Finding Care

Find links to our Find a Doctor tool and info on our 24-Hour Nurse Line, ER alternatives, and case management programs.

We make finding just the right care provider easy. Click the button below to search for a doctor, hospital, or other health care providers. You can also read and write reviews on doctors you’ve seen and compare up to ten doctors at a time.


Continue to Find a Doctor

If you have questions about a medical problem, you can call the Blue Care LineSM toll-free at 1-888-247-BLUE (2583).1 Registered nurses are available 24 hours a day, 7 days a week, to answer your questions. Simply explain the situation and our nurses will tell you whether you should see your doctor, go to the emergency room, or care for yourself at home.

Alternatives to the Emergency Room

Depending on the severity of your medical concern, the emergency room isn’t always your best option. Nearby retail clinics2 and urgent care centers3 can treat many conditions in less time for less money. See a list of options and how much you can save. In addition, we suggest talking to your doctor about your best choices for after-hours care or urgent care.

Based on your symptoms, use the chart below to guide you in seeking an ER alternative.

 
Blue Care LineSM
1-888-247-BLUE (2583)
Limited Services Clinics
(For age 2+)
Urgent Care Centers

Description

Blue Care LineSM :

Speak with a nurse about your treatment options. No waiting in line.

Limited Services Clinics:

Use these facilities — for example, CVS Minute Clinic®'' — for treatment of non-urgent and minor concerns without an appointment or referral.

Urgent Care Centers

Use these facilities, which include CareWell®'' Urgent Care, Doctors Express®'', and Health Express, for treatment of serious, but non-life threatening, conditions.

Cost

Blue Care LineSM :

No Cost

Limited Services Clinics:

Low Cost

Urgent Care Centers

Moderate Cost

Availability

Blue Care LineSM :

24/7

Limited Services Clinics:

Often open 7 days a week with evening hours

Urgent Care Centers

Often open 7 days a week with evening hours

Symptom or Service

Ear Infection

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Fever

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Dizziness

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Flu

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Sore Throat

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Pinkeye

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Animal Bite

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Burn

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Back Pain

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Sprain

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 

Stitches

Blue Care LineSM :

 

Limited Services Clinics:

 

Urgent Care Centers:

 
Emergency Room — Highest Cost

If you experience any of the following symptoms, go to the nearest hospital or call 911.

  • Heart attack ( sudden or severe chest pain)

  • Stroke (numbness in face, arm, or leg on one side; difficulty talking; loss of vision)

  • Severe shortness of breath

  • High fever with stiff neck

  • Coughing up or vomiting blood

  • Cut or wound that won't stop bleeding

  • Possible broken bone

  • Poisoning

  • Stab wound

  • Sudden or severe abdominal pain

  • Trauma to the head

  • Suicidal feelings

Use our Find a Doctor tool to locate a retail clinic1 or urgent care center2 near you.

Go to Find a Doctor and click "Find a Doctor without logging in."
  • Select "Medical Facility"

  • Click "Specialty" tab

  • Choose "Urgent Care Centers" or "Clinics, Limited Services"

  • Insert your location

  • To determine your network: Locate your plan name (shown at the center top of your ID card), then click the right arrow to choose your network. If you need help finding your network, click "Which network should I choose?"

Also, check Find a Doctor regularly, as new retail clinics and urgent care centers are added all the time.

Case Management Program

This program is designed for members with complicated health needs resulting from a serious disease or accident, one or more complex health conditions, or severe chronic illness. Many people in Case Management are taking multiple medications and are seeing several doctors and can benefit from having a case manager to help coordinate care.

If you’re enrolled in this program, a registered nurse case manager will call you to:

  • Assess your health needs

  • Provide education about your symptoms, condition, and medication

  • Help you follow your doctor’s treatment plan

  • Collaborate with you to develop health care goals

  • Help you develop self-management skills

  • Collaborate and coordinate care with your doctors

  • Inform you about community resources

  • Assist you in understanding your health plan benefits

Chronic Condition Management Program

Chronic Condition Management is designed for members who have one or more of the following conditions:

  • Asthma

  • Coronary Artery Disease

  • Chronic Obstructive Pulmonary Disease

  • Diabetes

  • Congestive Heart Failure

The Chronic Condition Management team consists of registered nurses and specialized health coaches including certified diabetes educators and dieticians. The team identifies members who have any of the covered conditions. Once members who might need help are assessed, the team reaches out regarding participation in the program. The goals of the program are to:

  • Increase your understanding of your condition

  • Improve your ability to follow your treatment plan

  • Help reduce complications

  • Set goals to improve your health and quality of life

For More Information

If you would like to learn more or participate in our Blue Care Connection Case Management or Chronic Condition Management Programs, please call 1-800-392-0098, and choose option 1. The Blue Care Connection is available Monday through Friday, from 8:30 a.m. to 4:30 p.m. ET.

