Top
30
Doctor insights on: Blue Cross Blue Shield Hmo Blue New England

Share
1

1
Can anyone explain to me the difference between an hmo ppo and blue cross?

Blue Cross both: Bx has both hmo and ppo plans. Hmo: see your primary care doc first and seek other specialist care as needed. Ppo: you can self refer to other specialist care. Difference in deductibles, co-pays, drug coverage, tests. ...Read more

Dr. Milroy Samuel
19 Doctors shared insights

Hmo (Definition)

HMO stands for health maintenance organization, which is a kind of health insurance. An HMO consists of a group of physicians, specialists and member hospitals. As a patient using an HMO, you agree to use a physician or specialist from within ...Read more


2

2
Good obgyn and general practice doctor in pasadena, glendale or burbank, ca area who accepts blue cross hmo?

Good obgyn and general practice doctor in pasadena, glendale or burbank, ca area who accepts blue cross hmo?

HMO doc: You need to look on your list to see who accepts your plan and do your own research. Generally in order to be a bc/bs hmo provider you have to be board certified. ...Read more

4

4
Can't find insurance provider in list? It's blue cross blue shield nj. Do I just pick another?

Can't find insurance provider in list? It's blue cross blue shield nj. Do I just pick another?

Just call around: Blue cross blue shield is a good insurance company and I would say that few if any doc/office not accepting it--my office certainly does. So, pick out a doc/office that is convenient for you and give them a buzz. I am sure they will be happy to add you as a new patient. Good luck. ...Read more

6

6
I didn't see Blue Cross Blue Shield Federal option (FEPBlue). How do I get covered? Thanks in advance!

I didn't see Blue Cross Blue Shield Federal option (FEPBlue). How do I get covered? Thanks in advance!

Unclear question!: Are you asking if you can use your insurance to pay for a Healthtap Prime consult? If that is your question, I think the answer is that Prime does not accept insurance at this time. Your insurance may or may not reimburse you, depending on your policy. Contact your insurance and support@healthtap. Com for a definite answer to your question. This forum we both are using now is free to you ...Read more

7

7
Are most colposcopys and biopsies covered with insurance? . I have blue cross blue shield federal with a $25 co-pay. Can you give an estimated price.

Are most colposcopys and biopsies covered with insurance? . I have blue cross blue shield federal with a $25 co-pay. Can you give an estimated price.

Don't know: You will have to ask your doctor about the estimated cost. This varies from region to region and doctor to doctor. Insurance coverage varies widely and that question would be best answered by your insurance company (there should be a phone number for questions on your card) or the human resources office at work. Hope this helps. Good luck ...Read more

8

8
Could my insurance pay for my vaginal dilators for vaginimus? I have blue cross blue shield.

Could my insurance pay for my vaginal dilators for vaginimus? I have blue cross blue shield.

Insurance: Patients should call the insurance company and ask them. Each carrier has rules for what they will cover and not cover. ...Read more

9

9
Do you know if the big companies like aetna, blue cross, blue shield, or cigna will have low-cost insurance plans from health care reform?

Do you know if the big companies like aetna, blue cross, blue shield, or cigna will have low-cost insurance plans from health care reform?

Probably so...: That will differ among states, depending on which companies decide to sell health insurance in a particular state. The type of plan and level coverage that an insurance company sells through the Obamacare health insurance marketplaces should be the same quality plan as the company sells to people outside of the marketplace program. California's marketplace will sell several levels of coverage. ...Read more

10

10
Does blue cross blue shield insurance cover ENT docs good?

Does blue cross blue shield insurance cover ENT docs good?

It should: No reason why it would not. Calling the member services number on the back of the card should answer which doctor closest to you will cost you the least to see. ...Read more

11

11
I have blue cross blue shield insurence does it cover gastric bypass if I want to have it done?

I have blue cross blue shield insurence does it cover gastric bypass if I want to have it done?

Maybe: You will first have to choose your surgeon and have a consultation. If you meet the criteria, it maybe covered but you will have to follow through on the prescribed program. It can take a few months to know. Just calling the company may not work. The surgeon will be able to tell you. ...Read more

12

12
I got a letter from my GI doctor about a test I have to do, and it has bill type t, what does that mean. I have blue cross blue shield insurance.

