How to select PPO Plan
How to select PPO Plan – click to enlarge

PPO members for all Covered CA plans and maybe all? plans will now have a central point of contact PCP – Primary Care Physician, in the health system for receiving long-term, comprehensive, coordinated care for most health needs. PPO members are able to switch PCPs at any time. There is no action for members to take. Blue Shield will provide additional details on this new feature in the coming weeks.

Members of non-grandfathered PPO plans will continue to have the freedom to choose specialists and other providers – without referrals inside or outside the network – as they do now.

PPO Primary Care MD – member communication from Covered California

Blog Insure Me Kevin.com 11.26.2016 practical limitations money wise of going out of network – namely Maximum Out of Pocket OOP Limit is effectively much higher.

Primary Care Physician Assignment Quick Guide. 

Directory Online

Tele Doc –   24/7 access to doctors and pediatricians

Teladoc provides you with access to board-certified doctors and pediatricians who are always available to resolve many of your medical issues via phone or online video consultations. It’s quality healthcare, when and where you need it.

Call Teladoc from anywhere – home, work, or on the road – and let the doctor come to you! Teladoc doctors diagnose and treat many of your non-emergency medical problems. They can even write a prescription, if necessary, for you to pick up at your local pharmacy.

Blue Shield drops Stanford for 1.1.2016

 

Individual and family plan members on a PPO plan will be matched with a primary care physician (PCP) in 2017. Find out more about the value of a PCP, as well as how to check the one you’re matched with or make a change.

Blue Shield Find a Provider Tool

We’ve made it easier than ever to select a provider and get the right care. Find out how to locate the doctor or facility that’s right for you when and where you need care.

 

Step by Step Instructions – Process

Click on Directory Online

What are you looking for?
What are you looking for?

 

Click on Doctors

Are you currently a Blue Shield membver - or checking it out?
Are you currently a Blue Shield membver – or checking it out?

 

Put in Zip Code

Enter your Zip Code
Enter your Zip Code

 

Which Plan?
Which Plan?

 

Silver 73
Silver 73

 

Then pick your sub plan, in this case Silver 73.   It’s my understanding that ALL Individual PPO plans have the same list.

 

Enter Name of MD you want:

Enter Name of MD
Enter Name of MD

 

Unfortunately Dr. Goladschlager doesn’t show on the list.

Goladschlager not on the list
Goladschlager not on the list

 

So, I googled Dr. Goldschlager  – he’s with Sutter Health and the name was misspelled.  GIGO – Garbage in Garbage out

 

MD on list with details
MD on list

 

Details
Details

x

More Details & Background Information
More Details & Background Information

 

Next MD – Roland

Roland
Roland

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