In addition to the BlueCard PPO and TIHN networks for Hospital and medical care, the Plan also uses other networks of preferred Providers for different benefits, as described below. Providers in all these networks are credentialed and carefully monitored to ensure that they continue to meet high professional standards and that they provide appropriate care.
Medical and Hospital Care
Anthem BlueCard PPO
The Plan contracts with Anthem’s BlueCard PPO network, giving you access to one of the nation’s largest networks of doctors, Hospitals, and other health care facilities. Search for Providers at https://anthem.com/find-care or call (800) 810-BLUE (2583).
Mental Health and Substance Use Disorder Services
Beacon Health Options
Prescription Drugs, Including Specialty Drugs
Through CVS Specialty Pharmacy Caremark
Vision Service Plan (VSP)
Optum’s Quit For Life®
(866) QUIT-4-LIFE (784-8454)
Plan Ahead to Avoid Surprises When Using Out-of-network Providers
Seeking care outside of the Plan’s networks can be costly since Out-of-network Providers may charge whatever they wish for services. However, if you choose to use Out-of-network Providers, the FAIR Health website offers helpful information and planning tools. The FAIR Health site estimates your potential medical expenses based on actual Provider charges in your local area.
FAIR Health is a national independent, not-for-profit corporation whose database of medical and dental services powers a free website for consumers. You can use this tool to get a real-world cost estimate that you can use to gain an informed understanding of how much you might need to pay in out-of-network costs for specific treatments and procedures.
It is important to note, however, that some Out-of-network Providers charge far more than the FAIR Health amount. It is important to ask your Provider how much he or she will charge for a service or procedure before services are rendered.
Also note that the FAIR Health site does not take into account the Plan’s benefits, limitations or exclusions. Therefore, you must treat the information as an estimate only.