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CareFirst BlueCross BlueShield (CareFirst) 10455 Mill Run Circle. An independent licensee of the Blue Cross and Blue Shield Association . EVIDENCE OF COVERAGE FOR A QUALIFIED HEALTH PLAN . CareFirst BlueChoice, Inc. 840 First Street, NE . With a BlueChoice HMO Open Access plan, your primary care provider (PCP) ... Home Care, please call Member Services at the phone number listed on your identification card. Contact number; HMO Gold, Green, Healthy Heart and Ruby plans: 1-800-275-4737: HMO Sapphire and HMO SNP plans: 1-800-431-9007: North East Medical Services (NEMS) - HMO Sapphire Premiere II: 1-833-502-8919: TTY (hearing and speech impaired) 711 Employees who are currently members of the BlueChoice HMO plan and who have a Promina primary care physician will receive a letter from BlueChoice explaining the change, what it means to them and options they have. This Qualified Health Plan is being offered through the SHOP Exchange. Written correspondence is preferable so that a record of the inquiry is maintained. The Blue Precision Gold HMO Plans are the most expensive plans, but also have the most comprehensive benefits. The member should not be instructed to call CareFirst BlueChoice for the referral. Group Medical Plans. Owings Mills, Maryland 21117-5559. Zip Code* Apply Filter. BlueChoice Network The BlueChoice network, one of the largest in Texas, is comprised of more than 500 hospitals and almost 35,000 physicians in all 254 Texas counties. Plan Level. Viewing and printing this document requires Adobe Acrobat Reader, which can be downloaded free from the Adobe site. Apply Filter. Apply Filter. Plan Category. Plan Type. Out-of-Pocket: $6,650 Copay: No Charge Eligible Locations County. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. Your CareFirst BlueChoice provider should obtain any necessary admission authorizations for covered services. Locate providers in the BlueChoice HMO network: You may call Blue Cross Blue Shield using the toll-free customer service number (1-800-424-8950) on the back of your health insurance card or use the instructions below to look up providers: BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. My Health Toolkit Access your digital ID card, check claims status, view plan details, and check your benefits. Blue Cross Blue Shield of Georgia 1-877-724-2583 TDD/1-800-368-4424 Find out more about Carefirst Bluechoice Phone Number Carefirst Bluechoice Phone Number.
Important terms Allowed benefit is the dollar amount CareFirst BlueChoice, Inc. allows for the particular service in effect on the date that service is rendered. CFBC HMO. Members should call the phone number on the back of their member identification card. Zip Code: 21215 (edit) Applicant: 11/30/1985 Male (edit) Benefits & Coverage. Name: Telephone Number: Title: Email Address: Type of Organization Sole Proprietorship Partnership Corporation Other _____ Nature of Business: Federal Tax Identification Number: EMPLOYER CONTRIBUTION . Non-Grandfathered Maryland Small Groups. BlueChoice Select $1,000, $1,750, $2,500, and $5,000 Plan Deductibles . Blue Precision HMO Plans. BlueChoice (HMO) Forms. Insurance Type: ACA (Obamacare) Plan Name: BlueChoice HMO Value Silver $2,250: Plan ID: hhs-28137MD0370014: Plan Year: 2020: Insurance Provider: CareFirst BlueCross BlueShield: Metal … GROUP CONTRACT APPLICATION. Individual Deductible: N/A Individual Max. For Products Offered off of … Valid in these Zip Codes. SERVICES In-Network You Pay HOSPitAl AlternAtiveS8 Home Health Care No charge2 Hospice No charge2 Skilled Nursing Facility (limited to 100 days/year)5 No charge2 mAternity Prenatal and Postnatal Office Visits $20 per visit Delivery and Facility Services8 No charge2 Nursery Care of Newborn3 No charge2 Initial Office … “World’s Most Ethical Companies” and “Ethisphere” names and marks are registered trademarks of Ethisphere LLC. VA/CFBC/DB/HMO (1/17)-HIX 1 HMO OA-On Exchange CareFirst BlueChoice, Inc. 840 First Street, NE Washington, DC 20065 ... Richmond, VA 23218, or by phone at 1-800-552-7945 (toll-free within Virginia), 1-877-310-6560 (national toll-free number), or 804-371-9691. Blue Cross Blue Shield of Georgia 1-800-233-5765 TDD/1-800-368-4424 24/7 NurseLine For emergency room referral and for medical information from a registered nurse, 24-hours a day, seven days a week. … Members may choose to take part in our Away From Home Care program which allows you to take your plan benefits with you if you’re in- or out-of-area for at least 90 days. CareFirst BlueChoice reserves … Verify eligibility for BlueCross BlueShield of South Carolina and BlueChoice HealthPlan of South Carolina members by using My Insurance Manager, our secure online tool. Звоните 1-844-662-2276. 676 0 obj
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Zip Code: 21215 (edit) Applicant: 12/6/1985 Male (edit) Benefits & Coverage. All others may call 855-258-6518 and wait through the dialogue until prompted to push 0. Benefits of BlueChoice HMO Choose from more than 37,000 doctors, specialists and hospitals in Maryland, Washington, D.C. and … The discount is applied by the provider at the time of service for such programs. 0
