HomeMy WebLinkAboutHow to Find a Provider In/Out of CAPage 1 of 7
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How to Locate a Provider or Facility in CALIFORNIA
Steps to locate a California provider or facility for Medical Benefits – All Otay Blue Shield Plans (Access+ HMO, Gold PPO, and EPO)
1) Log on to the Blue Shield website – www.blueshieldca.com/prism
then click on “Find a Provider”.
2) On this page you will select Access+ HMO Find a Doctor if you are on the
HMO plan or PPO Find a Doctor if you are on the Gold PPO or EPO plans.
You also have the option to chat with a virtual assistant who can help you
find a provider.
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3) Once you select your plan, you can choose what you’re looking for (e.g. “Doctor & Specialists,” “Primary Care Physician (HMO Only),” “Facilities,” or
“Urgent Care,” etc.) Click on the desired option. Once you put in your zip code, you can search by Doctor Type, Doctor Name, or Medical Group.
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4) Access + HMO Participants: Select the Mental Health icon and you will be redirected to the page shown below. Click “Visit the MHSA Network.” Please
ensure you select the “BSC MHSA” option on the drop-down in the “Choose your Benefit Plan” field. Once you select one of the options from the “Choose a
Provider List” drop-down, fill out the information required and click on search.
How to Locate Mental Health Providers
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5) For Gold PPO/EPO Participants: Select the “Mental Health” icon and you will be taken to the page below. Enter your zip code and click continue. You can
search mental health specialist under “Doctor Type” or “Doctor name.”
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How to Locate a Provider or Facility OUTSIDE of CALIFORNIA
Blue Cares – For Members located Outside of California
Steps to locate a provider or facility outside of California for Medical Benefits - Otay Blue Shield Gold PPO/EPO plans only
1) Go to the Blue Shield Blue Care’s website – http://provider.bcbs.com/ and you will see the following screenshot below. Click on “Choose a location and plan.”
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3) If you select “Browse a list of plans”, select BlueCard PPO/EPO
and click confirm selection.
2) Once you select that, you will see “Find your plan by prefix.” You
can type your three-letter prefix from your Blueshield ID card or
select “Browse a list of plans.”
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4) You will directed to the page below. You can search Doctors by name or specialty, etc. You can also search for “Immediate Medical Care” for Urgent Care
locations.