PPO
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Select a provider from the Blue Cross and Blue Shield nationwide PPO network.
While there is a non-network option available, it would be at a reduced level of benefit.
If you receive care from a non-network provider, you will need to submit your own claims and you may be responsible for any additional dollar amounts that Anthem does not cover.
Precertification is your responsibility, even if the provider offers to handle.
In an emergency situation, go to the nearest hospital or emergency center. Call your physician and Anthem as soon as reasonably possible.
For urgent care situations, contact your physician first for advice about appropriate treatment. Many physicians have extended hours to accommodate patients during evenings and weekends.
Network Physicians Help Make Life Easier
While you have the freedom to choose a network or non-network doctor each time you need medical care, establishing a long-term relationship with a network physician you trust can offer you more effective health care coordination, a potential cost savings and less paperwork hassle.
To find a nearby PPO provider, go to the National BlueCard Directory®.
Coverage While Traveling – Coast-to-Coast or Worldwide
A special “PPO in a suitcase” on your Blue Cross and Blue Shield ID card helps doctors and hospitals recognize you as a BlueCard PPO member. That way, you have access to benefits no matter where you live or travel – throughout the United States or worldwide!
When you need health care while traveling, call BlueCard Access at (800) 810-BLUE (2583) to locate the nearest network PPO provider. You have access to over 85 percent of all hospitals and physicians nationwide, as well as hospitals and physicians in 200 countries.1
To assist members, network providers will file claims for you. You are only responsible for your plan’s copayment, coinsurance, deductible or non-covered services.* Anthem will send you an Explanation of Benefits (EOB).
We’re Here to Help
If you have questions or need assistance, please call Anthem Customer Service. The number is on the back of your Blue Cross and Blue Shield ID card.
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