Interested in an individual or family health insurance plan in Northern Virginia? You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the provider's charge and what your plan pays (balance billing). In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). CareFirst is a champion for our communities and an advocate for true health equity for all. NJ First Home Health Care - Just another WordPress site NJ First Home Healthcare has been a godsend! If you have questions about the services or plans provided by CareFirst, please feel free to reach out to us. Here, you can find a doctor, compare plans, view dental and vision information or download forms. Finding a Provider | CareFirst BlueCross BlueShield For more information and easy reference, check the, For a complete and detailed description of benefits, check the. Members with Grandfathered/Non-ACA Plans. Learn more about what drugs CareFirst plans cover and how to estimate prescription costs. Credentialing Forms : All forms that you need to submit with your Application may beaccessed via hyperlinks within the . CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Search Now This site uses cookies. [CDATA[ Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. Back to Top A new patient-centric, virtual-first primary care practice. this.start=function(){var t=this;"complete"!==document.readyState?window.addEventListener?window.addEventListener("load",function(){t.go()},!1):window.attachEvent&&window.attachEvent("onload",function(){t.go()}):t.go()};}; Access resources for care coordination and support for chronic condition management. If you want to remain on these pages, click Cancel or close this box. Find a Doctor - CareFirst Medicare Advantage Register with My Account, to access your claims history, plan deductibles, and personalized benefits information. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). We take all long-term care insurance plans. Opioid Treatment Providers Find a Doctor or Health Care Facility Use our directory to see if your doctors are part of our network. We have caregivers who have been with a client for so long time that they became a part of the family. Plan names are found at the top of each benefit summary. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; [CDATA[ Compassionate care for over 100 conditions through an easy-to-use app. this.start=function(){var t=this;"complete"!==document.readyState?window.addEventListener?window.addEventListener("load",function(){t.go()},!1):window.attachEvent&&window.attachEvent("onload",function(){t.go()}):t.go()};}; Click the link for your network/plan to access your plan's online directory, and (when required) select your network from the dropdown box: Your FirstCare plan also includes coverage when you're outside the network or outside the service area, with some stipulations. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. Johns Hopkins Medicine and CareFirst Reach New Strategic Agreement. 2022 Copyright NJFirst Home Health Care. All Rights Reserved. Provider Network Want to check if your trusted doctors are part of our PPO network? this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bFind a Doctor | CareFirst BlueCross BlueShield // ]]>, // CareFirst Member BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Understanding Plans | CareFirst BlueCross BlueShield Use our online provider directoryto find doctors, specialists and hospitals. this.check=function(){var a=this.get(f);if(a)a=a.split(":");else if(100!=e)"v"==h&&(e=Math.random()>=e/100?0:100),a=[h,e,0],this.set(f,a.join(":"));else return!0;var c=a[1];if(100==c)return!0;switch(a[0]){case "v":return!1;case "r":return c=a[2]%Math.floor(100/c),a[2]++,this.set(f,a.join(":")),!c}return!0}; Returning & new members Welcome! Peace of mind is so important and I feel confident leaving my loved one in their care. Review the information below to learn more about each plan type. On the administrative front, the office manager is highly competent and ensures that the caregiving sessions are staffed appropriately. We combine Medicare coverage with added benefits and services - connecting Maryland beneficiaries with a large local network of physicians and providers that includes: If you would like to be mailed a hard-copy of theprovider directory or if you need help finding a network provider, please call toll free: Search Now A new patient-centric, virtual-first primary care practice. CareFirst offers HMO and PPO plans with deductibles and monthly costs to meet your budget. Use our online