Apply For This Plan. Toll-free: (866) PREAUTH (773-2884) Mental Health/Substance Abuse Care Call the telephone number on your member ID card under the Mental Health/ … In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). $370.31 /mo. Dependent Name Signature Email Address Cell Phone Number CareFirst BlueChoice, Inc. will not sell your email address or cell phone number to any third party and we do not share them with third parties except for CareFirst BlueChoice, Inc. vendors that perform functions on our behalf or to comply with the law. BlueChoice HMO Gold 1750 by CareFirst BlueChoice, Inc. 2021 Plan Details. BlueChoice HMO Value Silver $2,250. All. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. Visit the disease management section of provider. BlueChoice. BlueChoice ® PPO . and. Changes will not be processed unless received from your employer. services by calling the number on the back of their member ID card. Name: Telephone Number: Title: Email Address: DC/CFBC/GCA/LG (R. 3/14) 2 BC(HMO), BCOO(OA), HB(HMO), HB2 Chief Executive Officer/President . 202-479-8000. You have the right to get this information and assistance in your language at no cost. Verify eligibility for out-of-state members by calling 800- 676-BLUE (2583). The BlueChoice ... please Contact Us for the phone number of the regional sales office near you. BlueChoice HMO Coordinated Care with a Primary Care Provider With a BlueChoice HMO plan, your primary care provider (PCP) provides preventive care and coordinates specialty care using a large network of CareFirst BlueChoice specialists within a referral system. With BlueChoice HMO Open Access-High Option, your primary care provider (PCP) provides routine care and coordinates specialty care. Participating providers are responsible for filing claims for their services. TTY/TDD Service (For callers who are deaf or hard of hearing) Dial 711 and follow the prompts 24 hours a day, 365 days a year. EPO HMO POS PPO. This means that you pay for prescriptions costs (at BCBS negotitated discount rates) until you reach your individual deductible. endstream
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<. View Brochure Summary of Benefits Provider Directory. Employees may call the BlueChoice HMO Customer Service phone number 1-800-464-1367 for all questions. Bronze Silver Gold Platinum Catastrophic. Apply Filter . $326.01 /mo. Note: The BlueChoice HMO plan is available only to bargaining unit members and current participants. Washington, DC 20065 . 202-479-8000 . %%EOF
The BlueChoice HMO is a managed health care plan consisting of a network of physicians and other medical providers. Washington, DC 20065. BlueChoice HMO HSA Bronze $6,550. You may contact Member Services by calling the telephone number on your card. An independent licensee of the Blue Cross and Blue Shield Association. Check Provider Credentials & Certifications. CareFirst BlueChoice members who choose to see a non‑participating specialist still must contact CareFirst at 800‑245‑7013 to authorize services. Medical Products . hŞb```b``Öe`e``Seàc@ >6v� carefirst.com for more information on behavioral health services. Gold Plans have a higher monthly premium and often lower out-of-pocket costs than Silver and Bronze plans. CareFirst BlueChoice, Inc. 840 First Street, NE Washington, DC 20065 202-479-8000 An independent licensee of the Blue Cross and Blue Shield Association . %PDF-1.6
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Members can use the claim forms for services rendered by in-area or out-of-area non-participating providers. If you need a form that is currently not available online, please call Member Services at the telephone number on your ID card. CareFirst BlueChoice, Inc. 840 First Street, NE. Our Rating: All Blue Precision HMO Plans offer the same set of essential health benefits, quality and amount of care. Insurance Type: ACA (Obamacare) Plan Name: BlueChoice HMO HSA Bronze $6,550: Plan ID: hhs-28137MD0370011: Plan Year: 2018: Insurance Provider: CareFirst BlueCross BlueShield: Metal … N/A. Carefirst Bluechoice Phone Number search trends: Gallery. Medical Claim : Membership Change Request If you buy insurance through your employer, please contact your employer to make changes. GROUP CONTRACT APPLICATION . If you need a form that is currently not available online, please call Member Services at the telephone number on your ID card. CareFirst BlueChoice, Inc. 840 First Street, NE. BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. Apply For This Plan. MD/CFBC/SE/HMO-BCOO/GCA (R. 1/16) 1 CFBC Small Group HMO . This number is listed on the front of the BlueChoice HMO membership card. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. 644 0 obj
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Washington, DC 20065. If you enroll in the BlueChoice HMO, all of your health care must be coordinated and approved by your primary care physician and received in-network. Maintenance Organization (HMO) participating specialist for care. Phone Number. Not all services and procedures are covered by your benefits contract. Non-Grandfathered Maryland Small Groups . BlueChoice HMO Summary of Benefits Maryland Small Group Reform. Customer Service 1 (800) 997-1654 24 hours a day, 365 days a year. Other Member Services contact numbers are also available. endstream
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A private not-for-profit health service plan incorporated under the laws of the State of Maryland. For the BlueChoice Select plans with a $1,000, $1,750, $2,500, or $5,000 individual deductible, the a prescription drug card benefit is subject to deductible and coinsurance. BlueChoice HMO Open Access Summary of Benefits : istrict of Columia oernmentour Health Benet Options 15: CST4713-1P (11/19) DC 51+ Option 3: Services In-network You Pay: 1: HOSPITAL ALTERNATIVES: Home Health Care No charge* Hospice No charge* Skilled Nursing Facility $100 per admission: MATERNITY Preventive Prenatal and Postnatal Office : Visits No charge* Delivery and … Gold HMO Get a Quote. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. 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