True Blue HMO and Secure Blue PPO plans have networks of doctors, specialists, and hospitals.
True Blue HMO members must receive covered benefits from providers who are part of the plan's network but do not need a referral to see a participating specialist. Those choosing to go to a provider outside the network, must pay for these services themselves except in limited situations (for example, emergency care). Neither True Blue HMO or Original Medicare will pay for services from out-of-network providers.
Secure Blue PPO coverage includes a Visitor/Traveler program available in 29 states and 1 territory: Alabama, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Indiana, Kentucky, Maine, Massachusetts, Michigan, Minnesota, Missouri, North Carolina, Nevada, New Hampshire, New York, Ohio, Oregon, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Utah, Virginia, Washington, Wisconsin and West Virginia. For some of the states listed, network providers are only available in portions of the state. Members who see Medicare Advantage PPO providers (Blue MA PPO network) in the geographic area where the Visitor/Travel program is offered will pay the same cost sharing level (in-network cost sharing) they would pay if they received covered benefits from in-network providers in their service area. Please contact us for assistance in locating a provider when using the Visitor/Traveler benefit.
Secure Blue PPO plan members have coverage for both in- and out-of-network benefits and may also see specialists and providers outside the plans network without a referral. Secure Blue PPO members may pay more for out-of-network services with the exception of emergencies and urgent care.
The providers in our network can change at any time. Visit our online provider directory for the most up-to-date list of participating providers.
For more information about out-of-network coverage call us at the number listed below.
1-888-492-2583 or TTY 1-800-377-1363, 8 am to 8 pm, seven days a week
3000 E Pine Ave. Meridian ID 83642-5996 or P.O. Box 8406, Boise ID 83707-2406
Blue Cross of Idaho is a health plan with a Medicare contract.
Y0010_MK 12155 CMS Approval 11/9/2011