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You can search our online provider directories by provider name, location and specialty. Make the most of your coverage and save money, by choosing a provider in your plan.BlueCross members Log into My Health Toolkit® to search the provider directory and view search results specific to your insurance plan. Or, you can search providers outside the U.S. Our networksPreferred Blue network The Preferred Blue® network is used by employer-based group plans and features the most comprehensive provider network in the state. View providersBlue Term short-term health plan network Members with Blue TermSM short-term health plans have access to an extensive list of in-network providers in the state of South Carolina. State Health Plan network The Public Employee Benefit Authority (PEBA) administers benefits for state employees. State employees use a broad, custom network. View providers
2023 Individual and family plan networks BlueEssentials network BlueExclusive Cooper — MUSC Health Alliance network BlueExclusive Reedy — Prisma Health Upstate network BlueExclusive Pee Dee BlueExclusive Congaree BlueExtend Blue VirtuConnect Section hidden in CSS: https://www.bluecrossnc.com/admin/appearance/settings/bcbsnc
Behavioral Health Services
Blue Cross NC wants to make sure you have the most accurate and up-to-date information. But, because we often add new providers to our network, we can’t guarantee all the information in your search will be current. Call our customer service number on the back of your ID card to report information that is wrong. The Blue Cross and Blue Shield Association nor its licensees are liable for losses, damages, or charges as a result of using our provider search or from receiving provider care. You can refer to your Member Guide for information on if a service is covered on your plan. Quartet Health is an independent company providing behavioral health care support services on behalf of Blue Cross NC. Quartet Health does not offer Blue Cross or Blue Shield products or services. Additional Plan InformationDrug List OverviewBlue Cross and Blue Shield of North Carolina offers three drug formularies (drug lists) so Medicare beneficiaries can have options for their prescription needs. Blue Medicare HMO Enhanced, HMO Essential and Blue Medicare PPO Enhanced share the same Medicare prescription drug list. This list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list includes many highly utilized generic drugs and some brand name and specialty drugs. This list also includes a lower cost tier for some maintenance medications related to High Blood Pressure, High Cholesterol and Diabetic conditions. Blue Medicare Rx (PDP) Standard Plan prescription drug list is also based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list for this plan has many highly utilized generic drugs and some brand name and specialty drugs. Many of the most popular generic prescriptions are included. The Blue Medicare Rx (PDP) Enhanced prescription drug list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list includes more generic, brand name and specialty drugs. Generic drugs have the same active ingredient formulas as brand name drugs. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. Certain vaccinations, insulin and insulin injection supplies are also covered on all formularies. Over-the-counter drugs are not covered because they are excluded by Medicare. To encourage the appropriate use of prescription drugs, some quantities are limited and some drugs must be approved before they will be covered. For more information, see prior authorization, step therapy, and quantity limitations. Like most insurance coverage, our Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx plans have some limitations and exclusions. Recent Drug List ChangesThe drugs listed below have been removed from the specified formularies (drug lists). Please ask your doctor to prescribe a drug that is on the formulary to treat your condition. Your drug cost will depend on your specific prescription drug plan and the formulary alternative prescribed by your doctor. If you are affected by a change to the formulary, you will receive a written notice regarding the change at least 60 days before the change will take effect. Blue Medicare Rx Standard These drugs have been withdrawn or discontinued by the manufacturer:
The drug manufacturers have discontinued participation in the Coverage Gap Discount Program for these drugs:
Blue Medicare HMO/PPO and Blue Medicare Rx Enhanced These drugs have been withdrawn or discontinued by the manufacturer:
The drug manufacturers have discontinued participation in the Coverage Gap Discount Program for these drugs:
Questions about Drug CoverageIf you can't find your drug, your drug may not be covered. To verify whether a drug is covered, you may call Customer Service seven days a week from 8 am - 8 pm.
If your drug is not covered, you have the right as a member to request that an exception be made to the formulary or to request a transition supply while you find an appropriate alternative prescription. For instructions on how to request a transition supply or an exception to the formulary and instructions on how to appeal a decision about an exception or to file a grievance if you are dissatisfied for any reason, please review the following documents:
Can I use medical aid for dermatologist?The practice is not contracted in to medical aid schemes. This applies to consultation with a doctor as well as elective procedures.
What services are offered by dermatology?Our Services. Scar Treatment. Get rid of unwanted scars.. Peels. Give your skin a fresh start with our many peel options.. Facials. Relax and refresh your skin.. Medical Dermatology. Consult with us and have the skin that you want.. 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. The Association also grants licenses to independent companies to use the trademarks and names in exclusive geographic areas.
Does Blue Cross cover therapy?Blue Cross Blue Shield plans cover most types of therapy, including individual therapy and child therapy, as well as different types of therapy approaches, including: Cognitive Behavioral Therapy (CBT) Dialectical Behavioral Therapy (DBT)
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Dermatologist near me that take blue cross blue shield
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