Does Premera Blue Cross require referral?

Does Premera Blue Cross require referral?

Do I need a referral to see a specialist? If you go to a Health Connect network specialist, no referral is needed. Most health care services are available in the Health Connect network. You may also see specialists in the Extended network but there may be higher costs.

Is Premera Blue Cross the same as BCBS?

Our customer statement: Premera Blue Cross (PBC) is a not-for-profit, independent licensee of the Blue Cross Blue Shield Association.

What is Premera Blue Card?

Introduction: BlueCard Program Makes Filing Claims Easy. As a participating Premera provider, you may provide services to patients who are National Account members of other Blue Cross and Blue Shield (BCBS) plans, and who travel or live in Washington or Alaska.

Can you use Premera Blue Cross out of state?

Premera Blue Cross employer-based group plans offer coverage for travel in and out of the area. Providers can verify your Premera coverage when you visit with your member ID. After you receive medical care, the provider will submit a claim to the local Blue Cross or Blue Shield plan, and they’ll route it to us.

Does Premera Blue Cross cover vision?

Premera just launched detailed vision benefits within our eligibility and benefits tool on our provider website and through electronic transactions. Our new, detailed vision customer benefits include: Eligibility for vision coverage. In/out-of-network benefits, deductibles, out-of-pocket maximums, and amount remaining.

Is Premera only in Washington state?

Premera’s Peak Care EPO Plan is only offered in Pierce, Spokane, and Thurston counties, and comes with access to the MultiCare Health System in Washington State.

Is Premera Blue Cross Blue Shield PPO?

The PPO Plan offers 100 percent covered in-network preventive benefits, prescription drug coverage, and access to our nationwide network of doctors.

Is Premera only in Washington?

What services are offered by Premera Blue Cross?

inpatient hospital stays

  • limited skilled nursing care
  • outpatient doctor’s visits
  • common lab tests
  • preventive care and vaccines
  • mental health services
  • physical and occupational therapy
  • durable medical equipment
  • emergency and urgent care
  • some transportation services for medical care
  • What is Blue Cross preferred care?

    Blue Cross Traditional. A health insurance plan available to individuals and groups that covers hospital, surgical, and medical care. Blue Preferred PPO. A health insurance plan that encourages subscribers to seek care from providers who have contracted with the insurance company to provide services for a reduced fee.

    Is Aetna part of Blue Cross?

    Given the structure of Blue Cross, Aetna therefore has the edge in terms of network coverage. While Blue Cross Blue Shield does have a common brand image across the different branches, the nationwide network of Aetna comprised of various healthcare professionals as well as hospitals is a far more expansive one.

    Is Anthem Blue Cross health insurance?

    Anthem, Inc. is an American health insurance company founded in the 1940s, prior to 2014 known as WellPoint , Inc. It is the largest for-profit managed health care company in the Blue Cross and Blue Shield Association.