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Home Provider Finder Disclaimers

Provider Finder Disclaimers

1.         General Disclaimers

 

General Disclaimers

Please read the following information so that you will know which physicians, provider groups, hospitals/facilities and other providers are available to you under your Anthem blue cross (i.e., either Anthem blue cross of California or BC Life & Health Insurance Company) benefit plan.  This information is being provided for general information purposes only.  Please refer to the applicable plan for information on plan benefits, conditions, limitations and exclusions. 

1.      The listing of providers does not constitute a recommendation of any physician, provider group, hospital/facility or other provider.

 2.      We have made every effort to ensure the accuracy of this on-line directory of providers.  However, we cannot guarantee that this information has not changed since being provided to us and posted.  Provider participation varies depending on the type of plan and coverage selected.  Please review your evidence of coverage (EOC) or certificate of coverage (COC) for more information specific to your benefit plan, or contact the toll free customer service number located on your ID card.

 3.      The physicians, provider groups, hospitals/facilities and other providers that are part of the network of providers referred to by this directory are independent contractors who exercise independent judgment and over whom Anthem blue cross has no control or right of control and are not agents or employees of Anthem blue cross.  If you, or a covered family member, select a provider in the network, either directly or by referral from another provider, you are seeking care from that provider, not Anthem blue cross.  The provider exercises independent, professional judgment.  It is your provider’s responsibility to discuss treatment options with you, even those that might not be eligible for benefits under your plan.  Anthem blue cross’ decisions about whether any medical service or supply is covered under your benefit plan are insurance benefit decisions only and are not the provision of medical care.  Anthem blue cross is not responsible for, does not provide, and does not hold itself out as the provider of your medical care.  Only the doctors who treat you can provide medical care and only those doctors are responsible for any negligence in providing your medical care.  If a service or supply is not eligible for benefits under your plan, you and your provider are free to proceed with that service or supply knowing that benefits are not available under your plan. 

 4.      Some plans require prior authorization for certain services.  Please refer to your EOC or COC for more information regarding any authorization processes applicable to your plan.  Failure to do so may result in additional costs to you including, but not limited to, deductibles, co-payments, coinsurance or the services may be excluded by your benefit plan.  Please call the toll free phone number on your ID card for further assistance.

 5.      Please verify with the provider you select that the provider is currently participating in the network at the location in which you are seeking care.

 6.      For behavioral health services, please verify that Anthem blue cross of California (Anthem blue cross) administers your mental health and chemical dependency benefit prior to using this Provider Finder.

 7.      For behavioral health provider groups, please note that each individual professional in the group may not be listed on Provider Finder.  Please call the group directly to verify those professionals participating in Anthem blue cross’ Behavioral Health network.

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