- What specialists are in your OSC? The most cost-effective way to get care is to see doctors who are in the same OSC as your primary care doctor. The group will likely include all of the specialists you would normally see, like allergists, dermatologists, cardiologists and more.
- Where should I go if I need urgent care? Each primary care doctor has designated hospitals within his or her OSC. Find out which ones are in their OSC so that you know where to go if something happens. Keep in mind that you don’t always need to go to an emergency room, so find out if there are urgent care centers in the OSC that you can go to outside of normal office hours.
- What is the process for getting a referral? While you automatically pay the lowest costs if you see a specialist in your primary care doctor’s Level 1 OSC, you aren’t limited. If you want to see a specialist that’s within the PPO network but outside of your primary care doctor’s OSC, you can keep your costs at Level 1 if you get a referral from your primary care doctor. Every doctor has a slightly different process for getting a referral, so find out what you’ll need to do. You can also see other doctors in the PPO network but outside your primary care doctor’s OSC without a referral, but you would be subject to the higher Level 2 cost share.
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Sep 7, 2016 at 1:31am
Hi Margaret, We’re sorry to hear about your trouble. You can use our Find a Doctor tool to find a physician in your network and your area: http://www.bcbsm.com/index/find-a-doctor.html. If you have further questions, contact us at http://miblues.co/1Bb6oI4 and member services will reach out to you directly. Thanks, Naomi
Sep 5, 2016 at 12:03pm
Tips on getting a new doctor? It is nearly impossible to get a new Dr. I spent hours looking. The best I could do was finally getting an appointment with a CNP. That appointment wait was over 6 weeks.