I got a letter from my GI doctor about a test I have to do, and it has bill type t, what does that mean. I have blue cross blue shield insurance.

Local question: Since we are not the physician who wrote the letter and are not in any way aware of what the test is this should addressed locally. It is impossible to answer here on this international app. ...Read more

14

14
Need help for a dual diagnosed person. My husband is bipolar and is addicted to alcohol and crack cocaine. He has medicare and federal blue cross and blue shield. He is danger to himself and family. I baker acted him numerous times but his psychiatrist ge

Need help for a dual diagnosed person. My husband is bipolar and is addicted to alcohol and crack cocaine. He has medicare and federal blue cross and blue shield. He is danger to himself and family. I baker acted him numerous times but his psychiatrist ge

In: In the state of florida, the marchman act addresses getting help for individuals with serious problems with substance abuse, who are not open to treatment. This law can help families through the courts to get loved ones into court ordered and court monitored "intervention assessment stabilization, or detoxification, and long-term treatment". A family member can petition the court.
Under the baker act, which is specific for psychiatric conditions, even if he has known psychiatric diagnoses, his doctor can only detain him against his will for a brief period unless there is court intervention and he is deemed to be at imminent risk to self or others.
I suggest you obtain legal advice. Additionally, do not remain in the home iwith your spouse if you are afraid that you or your son are in danger. You can ask the police who intervened for local contact information regarding domestic violence advocacy. If is important that a safety plan be developed. "knights of kindness" lists a number of florida resources that may be beneficial. ...Read more

15

15
Does anyone know if bluecross blue shield covers orthodontia?

Does anyone know if bluecross blue shield covers orthodontia?

Yes, but........: All insurance companies offer plans that cover almost any procedure you want. The real issue is what plan your employer has bought for you. In these tough times, companies are buying less expensive plans that cover few services and that have low dollar limits. Always remember that you get what you pay for. ...Read more

16

16
I need to know how to get birth control pills for free or cheap without my parents knowing. I'm 18 and insured by illinois bluecross blueshield hmo.

health department: If your insurance is paid for by your parents and you file a claim for the medication at the pharmacy, chances are they will receive an explanation of benefits listing the medications purchased. I don't advise keeping secrets from your parents. Sexual activity is part of life and should not be taboo. An honest discussion with your parents is probably better. ...Read more

17

17
As a young professional w/ a mobile lifestyle, how would you recommend I locate and vet a caring primary care physician? (HMO, Blue Shield CA)

As a young professional w/ a mobile lifestyle, how would you recommend I locate and vet a caring primary care physician? (HMO, Blue Shield CA)

In my opinion (only): Your BEST BETS are your FRIENDS/RELATIVES/WORK PLACE! Ask them if they have a physician they trust...find out (in advance) the list of Participating Physicians in your HMO, and finally KEEP GOING! You may not find one the first time! (Don't worry you will hurt some Doc's feelings if you can't get along after the first visit or two!)

Hope this helps!
Good Luck
Dr Z ...Read more

18

18
How much is the Plan B pill will blue cross blue sheild insurce and where can iget it?

How much is the Plan B pill will blue cross blue sheild insurce and where can iget it?

About $50: It varies by pharmacy, but it should be $50 or less. You can google Plan B and coupon to get a discount. Since Plan B is over the counter, it is unlikely that your insurance will cover it. Brest of luck to you! ...Read more

19

19
Which is better basic ppo, pps 3500, or ppo 2400 with blue cross?

Which is better basic ppo, pps 3500, or ppo 2400 with blue cross?

MY OPINION: I have always felt that patients of mine with PPO's (straight up and traditional) far outpaced everything else you've listed in terms of reimbursements, allowed services, and covered medications. Your best bet is to get a couple of the plans to check them side by side. ...Read more

20

20
I have medical/blue cross and will this cover braces? I'm a teenager

I have medical/blue cross and will this cover braces? I'm a teenager

In general, no: You said that you had medical insturance, not dental insurance. There are dental insurance plans in the US but if you read them carefully you will quickly recognize that they are not really insurance plans. They will pay up to (say) $4000 for your root canal work and then you find out that the Dentist is charging you $9000 to do it. Some insurance! Caveat Emptor! ...Read more

21

21
What are common safe conventional therapies for cancer covered by anthem blue cross?

What are common safe conventional therapies for cancer covered by anthem blue cross?

