ProviderAccess Login
Access our secured site for eligibility, claims, certifications and more.
Not registered?Register Now

Login
Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Enter

Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.

10 Keys to Using Your Blue Advantage Plan Wisely

PW_000860
At Anthem Blue Cross and Blue Shield, we're committed to bringing you a health plan that's high quality, affordable and easy to use. Here are the basics to help you use your Blue Advantage Plan wisely:  
Select a primary care physician.
If you did not choose a primary care physician from the BlueAdvantage network when you enrolled, please look in your Anthem Provider Directory, click here to search our directory online, or call customer service. Each dependent covered under your plan should also select a primary care physician.
Get to know your doctor.
It's important for you to feel comfortable with your primary care physician. He or she is your personal doctor who will provide most preventive care and medical services.
Coordinate all care through your primary care physician.
Unless it's an emergency, always call your primary care physician first when you need care. He or she will see that you get the care you need, referring you to specialists or the hospital when necessary.
If you're a Blue Advantage HMO plan member
If you receive care that is not approved by your primary care physician, or if you go to a doctor, who does not participate in the Blue Advantage network, you may have to pay for those services.
If you're a Blue Advantage Point-of-Service member
You have the flexibility to go to any doctor in the Blue Advantage network without a referral from your primary care physician and still receive benefits. However, for the lowest out-of-pocket costs, you should coordinate care through your primary care physician.
Be prepared for an emergency.
If you are in a life-threatening situation, call 911 or go immediately to the nearest emergency facility. After receiving emergency care, notify your primary care physician within 48 hours.
Carry your health plan ID card with you.
Your Blue Advantage ID card gives network providers the information they need to take care of your claims. Present your ID card whenever you receive health care services.
Know your benefits.
Blue Advantage provides a comprehensive program of health care services. There are services that aren't covered by your plan, and it's important for you to understand what they are. Take the time to read your benefit booklet carefully, and call customer service if you have any questions.
Know your rights and responsibilities.
Every partnership involves rights and responsibilities. Please review your rights and responsibilities as a Blue Advantage member, so you can do your part to receive the highest quality health care.
Understand the appeals process.
If you ever have a concern about your health plan or the services you receive, we want to hear about it.
Be healthy and stay healthy.
Your Blue Advantage health plan covers a full range of preventive care benefits: immunizations, well-baby care, maternity care, checkups and tests. We encourage you to take advantage of these benefits. Preventing illness and finding problems before they become serious is an important part of staying healthy.
Call customer service for assistance.
If you have a question about your health plan, call our customer service representatives Monday through Friday, 8 a.m. to 4:30 p.m.
©2005-2013 copyright of Anthem Insurance Companies, Inc.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use