Network Strength is a Key Asset
Today more than ever, maintaining a high-quality and effective network of physicians and other medical professionals is an integral part to our success. Our competitive advantage includes the breadth and depth of our networks to meet member needs. Because of the size and strength of our networks, members receive the vast majority of their services from physicians in-network. In fact, in-network utilization across the lines of business has consistently remained in the 94 to 95 percent range.
“With the broad access and deepest discounts, coupled with innovative care management programs, we not only help manage medical costs, we counsel and coordinate with both provider and members so that patients receive wellness services and the care they need”, said Dr. Barry Schwartz, vice president of network management for Blue Cross and Blue Shield of Florida. Another advantage to the size of our networks is that deep discounts are in place to help employers more effectively manage medical costs. Based on the most recent claims information evaluated by independent consultant, Milliman & Associates, Blue Cross and Blue Shield of Florida (BCBSF) continues to enjoy the deepest discounts on a statewide basis over any other health care company.
For hospital-based physicians, 97 percent of anesthesiologists, radiologists and ER physicians participate in a BCBSF network. For hospital-based pathologists, 94 percent participate in the BlueChoice® network and 89 percent participate in the NetworkBlueSM (BlueOptions®) network. Many hospitals contract out for selected services with providers, so it is important that our members check and choose in-network providers to secure their payment level responsibility and avoid balance billing.
To check the participation status providers, members can visit www.bcbsfl.com. They just go to the Member section, then select “Find a Doctor and More” on the left side under Quick Links which takes them to our online provider directory. There they can find participating physicians and hospitals.
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