provider directory to find doctors, specialists and hospitals . [CDATA[ Prospective and existing members can compare prescription plan options by using the Drug Calculator Tools. Visit the Congress website. For additional information about a provider such as the medical school attended and residency completion, visit the Texas Medical Board website at public.tmb.state.tx.us/HCP_Search/searchinput.aspx. window.CE_READY = function () { CE2.listen(window, 'click', function(evt) { if (evt.target.id=== 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } // CareFirst Blue Cross Blue Shield - CareFirst Health Insurance: Medical this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;bBlueChoice (HMO) Claim Forms | CareFirst BlueCross BlueShield CareFirst Commercial Pre-Service Review and Prior Authorization View the list of services below and click on the links to access the criteria used for Pre-Service Review decisions. (function(){var g=function(e,h,f,g){ BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Care First OB/GYN has been a leading provider for compassionate, comprehensive health care for the women of New Jersey for more than ten years. Member Service Phone Numbers (Monday-Friday, 8 a.m. to 6 p.m.) Members who bought ACA Plans directly from CareFirst (off exchange) 855-444-3122. eBilling (Automatic Debit) International Claim Form (For care received out of network area) Coordination of Benefits (Update your information on My Account) (function(){var g=function(e,h,f,g){ In New Jersey, we also offer services for individuals with disabilities. What Impacts the Cost of Health Insurance? Were here to help. Utilize provider offices to market plans unless there is availability for all plans to market in this environment and approval has been given by CareFirst Compliance 9 . To find providers that accept Medicare Assignment, please visit: www.medicare.gov. Our goal is to assign you a caregiver who will meet your needs, someone with whom you can build an ongoing and working relationship over time. We provide home care services to our veterans and military personnel. (function(){var g=function(e,h,f,g){ Find Care & Estimate Costs for Doctors Near You | Empireblue.com - Anthem Find a Doctor Our Network Advantage A World of Choices Your membership gives you a world of choices. Finding the right provider for you is important - not all providers are the same. Learn more. // ]]>. [CDATA[ I will definitely recommend them to all my friends an family!!! 800-722-2467. Our online directory will help you find a doctor that meets your needs. CareFirst designed Northern Virginia plans with members healthcare needs and budget in mind. Insurance Basics Plan Types Plan types (HMO, PPO) refer to how plans provide coverage and from which network of providers you receive care. Horizon Medicare Blue Advantage (HMO) YKO Members have access to a subset of the physicians and other health care professionals that participate in the Horizon Managed Care Network, as well as all in-network ancillary providers. Insurance Information | Johns Hopkins Medicine Go to your Primary Care Physician (PCP) first. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. [CDATA[ Here, you can find a doctor, compare plans, view dental and vision information or download forms. If you have an urgent need for an appointment, please call our office directly. Welcome to the BlueChoice site for Federal Employees! Home | HEALTHCAREfirst In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.). Search Our Online Provider Directory Download 2023 Provider Directory If you would like to be mailed a hard-copy of the provider directory or if you need help finding a network provider, please call toll free: 800-722-2235. This site is for the exclusive use of Federal Employees in D.C., Maryland and Northern Virginia. Learn more. 24/7/365. Specialties: Obstetrics, Gynecology. PDF BlueChoice HMO - CareFirst Blue Cross Blue Shield Please ensure recipient email address is valid. try{(new g(100,"r","QSI_S_ZN_eQKLROMaB9E1yfz","https://zneqklromab9e1yfz-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_eQKLROMaB9E1yfz&utm_source=Qualtrics")).start()}catch(i){}})(); this.start=function(){var t=this;"complete"!