Finding Anthem Blue Cross and Blue Shield Medicare providers
Provider choice may be important to you when you’re choosing an Anthem Blue Cross and Blue Shield 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 Blue Cross and Blue Shield 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 Blue Cross and Blue Shield Medicare Advantage plan you choose and the area in which you live.
Medicare Advantage HMO providers
An Anthem Blue Cross and Blue Shield 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 Blue Cross and Blue Shield 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 Blue Cross and Blue Shield gives members a little more freedom in their choice of providers.
Anthem Blue Cross and Blue Shield 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 Blue Cross and Blue Shield provider networks
The list of health care providers that participate in Anthem Blue Cross and Blue Shield Medicare Advantage plans can include (but is not limited to):
- General doctors
- Specialists
- Dentists
- Hospitals
- Pharmacies and pharmacists
- Clinics
- Therapists
- Dialysis centers
- Durable medical equipment (DME) suppliers
- Rehabilitation facilities
- Hospice providers
Find Anthem Blue Cross and Blue Shield providers near you
The list of participating Anthem Blue Cross and Blue Shield 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 Blue Cross and Blue Shield Medicare Advantage plans.