Anthem members access care outside their Plan area as conveniently as they access their local Anthem network, with no additional paperwork or out-of-pocket expenses.
The National BlueCard® Directory search is provided for Anthem National Accounts and Members located or traveling outside of the 11 Anthem states who have BlueCard® coverage
Anthem gives members the power and strength of a national network of providers.
helps save money by using providers that accept Blue Plan negotiated rates
offers convenience because there are no claim forms to file
easy to use since members are only responsible for their normal out-of-pocket expenses (copayment, coinsurance, deductible or noncovered services)
How It Works
The BlueCard® program gives Anthem members access to Anthem benefits all across the nation by uniting the Anthem Blue Cross and Blue Shield network with those of other Blue Cross and Blue Shield licensed companies. More than 80 percent of hospitals and nearly 90 percent of physicians in the U.S. contract with Blue Cross and Blue Shield Plans.1 The BlueCard Program links them all.
Anthem members pay less out of their pockets when they receive care from Blue Plan physicians and hospitals because Anthem covers more at the in-network benefit level.
Access Made Easy
To find a nearby health care provider, members can simply:
go to anthem.com for direct access to the most current online Provider Directory.
call BlueCard Access at (800) 810-BLUE (2583).
call Anthem Member Services at the number on the back of their ID card.
Precertification: the Most Important Step
Precertification is when members get prior approval from Anthem for some types of care and services. Precertification activates the benefits and helps ensure that the covered services members receive take place in an appropriate setting, meet the medical necessity criteria of the health plan, and are paid appropriately.
Members are responsible for getting precertification, even if the provider offers to precertify care or equipment.
We recommend that members call to verify the precertification.
If a member does not obtain precertification, he or she may be responsible for more out-of-pocket expenses, and certain services may not be covered.
Precertification is not required for emergency treatment or admissions.
Members must notify Anthem within 24 hours, or as soon as reasonably possible.
If members do not notify Anthem, charges may be denied for services determined to be medically unnecessary.
Claims Filed Locally
A “suitcase” icon on the ID card — either empty or containing the PPO product name — helps doctors and hospitals nationwide recognize a BlueCard member.
To assist the member, the physician or hospital sends the claim electronically to the local Blue Cross and Blue Shield Plan, which sends the claim to Anthem. The claim is then processed by Anthem for reimbursement to the provider.
Benefit Plan Differences
Members choose Anthem managed care benefit plans because working with a primary care physician (PCP) helps ensure the best coordinated care possible, at the lowest out-of-pocket cost. For that reason, there may be differences in the services covered, or in the level at which they are covered while traveling.
Blue AccessSM PPO:
scheduled doctor appointments
preventive care benefits including: well baby and well child care, certain routine or periodic exams, immunizations
emergency and urgent care
Blue Preferred® HMO, Blue Preferred® Plus POS:
emergency and urgent care
authorized follow-up care