Blue cross blue shield of tennessee network providers

How to enroll

When you’re ready to enroll in Medicare, you have options.

Online

Just log in or create an account here and we’ll get you signed up!

Phone

If you’d rather talk to a person, just call 1-888-770-8840, TTY 711. We’d be happy to walk you through your options.

If you’d rather talk to a person, just call 1-888-770-8840, TTY 711. We’d be happy to walk you through your options.

Mail

Just click to download the form for your plan. Fill it out, sign and mail it to the address on the form.

UNDERSTANDING MEDICARE ENROLLMENT

Let’s help answer some common Medicare questions

Help getting items for healthy living

Starting January 1, 2023 BlueAdvantage members will get a quarterly allowance to spend on items like cold medicine, vitamins and more. You will be able to order online and have them shipped right to your door.

Help getting items for healthy living

Starting January 1, 2023 BlueAdvantage members will get a quarterly allowance to spend on items like cold medicine, vitamins and more. You will be able to order online and have them shipped right to your door.

About Blue Cross Blue Shield of Tennessee

Blue Cross Blue Shield of Tennessee is the largest health benefits company in the state, an independent, not-for-profit organization governed by its own board of directors. But it is also part of a nationwide association of health care plans – the Blue Cross Blue Shield Association – which licenses the company to offer certain products and services under the Blue Cross and Blue Shield names…

Because of this affiliation, which includes more than 40 other member organizations, Blue Cross Blue Shield customers have access to the same network of doctors and hospitals while traveling or living out of state that they have while in Tennessee.

With more than 2 million members, Blue Cross Blue Shield of Tennessee is 11th in size when compared to other Blue Cross plans. Compared to others financially, the company is one of the strongest in relation to its membership base.

From what we can see, Blue Cross Blue Shield of Tennessee is committed to remaining an independent, not-for-profit, locally governed health plan company.  This format allows the company to do a good job serving the needs of local businesses, families and individuals throughout Tennessee.

Blue Cross Blue Shield of Tennesseen has been assigned a Standard and Poor’s rating of A+ (Strong).

Blue Cross Blue Shield of Tennessee, Inc., an Independent Licensee of the Blue Cross Blue Shield Association.  ® Registered marks of the Blue Cross Blue Shield Association, an Association of Independent Blue Cross Blue Shield Plans.

Network for 2022

Insurance Cards

Blue Cross/Blue Shield issues two ID cards per household; however, additional cards are available upon request. The cards list the name of the head of contract, so family members use the same card for coverage. Members may request additional cards by phoning (800) 558-6213 or by logging onto the Blue Cross/Blue Shield websiteand printing a temporary card.

CVS Caremark is the pharmacy benefits manager. Call the CVS Caremark Call Center, open 24/7, at (877) 522-8679 to order a replacement card and for instructions on how to print a temporary card from the Caremark Website. You will be able to use your temporary card until your new card arrives.

Filling a prescription

Use a network pharmacy when filling prescriptions with up to a 30-day supply. The network includes more than 1,600 pharmacies across the state and chain pharmacies such as CVS, Kroger, Publix, RiteAid, Sam's, Target, Walgreens, and Walmart. Many local, independent pharmacies are also in the network.
Use the CVS Caremark Mail Service Pharmacy to fill your 90-day supply prescription or receive a 90-day supply from a participating retail pharmacy store. The mail-at-retail network will be different from the 30-day retail network.

In Network vs. Out of Network Providers

You can see any doctor or go to any health care facility you want. However, if you use an in-network provider, you will always pay less. That’s because an in-network provider agrees to provide services to our members at discounted rates. Non-network health care providers can bill you for any difference between actual charges and the approved amount plus any charges for services deemed not medically necessary or not authorized by BlueCross/BlueShield of Tennessee.

Copay

Services requiring copays are not subject to a deductible and do not apply to the annual out-of-pocket coinsurance maximum. Services requiring copays include preventive care (well-baby, well-child visits); adult annual physical; annual well-woman exam; immunizations as recommended by the CDC; primary care and specialist office visits; urgent care facilities; emergency room visit; x-ray and lab; prescriptions.

Coinsurance

Some services require that you pay coinsurance after you meet a deductible. Coinsurance is a percentage of the total cost. Typical coinsurance charges include hospital stays; home care; ambulance services; advanced X-ray, scans, imaging; rehabilitation and therapy services.

Deductible

A deductible is the amount you pay out of your pocket before the plan pays for hospital charges and other services that require coinsurance. It does not apply to services with a copay. Payments toward the deductible count toward the annual out-of-pocket maximum.

Out-of-Pocket Coinsurance Maximum

An out-of-pocket coinsurance maximum is the most you will pay for your deductible and coinsurance each year. It does not include your copays. Once you reach your out-of-pocket maximum, the plan pays 100 percent of covered medical expenses.

Quick Reference

(800) 558-6213, Monday - Friday 8:00 am - 5:15 pm EST
Member Home Page

  • Comparison of Health Insurance 2022 Plans
  • 2022 Insurance Premiums
  • 2022 Eligibility and Enrollment Guide

With Blue Access you can verify your benefits, check claim status, and order replacement cards.

The network for 2020 continues to be Network S. Find a provider by searching online or phone (800) 558-6213.

A 30-day supply prescription can be filled at a network pharmacy, which includes CVS, Kroger, Publix, RiteAid, Sam's, Target, Walgreens, Walmart and many local, independent pharmacies. Receive a 90-day supply prescription from the CVS Caremark Mail Service Pharmacy or from a participating retail pharmacy store. The mail-at-retail network will be different from the 30-day retail network.

What if I become ill outside the state of Tennessee while traveling? The highest level of benefits will be provided if you are away from home and require treatment for a life-threatening emergency. If your situation is urgent, yet not life-threatening, you should utilize the BlueCard Program. Phone (800) 810-Blue to locate a BlueCard Program provider. If you require medical services outside the United States, use BlueCard WorldWide participating providers by phoning the BlueCard Worldwide Service Center at (800) 810-2583 or collect at (804) 673-1177 if you are unable to find a suitable provider.

Does Blue Cross Blue Shield provide coverage in Tennessee?

As a mission-driven, not-for-profit company, we've been part of the community for 75 years as the trusted insurer for individuals, families and employees in Tennessee. So, you can expect excellent coverage, benefits and support for all your health care needs.

What is BCBS TN network l?

Blue Network L is the lowest-cost BlueCross network, designed to offer members access to quality care and enhanced coordination of care as a way of lowering overall health care costs. In Knoxville, Network L members can receive primary and specialty care from UTMC and affiliated physicians as well as UPA providers.

Does Walgreens accept BlueCross BlueShield of Tennessee?

BlueCross of Tennessee now accepted at Walgreens' retail clinics.

Who owns BlueCross BlueShield of Tennessee?

BlueCross BlueShield of Tennessee is the largest health benefit plan company in Tennessee. It is an independent, not-for-profit organization governed by its own board of directors.