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Find A Doctor Or Hospital In Your Network.
Before you go for care, make sure the provider is in your health plan network. Those who have agreed to give care for you and other members in your health plan are called network providers. They may also be called in-network providers or participating providers.
Those who do not have a contract in place to provide you with care are out-of-network.
It’s important to know the difference. By staying in the network, you can take advantage of discounted rates and avoid surprise charges. That’s because in-network health providers and your Medicare plan have agreed to a set price for each treatment or procedure in advance.
Someone who is not in the network can charge higher prices for the same care. You may also have to pay a higher copay or deductible for out-of-network care. Depending on your type of Medicare plan, out-of-network care may not be covered or less than the full amount of the bill may be paid.
Out-of-network providers are under no obligation to treat Blue Cross Medicare Advantage members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Originally published 3/12/2019; Revised 2021
Hello - if you'd like to give us a call (the number on the back of your member id card), we can help find a provider. - HeatherA
I need to see a orthopedic surgeon specialist asap since February I've been waiting n I can't find one cause they charge too much copay n I don't have the money. My entire is in really bad shape n I need medical attention otherwise I'm gonna end up staying paralyzed
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Last Updated 10012018Y0096_WEB_TX_CONNECT19_C