Access to a statewide network of over 30 hospital systems. Member Service Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m.) Members who bought ACA Plans directly from CareFirst (off exchange) 855-444-3122. PDF BlueChoice HMO - CareFirst Blue Cross Blue Shield 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 shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. // ]]>. Changes will not be processed unless received from your employer. Stay in-network. Medical Advice Available 24/7 Reach a nurse at 800-535-9700 See a doctor anytime with CareFirst Video Visit 8 AM to 8 PM EST, Monday through Friday fromApril 1 September 30 at: Serving Maryland, CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage DSNP, Inc. and CareFirst Advantage, Inc., which are independent licensees of the Blue Cross and Blue Shield Association. Welcome to the BlueChoice site for Federal Employees! 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 shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. We will work together to help you get well, stay well and achieve any wellness goals you have in mind. Interested in an individual or family health insurance plan in Northern Virginia? We are a NJ Medicaid provider, and we work with most NJ HMO plans: UnitedHealthcare, Horizon NJ Health, Aetna Better Health of New Jersey, and Amerigroup. Plan types refer to how plans provide coverage and from which network of providers you receive care. Welcome! 24/7/365. this.start=function(){var t=this;"complete"!==document.readyState?window.addEventListener?window.addEventListener("load",function(){t.go()},!1):window.attachEvent&&window.attachEvent("onload",function(){t.go()}):t.go()};}; We are a NJ Medicaid provider, and we work with most NJ HMO plans: UnitedHealthcare, Horizon NJ Health, Aetna Better Health of New Jersey, and Amerigroup. Check out Questions to Consider When Shopping for a Plan, or call member support at 800-544-8703, TTY 711. this.check=function(){var a=this.get(f);if(a)a=a.split(":");else if(100!=e)"v"==h&&(e=Math.random()>=e/100?0:100),a=[h,e,0],this.set(f,a.join(":"));else return!0;var c=a[1];if(100==c)return!0;switch(a[0]){case "v":return!1;case "r":return c=a[2]%Math.floor(100/c),a[2]++,this.set(f,a.join(":")),!c}return!0}; CloseKnit's care teams offer preventive and urgent care, behavioral and mental health, chronic condition prevention, medication management and more. CareFirst offers HMO and PPO plans with deductibles and monthly costs to meet your budget. We have caregivers who have been with a client for so long time that they became a part of the family. public.tmb.state.tx.us/HCP_Search/searchinput.aspx, Individual/Family HMO (including Marketplace). Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. No out-of-network benefits, except in emergency. Healthcare Transformation Learn how we're working to transform healthcare. Welcome to the BlueChoice site for Federal Employees! A new patient-centric, virtual-first primary care practice. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. To confirm the specific name of your plan, please check your member ID card. Register with My Account, to access your claims history, plan deductibles, and personalized benefits information. This site is for the exclusive use of Federal Employees in D.C., Maryland and Northern Virginia. For more information and easy reference, check the, For a complete and detailed description of benefits, check the. Search Our Providers Directory | CareFirst BlueCross BlueShield 800-722-2467. No Members may go directly to an in-network Ob/Gyn for Opioid Treatment Providers Find a Doctor or Health Care Facility Use our directory to see if your doctors are part of our network. unique CAQH Provider ID number. CareFirst offers a variety of plan types (HMO, POS, PPO). [CDATA[ 24/7/365. Provider Credentialing Learn more with our Professional Credentialing Overview. Provider Resources for physicians and providers of CareFirst Medicare Advantage Plans. Whether you were a member in 2022 or are new to CareFirst, check out the latest benefit and program features. this.check=function(){var a=this.get(f);if(a)a=a.split(":");else if(100!=e)"v"==h&&(e=Math.random()>=e/100?0:100),a=[h,e,0],this.set(f,a.join(":"));else return!0;var c=a[1];if(100==c)return!0;switch(a[0]){case "v":return!1;case "r":return c=a[2]%Math.floor(100/c),a[2]++,this.set(f,a.join(":")),!c}return!0}; // ]]>, // Forms - CareFirst Provider Learn more. Our goal is to assign you a caregiver who will meet your needs, someone with whom you can build an ongoing and working relationship over time. Find Care & Estimate Costs for Doctors Near You | Empireblue.com - Anthem CareFirst offers HMO and PPO plans with deductibles and monthly costs to meet your budget. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Providers & Physicians Home | CareFirst Provider [CDATA[ Use our online provider directoryto find doctors, specialists and hospitals. 40 Under 40: CareFirst BlueCross BlueShield's L. KeShawn Harris (function(){var g=function(e,h,f,g){ Over 9,000 local providers and hospitals to choose from. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; CareFirst BlueCross BlueShield website for Providers & Physicians. Health Information Exchange (HIE) Opt-Out Form. We are proud to serve a multi-lingual population, with service available in: 1 Ethel Road (function(){var g=function(e,h,f,g){ Federal Employee Health Benefit Plans | CareFirst BlueCross BlueShield Care First OB/GYN has been a leading provider for compassionate, comprehensive health care for the women of New Jersey for more than ten years. [CDATA[ eBilling (Automatic Debit) International Claim Form (For care received out of network area) Coordination of Benefits (Update your information on My Account) Thank you for your patience during this time. We offer several affordable dental care plans to help protect your smile, health and budget. A new patient-centric, virtual-first primary care practice. All individual and family plans in Virginia include: If youre self-employed or dont have coverage through an employer, purchasing anindividual health plan is your best option. Instructional guide for using the online Provider Finder tool. Search Our Online Provider Directory Download 2023 Provider Directory If you would like to be mailed a hard-copy of the provider directory or if you need help finding a network provider, please call toll free: // ]]>. out-of-network costs. . try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); Credentialing Forms : All forms that you need to submit with your Application may beaccessed via hyperlinks within the . Utilize provider offices to market plans unless there is availability for all plans to market in this environment and approval has been given by CareFirst Compliance 9 . Please ensure your email address is valid. Compassionate care for over 100 conditions through an easy-to-use app. Johns Hopkins Medicine now offers an online tool to help you estimate the hospital fee portion of you bill. Click here to access our online provider directory. Provider/Customer Service: 410-779-9359 or 800-730-8543. The COVID-19 Federal Public Health Emergency Expired on May 11, 2023. October 1 March 31 | 8 am 8 pm EST | 7 days a week, Member Rights and Responsibilities Upon Disenrollment, Part C Organization Determinations, Appeals, and Grievances, Pharmacy Benefits (Part D Prescription Drug), Part D Coverage Determination, Exceptions, Appeals and Grievances, Medication Therapy Management Program (MTMP), Over the Counter Medications and Products, Quality Assurance and Utilization Management, Medication Therapy Management (MTM) Program, Code of Ethical Business Conduct & Compliance, Reporting Potential or Actual Fraud, Waste, & Abuse (FWA) or Non-Compliance. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Simply search by inputting the zip code where you want to look for care and select "Blue Preferred" as your network. Finding the right provider for you is important - not all providers are the same. Professional Provider Claims Provider Inquiry Resolution Form Do not use this form for Appeals or Corrected Claims. The largest provider network in the region and a commitment to value-based, preventative care for all. This site is for the exclusive use of Federal Employees in D.C., Maryland and Northern Virginia. Members who bought ACA Plans through State Websites (on exchange) 855-444-3121. Please ensure recipient email address is valid. PDF Horizon Blue Cross Blue Shield of New Jersey 2018 Managed Care Benefits [CDATA[ News; Events; Frequently Asked Questions; Contact Us; Find a Medication / Pharmacy. PDF Summary of Benefits and Coverage: What This Plan Covers - CareFirst [CDATA[ this.check=function(){var a=this.get(f);if(a)a=a.split(":");else if(100!=e)"v"==h&&(e=Math.random()>=e/100?0:100),a=[h,e,0],this.set(f,a.join(":"));else return!0;var c=a[1];if(100==c)return!0;switch(a[0]){case "v":return!1;case "r":return c=a[2]%Math.floor(100/c),a[2]++,this.set(f,a.join(":")),!c}return!0}; try{(new g(100,"r","QSI_S_ZN_eQKLROMaB9E1yfz","https://zneqklromab9e1yfz-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_eQKLROMaB9E1yfz&utm_source=Qualtrics")).start()}catch(i){}})(); We provide home care services to our veterans and military personnel. // ]]>, // In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). For additional information about a provider such as the medical school attended and residency completion, visit the Texas Medical Board website at public.tmb.state.tx.us/HCP_Search/searchinput.aspx. Finding a Provider | CareFirst BlueCross BlueShield 8 AM to 8 PM EST, 7 days a week from October 1 March 31 Use our Find a Doctor tool to locate doctors and facilities available to your employees. HEALTHCAREfirst is a full-service provider of affordable and effective solutions and services for home health and hospice agencies nationwide. [CDATA[ Through this search tool, you can also search for health care facilities, including hospitals, urgent care and labs. You can also view and order ID cards and access helpful tools to get the most out of your plan. ATTENTION: By clicking Continue, you will leave the FirstCare Medicare Advantage pages. [CDATA[ NJ First Home Healthcare has been attentive to our familys needs, Everyone at NJFirst Home Health Care has been just great. // Explore Our Plans Find a Doctor Use our Find a Doctor tool to locate doctors and facilities available to your employees. Find a Doctor - CareFirst Medicare Advantage In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). Provider Refund Submission Form Uniform Consultation Referral Form The editable version of this form is available by logging into the Provider Portal. Thank you for requesting an appointment with Axia Womens Health! Access resources for care coordination and support for chronic condition management. Find a Doctor | CareFirst BlueCross BlueShield This form is to be used for Inquiries only. CareFirst Member // ]]>, // With years of experience in the home care industry, we know what it takes to provide efficient and competent home care services. To find providers that accept Medicare Assignment, please visit: www.medicare.gov. Please enter your recipient's email address. Our all-female team of Obstetricians, Gynecologists, and Nurse Practitioners are dedicated to bonding with each patient, and to providing an informed and educational . Insurance Information | Johns Hopkins Medicine Care First OB/GYN has been a leading provider for compassionate, comprehensive health care for the women of New Jersey for more than ten years. Plan names are found at the top of each benefit summary. CareFirst - Provider Network Congressional employee? Care First OB/GYN - Edison - Axia Women's Health to treat members enrolled in Horizon BCBSNJ managed care plans (e.g., OMNIA, Horizon HMO, Horizon Direct Access, Horizon Medicare Advantage) at an in-network level of benefits. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bCareFirst Blue Cross Blue Shield - CareFirst Health Insurance: Medical If you have an urgent need for an appointment, please call our office directly. [CDATA[ Our all-female team of Obstetricians, Gynecologists, and Nurse Practitioners are dedicated to bonding with each patient, and to providing an informed and educational approach to care to build a partnership of trust that lasts through a lifetime of care. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } Back to Top BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. We combine Medicare coverage with added benefits and services - connecting Maryland beneficiaries with a large local network of physicians and providers that includes: If you would like to be mailed a hard-copy of theprovider directory or if you need help finding a network provider, please call toll free: CareFirst Hub Employer Solutions Plans that meet the needs of all businessesfrom small and locally owned to national companies. Returning & new members Welcome! Questions to Consider When Shopping for a Plan, Nondiscrimination Notice and Foreign Language Assistance, Summary of Preventive and Contraceptive Services, $30 PCP, after deductible/$40 Specialist, after deductible, $40 copay, no deductible/$80 copay, no deductible, No charge PCP, no deductible/$30 Specialist, no deductible, $30 copay, no deductible/$60 copay, no deductible, PCP visits 1-3 no charge, no deductible, visits 4+ no charge after deductible, Specialist, no charge after deductible, Vision examination for members over age 19, Dental and vision coverage for members under age 19, Out-of-network, only emergency medical services covered, Access to 47,000 PPO network local providers, Access to thousands of PPO network national providers. Suite 108 Edison, NJ 08817, Mon 8:45am-3:00pmTues 9:00am-3:00pmWed 11:45am-6:00pmThurs 11:45am-6:00pmFri 9:00am-3:00pm, Obstetrics, Gynecology, Ultrasound, Pre-Conceptual Counseling, Click the Button Below to Request An Appointment. We accept clients who self-pay for services; we have no contract; and you can end services at any time. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; Prospective Member: 1-844-331-6334 (TTY: 711) . I will definitely recommend them to all my friends an family!!! Our only contract with you is based on the quality of services we provide and the relationship we build together over time. We take all long-term care insurance plans. In New Jersey, we also offer services for individuals with disabilities. Specialties: Obstetrics, Gynecology. Prospective and existing members can compare prescription plan options by using the Drug Calculator Tools. Over 9,000 local providers and hospitals to choose from. Perks and resources for members to live their best. CareFirst designed Northern Virginia plans with members healthcare needs and budget in mind. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the provider's charge and what your plan pays (balance billing). In New Jersey, we also offer services for individuals with disabilities. Learn more. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Our Customer Service team is standing by and ready to assist you. Click below to find helpful tips for using your FirstCare health plan to access the high-quality providers in your network. BlueChoice (HMO) Claim Forms | CareFirst BlueCross BlueShield The National Committee for Quality Assurance (NCQA) awarded FirstCare Health Plans an Accredited Status (Commercial, Medicaid, Marketplace HMO, recertified 11/2022) - reflecting our continuous work to fulfill NCQA requirements for consumer protection & quality improvement. Important information for Medicare Supplement insurance customers: doctors or other providers that accept Medicare Assignment will accept the Medicare-approved amount as payment in full on all Medicare claims, and only bill for any deductible, copay or . Compare Federal Employee health plans and learn about optional dental and vision. To view the medical policies associated with each service, click the link or search for the policy number in the Medical Policy Reference Manual. Insurance Basics Plan Types Plan types (HMO, PPO) refer to how plans provide coverage and from which network of providers you receive care. // ]]>, // PDF Credentialing Process Overview - Horizon BCBSNJ For Providers - CareFirst Medicare Advantage CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The table below lists the available FirstCare provider networks, as well as which plans are a part of those networks. You can search for a medical, dental or vision provider by last name or type of provider and within a specified distance. Providers & Physicians Home | CareFirst Provider Provide meals during marketing or sales meetings or events 11 . PDF Agent Manual CareFirst BCBS Medicare Advantage HMO Plans CloseKnit's care teams offer preventative and urgent care, behavioral and mental health, chronic condition prevention, medication management, and more. // Individual & Family Health Insurance Plans in Virginia - CareFirst Building successful, trusting relationships like these is both our goal and our reward. This plan uses a provider network. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bPPO, HMO & Catastrophic Insurance Plans - CareFirst Review the information below to learn more about each plan type. 8 . Were here to help. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { if (evt.target.id=== 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } try{(new g(100,"r","QSI_S_ZN_7NEbFnBCgXhmlPT","https://zn7nebfnbcgxhmlpt-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_7NEbFnBCgXhmlPT")).start()}catch(i){}})(); If you want to remain on these pages, click Cancel or close this box. Were proud of all the clients we serve every day in every county. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. We take all long-term care insurance plans. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); }

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