Medicare Blog

doctors who are in network with bcbs medicare plus blue group ppo in grand rapids, michigan

by Mr. Jovani Lowe DDS Published 2 years ago Updated 1 year ago

How do I find a pharmacy in my Blue Cross plan?

Have your Blue Cross ID card or the name of your plan handy. Already a member? It's more convenient to find a doctor when you log in to your online account. Don't have an account? Sign up here. You can find a pharmacy on our website. If you want to see the directory specific to your plan, you can find it below.

Where can I find Blue Cross Blue Shield doctors outside the US?

Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands Outside the United States Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States.

How do I contact Blue Cross Medicare Advantage customer service?

Please contact Customer Service at 1-877-774-8592 for additional information. Medicare Advantage Provider Finder by plan: Blue Cross Medicare Advantage Basic Plus (HMO-POS) SM and Blue Cross Medicare Advantage Premier Plus (HMO-POS)SM

Where can I get a Blue Cross ID card in Michigan?

With 95 percent** of Michigan pharmacies in our network, it's easy to find one that accepts your Blue Cross ID card. Just ask your local pharmacy. Or look in one of our online directories.

What is the difference between Blue Care Network and Blue Cross Blue Shield of Michigan?

Blue Care Network of Michigan is a nonprofit health maintenance organization. We're owned by Blue Cross Blue Shield of Michigan. We've been around since 1998. We have more than 840,000 members.

Is Blue Cross Blue Shield of Michigan a PPO?

Community Blue is a Preferred Provider Organization (PPO) and allows you to choose whether you receive health care services from a Community Blue PPO physician (in-network) or to choose any physician (out-of-network).

Is Blue Shield and Blue Cross the same?

Blue Cross and Blue Shield developed separately, with Blue Cross providing coverage for hospital services and Blue Shield covering physicians' services. Blue Cross is a name used by an association of health insurance plans throughout the United States.

Is Blue Cross Complete of Michigan Medicaid?

A Medicaid and Healthy Michigan Plan Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. We help Medicaid members get the health care they need in 32 Michigan counties across the state. We provide members with the care they need, when they need it.

Can you use Blue Cross Blue Shield of Michigan in any state?

One of the hallmarks of having your Blue Cross Blue Shield of Michigan card is being able to access care wherever and whenever you need it – anywhere across the country.

What is a PPO plan?

A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.

What is Blue Shield PPO?

PPO (preferred provider organization) plans are designed for members who want more flexibility when it comes to choosing their doctors. With over 43,000 doctors and 320 hospitals in our Exclusive PPO Network, Blue Shield PPO plans can provide you with the flexibility and choice you are looking for.

Is Blue Cross Blue Shield the same in every state?

Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.

Who owns Blue Cross Blue Shield?

Blue Cross Blue Shield Association (BCBSA) The Association owns and manages the Blue Cross and Blue Shield trademarks and names in more than 170 countries around the world.

Is Blue Plus Medicaid?

MinnesotaCare from Blue Plus is a health care plan for people who need affordable health care but don't qualify for Medical Assistance, Minnesota's Medicaid program.

What is the Healthy Michigan Plan?

The Healthy Michigan Plan covers the federal healthcare law essential health benefits, as well as other services and benefits. This means that you can get the health care you need at a low cost. With these benefits available, it's never been easier to protect your health.

Does Blue Cross Blue Shield of Michigan cover chiropractic?

Coverage for additional chiropractic benefits, including diagnostic X-rays, evaluation and management services, mechanical traction therapy, and spinal manipulation for additional conditions, is provided to members under Medicare Plus Blue PPO and select Medicare Plus Blue Group PPO plans.

Why is it important to make sure a doctor is in your network?

In most cases, it means you'll have lower costs for your care.

How to find VSP eye care?

You can find VSP eye care professionals by searching vsp.com online. You'll need to register and log in. So have your Blue Cross enrollee ID number and plan name handy.

Do HMOs require a primary care physician?

Our HMO plans require you to select a primary care physician. This physician helps you obtain care from specialists. Letting us know about your choice of primary care physician is a necessary first step toward getting the most from your coverage. Learn more about primary care physicians and specialists.

Do I need a referral for HMO?

Most of our HMO coverage requires you to get a referral from your primary care doctor before seeing a specialist. However, some of our plans have different referral processes. You’ll want to know how the process works before you select your plan. Learn more about referrals.

Can you get injectable medication with a PPO?

Injectable Medications for behavioral health conditions. If you have a PPO plan, you have options for receiving injectable medications to treat opioid use and behavioral health conditions. Options include home infusion therapy and ambulatory infusions centers. Find one that works for you.

Dental and Vision Locator

Your Blue Cross Medicare Advantage plan may include dental and vision coverage. Search the provider locator to find the most up-to-date network of dental and vision providers near you.

Help Me Choose a Plan

Not sure what you need? Answer a few questions to help you decide. Get started

Is Blue Cross Blue Shield a mutual insurance company?

About Blue Cross Blue Shield of Michigan. Blue Cross Blue Shield of Michigan, a nonprofit mutual insurance company, is an independent licensee of the Blue Cross and Blue Shield Association.

Is Spectrum Health a PPO?

DETROIT, Apr. 13, 2021 — Grand Rapids-based Spectrum Health will expand its longstanding, network relationship with Blue Cross Blue Shield of Michigan by joining the Blue Cross Medicare Advantage PPO network beginning July 1, 2021. Spectrum Health, which is already a network provider for Blue Cross and Blue Care Network commercial plan members, as well as BCN Advantage Medicare plan members, will now welcome seniors with Blue Cross Medicare Advantage PPO plans to Spectrum Health physician offices and Spectrum Health’s 14 hospital locations in west Michigan. This will enable Blue Cross members who have existing relationships with Spectrum Health physicians to seamlessly transition from their commercial HMO and PPO coverage to a Blue Cross Medicare Advantage plan.

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