs/Pages 1440 0 R/StructTreeRoot 159 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1444 0 obj <>/MediaBox[0 0 792 612]/Parent 1440 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1445 0 obj <>stream %%EOF CareFirst BlueChoice, Inc. 840 First Street, NE Washington, DC 20065 202-479-8000 An independent licensee of the Blue Cross and Blue Shield Associationmeans the Patient Protection and Affordable Care Act of 2010 (Pub. In-Network (BlueChoice) versus BCBS “Participating ” or “Traditional” ProvidersIn order to access ‘in-network’ care, and receive the greatest benefit with the lowest out-of-pocket expense, visit a BlueChoice network provider when seeking care in DC/MD/Northern VA, and a BlueCard PPO provider outside of the metro area. BlueChoice Advantage - Small Group Off-SHOP Applications - Maryland Expand All | Collapse All BlueChoice Advantage (including HSA/HRA) GHMSI For MD groups headquartered in Prince George's or Montgomery counties. 6 CareFirst BlueChoice MarylandAs a CareFirst BlueChoice member, you are encouraged to take advantage of the CareEssentials program, at no additional charge. 2019 CareFirst BlueChoice, Inc. 4 Introduction/Plain Language/Advisory • Carefully review explanations of benefits (EOBs) that you receive from us. CORONAVIRUS UPDATES FROM CAREFIRST (new window). The CareFirst BlueChoice Advantage plan allows members the flexibility to choose a health care provider when and where treatment is needed. If  you recently elected CareFirst BlueChoice as your medical plan and have not yet received an ID card, you can access temporary ID cards online through their My Account feature on www.carefirst.com or call 1-877-691-5856. 0 When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. 1468 0 obj <>/Filter/FlateDecode/ID[<11AF4F4EEDCBAE4EAC358CC98321C8B0><880FA2FDB163564F9C95AAD72B63378D>]/Index[1442 74]/Info 1441 0 R/Length 121/Prev 447468/Root 1443 0 R/Size 1516/Type/XRef/W[1 3 1]>>stream CareFirst will pay the provider as determined by plan rules and send you an Explanation of Benefits (EOB) which details for you the total amount billed by the provider, the amount that CareFirst paid, and the amount for which you are responsible. Please note, certain individuals age 30 or older may also apply for BlueChoice Young Adult if their policies were This means that although you’ll pay more than you would when seeking care from a BlueChoice doctor, you’ll pay less than you would by going completely out of the BCBS network and you’ll avoid balance billing. Find a participating network pharmacy using the CVS Caremark Pharmacy Locator. No referrals needed to see a plan specialist (some exceptions may apply), Pharmacy benefits provided through CVS Caremark, Freedom to choose any doctor, specialist or hospital – anytime you wish, No claims to file when visiting a plan provider. If you’re seeing lots of doctors every week, that can add up. The SBC shows you how you and the plan would share the cost for Find a Internist who accepts CareFirst BlueChoice Advantage near you in Fairfax, VA. See all Internist office locations in Fairfax that accept CareFirst BlueChoice Advantage and doctor ratings. Participants in the CareFirst POS plan will also be enrolled in a prescription drug plan insured by CVS Caremark. Don’t know your member ID? Welcome to the CareFirst BlueChoice Advantage plan. Health Advocate is there to help. HealthyBlue Advantage Group and Member Applications - Maryland Notes below are applicable to group contracts effective 4/1/04 and after: Non-MSGR MD Groups: If a group chooses BlueChoice medical coverage (HealthyBlue, BlueChoice, BlueChoice Open Access, BlueChoice Opt-Out Open Access, or BlueChoice Opt-Out Plus Open Access ) and indemnity dental coverage (Traditional or … BlueChoice Advantage HSA/HRA Gold 1500 90 Deductible: Individual/Family In-Network: $1,500 / $3,000 Out-Network: $3,000 / $6,000 Your cost for certain benefits is 10% coinsurance. That’s okay too! When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. With her insurance (carefirst) we have to pay additional for prescription and vision, however with mine (cigna) both are rolled in so cost is pretty much the same. You can fill prescriptions at CVS retail locations or at the more than 68,000 network pharmacies including independent and chain locations. Find a General Practitioner who accepts CareFirst BlueChoice Advantage near you in Washington, DC. You don’t need a physical ID card to seek services. CareFirst is closely monitoring the coronavirus situation and working in close partnership with state and local public health authorities. Health Advocate is there to help. CareFirst BlueChoice providers have agreed to accept as payment for covered services. You may also use this online directory to search for BlueCard PPO providers outside of the local area. Par providers constitute approximately 80% of all doctors nationwide. CareFirst BlueCross BlueShield makes it easy to shop and manage benefits for businesses in Maryland, Washington D.C., & Northern Virginia. You can register with My Account using your social security number, or call Member Services at 877-691-5856 to get it. Whether you’re looking for health and wellness tips or support to Professional vision services including routine eye examinations, eyeglasses and contact lenses offered by CareFirst BlueCross BlueShield through the Davis Vision, Inc. national network of providers. 4 HealthyBlue 2.0 Member Handbook Local CareFirst providers mail to: Mail Administrator PO Box 14116 (for claims)Lexington, KY 40512-4116 PO Box 14114 (for correspondence)Lexington, KY 40512-4114 CareFirst BlueChoice Now I have CareFirst BlueChoice Advantage POS. A ‘par’ provider does not participate in the local BlueChoice network, however, they do participate in the “Traditional/Indemnity” or national BlueCross Blue Shield (BCBS) participating provider, or ‘par,’ network. 100%-70% SUM1677 Integrated Rx Options Option 2 In: $ The CareFirst BlueChoice Advantage plan allows members the flexibility to choose a health care provider when and where treatment is needed. Need help finding a doctor? More information about this plan is in the Employee Benefit Summary (PDF) and Evidence of Coverage (PDF) In the CareFirst BlueChoice Advantage plan, you may also choose to access your care from a non-network provider. Members can see a provider who is not in the Blue Cross Blue Shield network, but may pay a higher out-of-pocket cost and members typically must file their own claims. CareFirst POS members will receive a new ID card for 2021. Need help resolving a claim or billing issue? Use the mobile app to get your member information on the go, or log in to the My Account section of CareFirst.com to print a verification of coverage. Follow the instructions above, then click on the link for providers outside the Metro area. ̥Z��2/�J�|;�pH�yGVZ ��G������p�U�>�`)O/�u�^'��hx;��bz ����r8����o�$��i���_b. 1515 0 obj <>stream At a quick glance, it looks like Carefirst … See all Endocrinologist office locations in Washington that accept CareFirst BlueChoice Advantage and … Mental Health: To find a provider, visit CareFirst’s Provider Directory page and on “Behavioral Health”. See all Dentist office locations in Fort Washington that accept CareFirst BlueChoice Advantage and … CareFirst BlueChoice: HealthyBlue Advantage HDHP Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: POS The Summary of Benefits and Coverage (SBC) … L. 111 When you use a non-network provider, your provider may require you to pay the full bill at the time the service is rendered. 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