Finding Care

 

Whether you’re looking for a new doctor, or specific type of care, the following tools and resources will help you find what you need.

Find a Doctor

Finding the right doctor, dentist, or hospital is easy when you use our Find a Doctor tool. You can search for providers by name, location and specialty, read and write reviews, and compare up to 10 doctors at a time. Click the button below to get started.

 

How To Use Find a Doctor:
  • To start, you’ll need to select a network
  • Find the plan below that you’re interested in, then write down or remember the network it uses
  • Select the network when prompted
For HMO Plans
Network

Medicare HMO BlueSM PlusRx

Medicare HMO BlueSM FlexRx

Medicare HMO BlueSM ValueRx

Medicare HMO Blue

For PPO Plans
Network

Medicare PPO BlueSM PlusRx

Medicare PPO BlueSM ValueRx

Medicare PPO BlueSM SaverRx

Medicare PPO Blue

For Medex
Network

Medex Choice

Medex Choice

For Dental Plans
Network

Dental Blue 65®

Dental Blue

Phone:

If you need help finding a network provider, or would like a Provider Directory mailed to you, call Member Service at 1-800-200-4255 (TTY: 711) from February 15 through September 30, 8:00 a.m. to 8:00 p.m. ET, Monday through Friday, or October 1 through February 14, 8:00 a.m. to 8:00 p.m. ET, seven days a week.

Go to Find a Doctor


24-Hour Nurse Line

If you have questions about a medical problem, you can call the Blue Care® Line toll-free at 1-888-247-BLUE (2583).1 Registered nurses are available 24 hours a day, 7 days a week to answer your questions. Simply explain the situation and our nurses can help you determine your best course of action.

1 The Blue Care Line is for medical questions only. If you need answers to questions about your health care coverage, call the Member Service number on your ID card. Blue Care Line nurses cannot assist you with issues regarding claims, coverage, or referrals.


ER Alternatives

You should always go to the nearest emergency room in a life-threatening situation*. But in other cases, even for urgent injuries, you have other options that can save you time and money.

It’s always best to call your doctor’s office first, even after hours. They may want to see you or suggest alternatives to the emergency room. After you call, in the absence of severe symptoms, consider the options below:

Blue Care® Line
Limited Services Clinics1
Urgent Care Centers2
What It Is

Speak with a nurse by phone. No waiting in line.

Clinics located within your local pharmacy that treat simple medical concerns that don’t need the emergency room.

Local clinics that treat conditions that aren’t life-threatening but require immediate treatment.

Hours

24/7

Days, evenings, weekends

Days, evenings, weekends

Cost

No Cost

$$

$$$

How to Find One

1-888-247-BLUE (2583)

What They Can Help You With
Fever

Dizziness

Cuts

General Discomfort

Flu

 

Earache

 

Sore Throat

 

Pinkeye

 

Gout

 

Animal Bites

 

 

Minor Burns

 

 

Broken Bones

 

 

Sprains

 

 

Stitches

 

 

X-rays

 

 

Shots & Vaccines

 

 

*Emergency Room

If you experience any of the following symptoms, call 911 or go to the nearest hospital.

  • Heart attack (sudden or severe chest pain)

  • Stroke (numbness in face, arm, or leg on one side; difficulty talking; loss of vision)

  • Severe shortness of breath

  • High fever with stiff neck

  • Coughing up or vomiting blood

  • Cut or wound that won't stop bleeding

  • Possible broken bone

  • Poisoning

  • Stab wound

  • Sudden or severe abdominal pain

  • Trauma to the head

  • Suicidal feelings

  1. Example: CVS Minute Clinic®´

  2. Examples: CareWell®´ Urgent Care, Doctors Express®´, and Health Express


Care Management Program

Our Care Management Program provides ongoing support for members with chronic conditions, complicated medical issues, or behavioral health concerns. The program offers you access to registered nurses, clinicians, and specialized health coaches, who provide support and help coordinate your care. These resources are in addition to the care you receive from your doctor.

