Plans

Medical Plans

BlueCard® PPO

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The BlueCard PPO program is the premier national Blue Cross and/or Blue Shield Preferred Provider Program that links together more than 600,000 network doctors and 6,000 network hospitals in 48 states. This is a seamless network that affords members the ability to use any network doctor or network hospital in any location. So, for instance, a member that lives in Florida can use network providers in Georgia or any other state, just as if he or she was home. The network also includes hospitals and doctors abroad to make international travel more comforting.

No PCP or Referral Needed
With BlueCard PPO, members do not need to select a Primary Care Physician, and referrals are not needed to access specialty care. Members can access any network doctor or hospital at any time and enjoy the in-network level of benefits. Members can also use any doctor or hospital not in the network and receive an out-of-network level of coverage.

Easy Service—No Hassles
When using BlueCard PPO doctors and hospitals, members have no claim forms to file and virtually no paperwork. All BlueCard PPO providers will handle all of the paperwork for them.

Plus, members have access to our Member Online Services, where they can look up claim status and access other tools and resources designed to make their health care experience more satisfying. Horizon BCBSNJ also offers toll-free customer service so members can get the help they need when it's convenient for them.

How to Locate a BlueCard PPO Provider
Members can access BlueCard PPO network doctors and hospitals several ways. Members can access information about network providers, including directions to their location with the National Doctor and Hospital Finder. Members can also call the BlueCard Access Line at 1-800-810-BLUE (2583) to access PPO providers. If you are not yet an enrolled member, indicate that you are not yet enrolled but are considering becoming a member.

Portable Benefits Coverage
So, whether traveling (business or vacation) or living in another state (student away at college), members can take advantage of their benefits by presenting their ID cards to any participating doctor or hospital. Once enrolled, members simply carry our easily identifiable ID cards with a PPO in a suitcase logo, which lists a toll-free number to help reach a BlueCard PPO provider.