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.
In - and out-of-network benefits
In - and out-of-network levels of benefits vary depending on each member's group medical benefits. Typically, members enjoy a greater level of coverage when using BlueCard PPO network providers. Members should check with their employer or contact the Horizon BCBSNJ service line for additional information about their benefits.
Easy service with 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, Horizon BCBSNJ offers toll-free customer service Monday, Tuesday, Wednesday, and Friday 8 a.m. to 6 p.m., Thursday 9 a.m. to 6 p.m., Eastern Time (ET), so members can get the help they need when it's convenient for them. Members also have access to Member Online Services, where they can look up claim status and enjoy other online services to make their health care experience more satisfying.
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.