Yes: Most insurance companies cover most standard therapies for cancer, though certainly there is wide variability in the details. Contacting the insurance company directly can get you more detailed information on what specifically is covered by your policy. ...Read more

22

22
Do I have to be a permanent resident (citizen or green card holder) to get health insurance here? Oxford, united, blue cross. No enough info online

Do I have to be a permanent resident (citizen or green card holder) to get health insurance here? Oxford, united, blue cross. No enough info online

Lawfully present?: Here is a link for you. It will describe the circumstances and documents required to buy health insurance through the Marketplace. Individual insurance companies may have their own requirements. Welsome to the US!

https://www. Healthcare. Gov/immigrants/ ...Read more

23

23
Does anyone know if laproscopic surgery is available to medicaid/blue cross (monroe plan) patients in ny state?

Should be: The type of surgery whether laparoscopic or open or robotic depends more on what surgery you need and the comfortability your surgeon has doing that procedure laparoscopically than your insurance. If you need surgery and it can be done laparoscopically then your insurance should cover it. ...Read more

24

24
Does blue cross cover any of the cost of the invisalign? What about being sedated during dental work? Please help

Does blue cross cover any of the cost of the invisalign? What about being sedated during dental work? Please help

Insurance invisalign: Generally invisalign is covered by dental insurance which has an orthodontic benefit because it is comprehensive orthodontic treatment. Your dentist is usually willing to help you pre-authorize all procedures for which you will be billed. ...Read more

25

25
If I have medicaid, how will that compare with my blue cross which lets me see any doctor and have private room, get brand name drugs, etc?

Very different: Your bcbs doctor may not accept medicaid. Drug choices will be very limited to specific formulary. Room availability will depend on hospital. Medicaid will pay substantially less to the doctor so many choose not to participate. ...Read more

26

26
My last doctor was in aetna and cigna, but not blue cross. Will all the companies will have a low-cost plan in the obamacare program?

Unlikely: There are dozens of health care insurers across the country. It is doubtful that all will be represented in any state, or that all will offer each level of plan specified by the elaborate requirements of the program. At the present time the lowest cost plans may also have substantial up front co-pays and out of pocket deductables that will be surprising to those looking for the promised "great" fix. ...Read more

27

27
My mom has anthem blue cross PPO CA covered. She needs a urinary catheter done once a week. What do I search to have this done, who can perform this?

My mom has anthem blue cross PPO CA covered. She needs a urinary catheter done once a week. What do I search to have this done, who can perform this?

See MD: I do not understand the need for a catheter once a week--if she needs a catheter to release urine, she would need to do this several times a day. See MD and clarify circumstances,
Ask doctor's office about insurance questions. ...Read more

28

28
I need a doctor who accepts anthen blue cross insurance (medi-cal) in elk grove or south sacramento area, california.

I need a doctor who accepts anthen blue cross insurance (medi-cal) in elk grove or south sacramento area, california.

Type of doctor need?: Are you looking for a primary care doctor (e.g. an internist, family practice doctor, or OB/GYN) or a specific type of specialist (e.g. cardiologist, endocrinologist, etc.)??

Most insurance provide patients with a list of doctors available within their network. Consider contacting insurance company for list. Medicaid (or Medi-Cal) are difficult to find. Best of luck. ...Read more

29

29
Will blue cross cover part of the cost for breast enlargement surgery?

Will blue cross cover part of the cost for breast enlargement surgery?

Rarely: Breast augmentation is considered cosmetic, elective surgery, and insurance covers reconstructive surgery or treatments for illness, etc. If you had a congenital breast abnormality (such as poland's syndrome), you may be able to get coverage for implants in this case. But otherwise, augmentation is considered elective (self-pay). See one or more abps-certified plastic surgeons for advice! ...Read more