Carefirst change primary physician

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One Medical accepts health plans from most insurance carriers as well as Medicare. We believe that quality health care should be accessible to everyone, so if you have a high-deductible health plan or are not insured, we also offer affordable options for working together.

Our goal is to participate with as many plans as possible, and we expect to continue to expand the list of participating plans over time. See our Insurance page for more information. Worth D. Apply Cancel. We keep it simple In order to offer a seamless experience and make our services accessible to more people, we accept most major insurance plans and bill for services through your insurance — just like a typical doctor's office.

You are responsible for arranging your own hospital certifications. There is a financial penalty if pre-certification is not arranged. Please call the provider's office directly to confirm that they still participate in the CareFirst network, even if they are listed as a provider on the CareFirst site.

To find an in-network provider, visit www. If your provider is not listed in the online directory, they are considered out-of-network. You will still have coverage, but your out-of-pocket costs will be greater. Please call the provider's office directly to confirm that they still participate in the CareFirst network, even if they are listed as a provider on the BCBS site.

In addition, you can schedule visits for other needs such as behavioral health support from a therapist or psychiatrist, guidance from a certified nutritionist or breastfeeding support from a lactation consultant.

Visit www. Patient centered medical home PCMH doctors provide coordination of care for patients with serious and chronic health conditions.

If your physician participates, they will get streamlined access to specialist reports, test results, and hospitalization information.

A nurse in your physician's office is designated to be available to answer questions, support the treatment process, and be proactive in providing care. The program is confidential, voluntary, and provided at no additional cost to you.

If you are contacted by your doctor, we strongly encourage you to enroll in the program so that you can get personalized care and support for you and your family.

To find out if your physician participates in the program, go to www. CareEssentials is a personalized, confidential, and voluntary health coaching program to help people with chronic conditions, like diabetes or asthma, to manage their overall health.

Highly trained nurses provide one-on-one telephone support and health information, help you prepare questions for doctor visits, answer questions about new diagnoses and medications; and assist with other health issues. The CareEssentials team is available to support your relationship with your physician, not replace it.

They will provide coordination of care with your physician. The program is administered by Healthways, Inc. Expectant mothers can take advantage of the CareFirst Great Beginnings pregnancy support program designed to supplement the prenatal care and education you receive from your doctor, at no additional cost to you.

When you enroll in Great Beginnings, a nurse case manager will review your medical history. If you experience complications during your pregnancy, they will work closely with your doctor to coordinate necessary services. You are covered while traveling outside the U. A self-insured plan means that the university pays the claims. CareFirst administers the claims from health providers for AU faculty and staff.

The university does not receive any private medical information or any details about claims incurred. Our premiums for CareFirst are based on our claims experience. If we have a lot of claims in a year, the university has to pay more. And that means the next year the premiums go up. But you can help.

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You can consult with a board-certified doctor whenever you want on your smartphone, tablet or computer. This process allows you or your dependents to receive care from out-of-network providers for up to 90 days. Complete the Continuity of Care form and submit it to CareFirst to determine if you qualify for this process.

Viewing and printing this document requires Adobe Acrobat Reader, which can be downloaded free from the Adobe site. Toggle navigation. Provider Network. Our Network Advantage. A World of Choices Your membership gives you a world of choices. Login Register. Have questions about health insurance? Explore our Insurance Basics pages. Need Insurance? Log In or Register.

A PCP can be: a doctor, nurse practitioner, physician assistant, or even a care team through a virtual-first primary care practice like CloseKnit. There are two reliable ways to start your search: Talk to your friends and family —personal recommendations can give you a good sense of whether you would be comfortable with a particular PCP.

Otherwise, when it comes to receiving care, you have a choice: You can receive care from any doctor you would like to see. However, using in-network doctors will often reduce the amount you pay for care.

Selecting a PCP is not mandatory— but it is highly recommended.