Mental Health Management

The first step is toward getting appropriate care is to talk with a doctor who knows you and your health best. Your doctor can advise you on:

  • Whether your problem is due to a medical condition or a medication side effect

  • Talking with a mental health worker, such as a social worker, mental health counselor, psychologist, or psychiatrist

  • Referrals to behavioral health or substance use services

  • Coordinating your health care with behavioral health services

Finding Behavioral Health Providers

There are several types of behavioral services providers:

  • Licensed Independent Clinical Social Worker (LICSW): A licensed social worker with a master’s degree who can offer individual therapy, couples therapy, family therapy, or group therapy.

  • Psychologist: A practitioner with a doctoral degree in psychology. Psychologists can offer individual therapy, couples therapy, family therapy, or group therapy. They also may be trained in psychological testing and some in neuropsychological testing.

  • Psychiatrist: A medical doctor with specialized behavioral health training. Psychiatrists can prescribe medications for behavioral health treatment, and they may offer individual therapy, couples therapy, family therapy, or group therapy.

  • Psychiatric Nurse Practitioner: An advanced practice nurse specially trained to prescribe medication to patients with behavioral health diagnoses.

Finding a Behavioral Services Provider

For help finding behavioral health services and to get the care and support you need, call us at the number on your Blue Cross Member ID card. You can also use our Find a Doctor tool to search for the right behavioral health specialist.

To contact the Blue Cross Behavioral Health Case Management department, call 1-800-392-0098 (TTY: 711) 8:30 a.m. to 8:00 p.m. Monday to Thursday, or 8:30 a.m. to 4:30 p.m. on Fridays.

 

 

Improving Your Mental Health
Getting Started

The first step is to find out if you have a problem. You may not feel comfortable with the subject of mental health. When you start looking for behavioral health or substance use services, it's always a good idea to talk with your health care provider who knows you and your health best and can:

  • Check if your problem could be caused by a health problem or a medication side effect

  • Suggest you talk with a mental health worker; for example a social worker, mental health counselor, psychologist, or psychiatrist

  • Refer you to behavioral health or substance use services they know or are within or affiliated with their office

  • Coordinate your health care with behavioral health services

Finding Behavioral Health Providers

There are several types of behavioral services providers:

  • Psychologist: A practitioner with a doctoral degree in psychology. Psychologists can offer individual therapy, couples therapy, family therapy, or group therapy. They also may be trained in psychological testing and some in neuropsychological testing.

  • Psychiatrist: A medical doctor with specialized behavioral health training. Psychiatrists can prescribe medications for behavioral health treatment, and they may offer individual therapy, couples therapy, family therapy, or group therapy.

  • Psychiatric Nurse Practitioner: An advanced practice nurse specially trained to prescribe medication to patients with behavioral health diagnoses.

We're here to help you find behavioral health services and to get the care and support you need. If you have questions about your coverage or finding a behavioral health provider, call us at the number on your Blue Cross ID card.

Also, with our Find a Doctor tool, you can search for the right behavioral health specialist for your health needs and your specific plan coverage.

To contact the Blue Cross Behavioral Health Case Management department, call 1-800-392-0098 (TTY: 711) 8:30 a.m.-8:00 p.m. Monday-Thursday, or 8:30 a.m.-4:30 p.m. on Fridays.

Treatment Options

The first step is getting the help you need. There are treatment options and different therapies that seem to work for different people. The most common treatments for behavioral health and substance use conditions are:

  • Outpatient therapy: The most often used behavioral health or substance use service provided by a psychologist, social worker, or mental health counselor.

  • Counseling and psychotherapy (Talk Therapy): This includes sessions with a licensed professional that provide you with strategies for dealing with your thoughts, feelings, and behaviors. If you would like to get counseling, you can use our Find a Doctor tool to help you select a counselor.

  • Medication: This is prescribed by your primary health care provider, a psychiatrist, or a psychiatric nurse practitioner to treat behavioral health conditions.

A behavioral health provider will work with you to determine the right course of treatment for your condition. In some cases, this may mean additional services such as:

  • Inpatient care: The most intensive and structured level of care, a 24-hour medically and psychiatrically staffed treatment setting for people with significant mental health or substance use problems.

  • Partial Hospital Programs: This type of program usually takes place at a dedicated clinic, with sessions five to seven times a week. The sessions usually include six to eight hours of individual and group therapy that addresses:

    • Psychological and social assessments

    • Monitoring and treatment planning

    • Education and counseling on maintaining recovery

  • Intensive Outpatient Programs: This type of program is usually administered at a health care clinic. The program runs for three to five days a week, and includes three to four hours of individual and group therapy that addresses:

    • Psychological and social assessments

    • Monitoring and treatment planning

    • Education and counseling on maintaining recover

You can choose to see a behavioral health professional for counseling or psychotherapy, while also seeing a psychiatrist or psychiatric nurse practitioner for medication and counseling services. Your behavioral health providers will be able to explain your treatment options.

1

Please remember, the Blue Care Line is for medical questions only. If you need answers to questions about your health care coverage, call the Member Service number on your ID card. Blue Care Line nurses cannot assist you with issues regarding claims, coverage, or referrals.

2

Example: CVS Minute Clinic®''

3

Examples: CareWell®'' Urgent Care, Doctors Express®'', and Health Express. CareWell Urgent Care is an urgent care center accredited by the Urgent Care Association of America.