Finding Anthem Blue Cross and Blue Shield Providers
Provider choice may be important to you when you’re choosing an Anthem Blue Cross Blue Shield (Anthem) Medicare Advantage Plan. You may have a favorite doctor or a convenient pharmacy, and it can be beneficial to you when those providers are participating members of your plan.
Current plan members can use the Anthem Find Care provider lookup tool to find doctors, hospitals and other providers in their network.
Your provider selection will depend largely on the type of Anthem Medicare Advantage Plan you choose and the area in which you live.
Medicare Advantage HMO providers
An Anthem Medicare Advantage Health Maintenance Organization (HMO) Plan features a leading network of participating doctors, pharmacies and other health care providers.
Your primary care physician (PCP) will refer you to specialists within the network whenever you need further specialized tests or treatments.
HMO members may be able to visit providers outside of their Anthem Medicare Plan network in the case of emergency care or urgent care.
Medicare Advantage PPO providers
A Medicare Advantage Preferred Provider Organization (PPO) Plan from Anthem gives members a little more freedom in their choice of providers.
Anthem Medicare PPO members may select from a network of health care providers, and they can also seek coverage outside of the plan’s provider network. You typically pay lower out-of-pocket costs if you stay within your plan network.
PPO members also do not need to get a referral from their primary care physician in order to schedule an appointment with a specialist.
Anthem provider networks
The list of health care providers that participate in Anthem Medicare Advantage Plans can include (but is not limited to):
- General doctors
- Pharmacies and pharmacists
- Dialysis centers
- Durable medical equipment (DME) suppliers
- Rehabilitation facilities
- Hospice providers
Find Anthem providers near you
The list of participating Anthem providers available to you will depend on where you live and the plan you have.
Call a licensed insurance agent at 1-866-870-3072, TTY 711, 24/7 to learn which health care providers in your area accept Anthem Medicare Advantage Plans.