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The SBC shows you how you and the plan would share the cost for endstream endobj startxref Copays (not deductible and coinsurance) apply to regular doctor visits, labs and diagnostic testing. 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. My monthly blood tests (costing $150) cost me $0. CareFirst POS members will receive a new ID card for 2021. Use this network when seeking in-network benefits outside of the DC/MD/Northern Viriginia area. With our flexible regional POS plans, your cost depends on which network you choose to receive services. See all Ophthalmologist office locations in Potomac that accept CareFirst BlueChoice Advantage … The BlueChoice network is a local network of providers. Your provider will send you an invoice for the amount owed (if any). You now have access to a customized website for your Georgetown University CareFirst medical plan. Find a Dentist who accepts CareFirst BlueChoice Advantage near you in Fort Washington, MD. Welcome to the CareFirst BlueChoice Advantage plan. You should then submit a copy of your invoice to CareFirst BlueChoice, along with a claim form. 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. My ER visit cost only $100 for overnight stay. You don’t need a physical ID card to seek services. Follow the instructions above, then click on the link for providers outside the Metro area. Vision: If you are interested in receiving a routine eye exam you must access care within the Davis Vision Network. Find a Endocrinologist who accepts CareFirst BlueChoice Advantage near you in Washington, DC. %PDF-1.6 %���� Non-par providers do not participate in BlueCross BlueShield. When you use a BlueChoice network or BCBS participating provider, that provider will submit your claim to CareFirst BluceChoice on your behalf. ̥Z��2/�J�|;�pH�yGVZ ��G������p�U�>�`)O/�u�^'��hx;��bz ����r8����o�$��i���_b. You will receive two ID cards – one for medical services from CareFirst and one for prescription drug coverage from CVS Caremark. 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 Find a General Practitioner who accepts CareFirst BlueChoice Advantage near you in Washington, DC. %%EOF See all General Practitioner office locations in Washington that accept CareFirst BlueChoice Advantage and doctor ratings. When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. Subject: CareFirst BlueChoice Advantage POS Plan - mental health coverage Anonymous I have Carefirst. At a quick glance, it looks like Carefirst … More information about this plan is in the Employee Benefit Summary (PDF) and Evidence of Coverage (PDF) To locate a medical provider, go to CareFirst’s online directory and look for providers in the “BlueChoice Advantage” network. Check out our Coronavirus Resource Center for information and resources to help you get the CareFirst BlueChoice Advantage Rx Effective January 1, 2014, CareFirst is transitioning to a new Prescription Benefits Manager, CVS Caremark. BlueChoice Advantage HSA/HRA Combined Rx Summary of Plan Options Options Features Medical Summary Rx Summary Option 1 In: $1,400 Ded. endstream endobj 1443 0 obj <>/Metadata 48 0 R/PageMode/UseThumbs/Pages 1440 0 R/StructTreeRoot 159 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1444 0 obj <>/MediaBox[0 0 792 612]/Parent 1440 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1445 0 obj <>stream h��Yko۸�+���&�Xȣ�h{�$�Y����$Bmː����{��?����l��0d��!yfxf���q)L�/)I�L��Ō�$h�%�0 �R��[�>����c`�jMn}�>$`|�I�)ei�2�F �)'�3�ax��(y���9B`Z�8rʴ��7�R�#�Lۈ=UL���jf���aF�Q��h%cU�� ;ҔY�����d�R��bV�ت�5“d�u4��9E��1�C���9�I CareFirst BlueChoice providers have agreed to accept as payment for covered services. 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. Members receiving care outside the CareFirst Service area will experience the lowest out of pocket costs by accessing a national BlueCard PPO provider. Holy crap, this insurance is much better. 6 CareFirst BlueChoice MarylandAs a CareFirst BlueChoice member, you are encouraged to take advantage of the CareEssentials program, at no additional charge. Please note, certain individuals age 30 or older may also apply for BlueChoice Young Adult if their policies were Each specialist visit is a $40 a visit. The CareFirst BlueChoice Advantage plan provides you with different ways to access care: The BlueChoice network is a local network of providers. 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) … BlueChoice Advantage Coverage for: Individual | Plan Type: POS The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Log on to www.carefirst.com/georgetown to take advantage of member tools, videos, discounts, coaching and more! These payments are established by CareFirst BlueChoice, Inc., however, in certain circumstances, an allowance may be established by law When looking for participating doctors from www.carefirst.com, be sure to select “Vision” when conducting your search. The deductible and a 10% coinsurance applies to in-network Outpatient Surgery, Inpatient and Hospital services. Find a Ophthalmologist who accepts CareFirst BlueChoice Advantage near you in Potomac, MD. Need help finding a doctor? Find a participating network pharmacy using the CVS Caremark Pharmacy Locator. Need group health insurance? Find a Gastroenterologist who accepts CareFirst BlueChoice Advantage near you in Dunkirk, MD. Except for emergency services, if you go outside of the BlueChoice network, your medical services will not be covered. Par providers constitute approximately 80% of all doctors nationwide. • Periodically review your claims history for accuracy to ensure we have not been billed for services you did not receive. CareFirst’s HMO plans use our BlueChoice network. 1515 0 obj <>stream That’s okay too! 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. CFBC/POS-POE/ GCA/LG (11/18) Maryland – CFMI For MD groups headquartered in counties other than Prince George's and Montgomery. CareFirst is closely monitoring the coronavirus situation and working in close partnership with state and local public health authorities. CORONAVIRUS UPDATES FROM CAREFIRST (new window). Learn more about BlueVision coverage here. Participants in the CareFirst POS plan will also be enrolled in a prescription drug plan insured by CVS Caremark. 0 There are two types of non-network providers:  ‘par’ and ‘non-par.’. 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