==document.readyState?window.addEventListener?window.addEventListener("load",function(){t.go()},!1):window.attachEvent&&window.attachEvent("onload",function(){t.go()}):t.go()};}; Suite 108 Edison, NJ 08817, Mon 8:45am-3:00pmTues 9:00am-3:00pmWed 11:45am-6:00pmThurs 11:45am-6:00pmFri 9:00am-3:00pm, Obstetrics, Gynecology, Ultrasound, Pre-Conceptual Counseling, Click the Button Below to Request An Appointment. this.go=function(){if(this.check()){var a=document.createElement("script");a.type="text/javascript";a.src=g;document.body&&document.body.appendChild(a)}}; To view the medical policies associated with each service, click the link or search for the policy number in the Medical Policy Reference Manual. CareFirst BlueCross BlueShield Advantage DualPrime promotes strong doctor-patient relationships through supportive care management strategies and innovative technology. this.set=function(a,c){var b="",b=new Date;b.setTime(b.getTime()+6048E5);b="; expires="+b.toGMTString();document.cookie=a+"="+c+b+"; path=/; "}; The COVID-19 Federal Public Health Emergency Expired on May 11, 2023. // ]]>, // PDF Credentialing Process Overview - Horizon BCBSNJ No Members may go directly to an in-network Ob/Gyn for // ]]>, // Individual & Family Health Insurance Plans in Virginia - CareFirst Health Information Exchange (HIE) Opt-Out Form. Providers & Physicians Home | CareFirst Provider PPO, HMO & Catastrophic Insurance Plans - CareFirst 24/7/365. IMPORTANT: Stay in-network to get the most out of your plan benefits and avoid higher fees and out-of-pocket costs. Our all-female team of Obstetricians, Gynecologists, and Nurse Practitioners are dedicated to bonding with each patient, and to providing an informed and educational . In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. 8 AM to 8 PM EST, Monday through Friday fromApril 1 September 30 at: Serving Maryland, CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage DSNP, Inc. and CareFirst Advantage, Inc., which are independent licensees of the Blue Cross and Blue Shield Association. Get Your Estimate What Happens After Your Visit With years of experience in the home care industry, we know what it takes to provide efficient and competent home care services. Visit our contact us page. Thank you for requesting an appointment with Axia Womens Health! We are proud to serve a multi-lingual population, with service available in: 1 Ethel Road Check out Questions to Consider When Shopping for a Plan, or call member support at 800-544-8703, TTY 711. You will choose or will be assigned a PCP when you apply. Worlds Most Ethical Companies and Ethisphere names and marks are registered trademarks of Ethisphere LLC. The largest provider network in the region and a commitment to value-based, preventative care for all. PDF Agent Manual CareFirst BCBS Medicare Advantage HMO Plans Important information for Medicare Supplement insurance customers: doctors or other providers that accept Medicare Assignment will accept the Medicare-approved amount as payment in full on all Medicare claims, and only bill for any deductible, copay or . 40 Under 40: CareFirst BlueCross BlueShield's L. KeShawn Harris We provide home care services to our veterans and military personnel. Stay in-network. We are a NJ Medicaid provider, and we work with most NJ HMO plans: UnitedHealthcare, Horizon NJ Health, Aetna Better Health of New Jersey, and Amerigroup. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. ATTENTION: By clicking Continue, you will leave the FirstCare Medicare Advantage pages. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The choice of provider or place to seek medical treatment belongs entirely to you. You can search for a medical, dental or vision provider by last name or type of provider and within a specified distance. Provide meals during marketing or sales meetings or events 11 . this.set=function(a,c){var b="",b=new Date;b.setTime(b.getTime()+6048E5);b="; expires="+b.toGMTString();document.cookie=a+"="+c+b+"; path=/; "}; We offer several affordable dental care plans to help protect your smile, health and budget. Our Customer Service team is standing by and ready to assist you. Only a medical provider can offer medical advice. Members who bought ACA Plans through State Websites (on exchange) 855-444-3121. Welcome to the BlueChoice site for Federal Employees! Over 9,000 local providers and hospitals to choose from. No out-of-network benefits, except in emergency. Compassionate care for over 100 conditions through an easy-to-use app. Membership Change Request If you buy insurance through your employer, please contact your employer to make changes. this.set=function(a,c){var b="",b=new Date;b.setTime(b.getTime()+6048E5);b="; expires="+b.toGMTString();document.cookie=a+"="+c+b+"; path=/; "}; try{(new