 

The Goals of the Program:
  • Increase your understanding of your condition

  • Improve your ability to follow your treatment plan

  • Help reduce complications

  • Set goals to improve your health and quality of life 

 

Quick Facts:
  • Included in your benefits at no additional cost

  • Accessible from home by phone or video chat

  • Appointments accommodate your schedule

  • Program is voluntary

Care Management Covers

Diabetes

Brain Injuries

Strokes

Spinal Cord Injuries

Rare Diseases

Oncology

Asthma

Congestive Heart Failure

Behavioral Health

Coronary Artery Disease

Substance Use Conditions

Depression

Call us:

To learn more about this program, if you qualify, or how to enroll, call the appropriate number below:

Medical Conditions
1-800-392-0098

Behavioral Health
1-800-524-4010

Monday through Thursday 8:30 a.m. to 8:00 p.m. ET, and Friday 8:30 a.m. to 4:30 p.m. ET.


Mental Health

Improving Your Mental Health
The first step is to talk to your doctor. They know your health the best, and will be able to:
  • Determine if you have a problem

  • Check if the problem could be caused by a health issue or a medication side effect

  • Suggest you talk with a mental health worker, such as a social worker, mental health counselor, psychologist, or psychiatrist

  • Refer you to behavioral health or substance use services

  • Coordinate your health care with behavioral health services

 

Types of Behavioral Health Providers
You can choose to see a behavioral health professional for counseling or psychotherapy, while also seeing a psychiatrist or psychiatric nurse practitioner for medication and counseling services. Your behavioral health providers will be able to explain your treatment options. Types of providers include:
  • Psychologist: A practitioner with a doctoral degree in psychology. Psychologists can offer individual therapy, couples therapy, family therapy, or group therapy. They also may be trained in psychological testing and some in neuropsychological testing.

  • Psychiatrist: A medical doctor with specialized behavioral health training. Psychiatrists can prescribe medications for behavioral health treatment, and they may offer individual therapy, couples therapy, family therapy, or group therapy.

  • Psychiatric Nurse Practitioner: An advanced practice nurse specially trained to prescribe medication to patients with behavioral health diagnoses.

 

Finding Behavioral Health Providers
We’re here to help. If you need to find behavioral health providers or have questions about your coverage, call us at the number on the front of your Blue Cross ID card. You can also search for providers at bluecrossma.com/findadoctor.

To contact the Blue Cross Behavioral Health Case Management department, call 1-800-663-8970 (TTY: 711) 8:30 a.m.-8:00 p.m. Monday-Thursday, or 8:30 a.m.-4:30 p.m. on Fridays.

 

Treatment Options

There are many treatment options and therapies. Talk to your doctor to see which one is right for you. The most common are:

  • Outpatient therapy: The most often used behavioral health or substance use service provided by a psychologist, social worker, or mental health counselor.

  • Counseling and psychotherapy (Talk Therapy): This includes sessions with a licensed professional that provide you with strategies for dealing with your thoughts, feelings, and behaviors.

  • Medication: This is prescribed by your primary health care provider, a psychiatrist, or a psychiatric nurse practitioner to treat behavioral health conditions.

 

Additional Services
A behavioral health provider will work with you to determine the right course of treatment. In some cases, this may mean additional services, such as:
  • Inpatient care: The most intensive and structured level of care, a 24-hour medically and psychiatrically staffed treatment setting for people with significant mental health or substance use problems.
  • Partial Hospital Programs: This type of program usually takes place at a dedicated clinic, with sessions five to seven times a week. The sessions usually include six to eight hours of individual and group therapy that addresses:
    • Psychological and social assessments
    • Monitoring and treatment planning
    • Education and counseling on maintaining recovery
  • Intensive Outpatient Programs: This type of program is usually administered at a health care clinic. The program runs for three to five days a week, and includes three to four hours of individual and group therapy that addresses:
    • Psychological and social assessments
    • Monitoring and treatment planning
    • Education and counseling on maintaining recover

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.