Get started with your Blue Options plan by making a list of the primary care providers and hospitals your family currently sees for care. Then use the Find a Doctor & Estimate Costs tool to check which tier they are on. Once you know the tier of your doctors and hospitals, you can review your benefits and know what you will pay when you get care.
The Key to Your Blue Options plan:
Always check the tiers of your family's doctors and hospitals BEFORE you get care.
Find a Low-cost, High-quality Doctor, Hospital, or Facility
If you currently use doctors, hospitals, and other health care providers that are not on the Enhanced Benefits tier, you can save money by selecting new providers. Just use the Find a Doctor & Estimate Costs tool to get started. Or, call Member Service at the number on the front of your ID card or 1-800-262-BLUE (2583), Monday through Friday, 8:00 a.m. to 6:00 p.m. ET.
Choosing a Primary Care Provider (PCP)
It's important to consider the tier of your PCP and the hospital where your PCP is affiliated (also know as admitting privileges) before you choose a PCP or get care.
For example, if you need hospital care and your Enhanced Benefits Tier PCP refers you to an Enhanced Benefits Tier hospital, you would have the lowest out-of-pocket costs for both your PCP and hospital services. But, if your Enhanced Benefits Tier PCP refers you to a Basic Benefits Tier hospital for care, you'll pay the lowest copayments for PCP services, but the highest copayments for hospital services (except in an emergency).