g(100,"r","QSI_S_ZN_eQKLROMaB9E1yfz","https://zneqklromab9e1yfz-carefirst.siteintercept.qualtrics.com/SIE/?Q_ZID=ZN_eQKLROMaB9E1yfz&utm_source=Qualtrics")).start()}catch(i){}})(); Visit doctors and hospitals in your plan's network to avoid paying higher out-of-network costs. CareFirst BlueCross BlueShield website for Providers & Physicians. if (evt.target.id === 'QSIFeedbackButton-btn' || (evt.target.matches && evt.target.matches('#QSIFeedbackButton-btn *')) ) { CE2.set(1, 'feedback'); } }); } CloseKnit's care teams offer preventative and urgent care, behavioral and mental health, chronic condition prevention, medication management, and more. // ]]>, // , // Options for Care | What You Need to Know - CareFirst Learn more about what partnership means to CareFirst. Through this search tool, you can also search for health care facilities, including hospitals, urgent care and labs. Changes will not be processed unless received from your employer. // ]]>. To locate a provider within your plan's network, you will need to know the name of your plan. unique CAQH Provider ID number. Forms - CareFirst Provider About Us. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. Your PCP will direct all of your health care needs. Care First OB/GYN - Edison - Axia Women's Health HEALTHCAREfirst is a full-service provider of affordable and effective solutions and services for home health and hospice agencies nationwide. This site is for the exclusive use of Federal Employees in D.C., Maryland and Northern Virginia. Health & Wellness Programs for Your Health Find a Provider & Resources Taking the first step to address your mental health concerns can be difficult. Over 9,000 local providers and hospitals to choose from. All the caregivers they have provided have been kind, professional, and skilled. Compare Federal Employee health plans and learn about optional dental and vision. Healthcare Transformation Learn how we're working to transform healthcare. Johns Hopkins Medicine now offers an online tool to help you estimate the hospital fee portion of you bill. CareFirst offers a variety of plan types (HMO, POS, PPO). We also provide in-home child-care services. out-of-network costs. Access to a statewide network of over 30 hospital systems. Click below to find helpful tips for using your FirstCare health plan to access the high-quality providers in your network. The estimates are available for 300 services across our six hospitals. Health Insurance in Maryland, Washington DC & Northern - CareFirst In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. To confirm the specific name of your plan, please check your member ID card. All individual and family plans in Virginia include: If youre self-employed or dont have coverage through an employer, purchasing anindividual health plan is your best option. Prospective Member: 1-844-331-6334 (TTY: 711) . Health Maintenance Organization (HMO) plans offer: Some flexibility In-network doctor visits Out-of-network, only emergency medical services covered Preferred Provider Organization (PPO) plans offer: The most flexibility We accept clients who self-pay for services; we have no contract; and you can end services at any time. Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. Care First OB/GYN has been a leading provider for compassionate, comprehensive health care for the women of New Jersey for more than ten years. Our all-female team of Obstetricians, Gynecologists, and Nurse Practitioners are dedicated to bonding with each patient, and to providing an informed and educational approach to care to build a partnership of trust that lasts through a lifetime of care. We take all long-term care insurance plans. You will pay less if you use a provider in the plan's network. Our dental plans cover a comprehensive range of dental services at no charge including: Compare features, pricing, and coverage for each plan level: Serving Maryland, the District of Columbia, and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc. and CareFirst Advantage DSNP, Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. Contact Us | CareFirst BlueCross BlueShield Providers & Physicians Home | CareFirst Provider Click here to access our online provider directory. PDF Summary of Benefits and Coverage: What This Plan Covers - CareFirst Provider Refund Submission Form Uniform Consultation Referral Form The editable version of this form is available by logging into the Provider Portal. CareFirst offers HMO and PPO plans with deductibles and monthly costs to meet your budget. this.get=function(a){for(var a=a+"=",c=document.cookie.split(";"),b=0,e=c.length;b