Is my doctor in the network?
If you already have a primary care provider and want to learn whether he or she is already a Choice PCP, just:
Visit Find a Doctor or call 1-800-258-2226 (TTY: 711), 8:00 a.m. to 6:00 p.m. ET.
Looking for a new doctor?
To choose a Choice PCP from our list of participating HMO Blue Network providers, follow the instructions below. Our network of doctors is subject to change, but you can keep up-to-date with the most complete list of current network doctors by:
- Using our Find a Doctor feature or
- Calling Member Service at 1-800-258-2226 (TTY: 711) to request a copy of the directory
Referrals You Can Trust
Your primary care provider will often refer you to health care providers within their own groups and hospitals whom they know and trust. This helps the doctors who care for you communicate better and give you more coordinated health care. Although a friend or relative may recommend a particular doctor, your primary care provider's expert recommendation is based on what's best for your specific medical condition.
If you don't have a referral from your PCP before you get care from an HMO Blue specialist, your Medex Choice plan may not provide coverage for your care. In this situation, you still have the right to receive your Medicare benefits. But, you may have to pay the costs that aren't covered by Medicare (such as your Medicare deductibles and co-insurance).
- You must continue to pay your Medicare Part B premium.
* Medex®' Choice is a Medicare supplement plan from Blue Cross Blue Shield of Massachusetts HMO Blue, a wholly controlled subsidiary of Blue Cross and Blue Shield of Massachusetts. Primary care providers (PCPs) are part of the Blue Cross Blue Shield of Massachusetts HMO Blue® provider network. When you need specialized care, your PCP will work with you to identify the best doctor for your care and provide a referral, most often to doctors and hospitals with whom they are affiliated in the HMO Blue® provider Network.