To find a participating provider in the Blue Cross of Northeastern Pennsylvania
service area, search our online directory. Here you will find providers that
participate in our First Priority Health managed care plans, such as BlueCare
HMO.
If you're looking for providers within the state that are participating with our
traditional and PPO plans, such as BlueCare PPO, please search Highmark Blue
Shield's online directory.
You can also use this directory to find participating facilities for all of our
product lines.
When traveling and you need a provider out of the state, the BlueCard directory
can help.
Blue Cross of Northeastern Pennsylvania updates its provider
directories frequently. Due to changes in provider status, this directory may
not contain the most recent updates. To verify accuracy of information
regarding your provider, we suggest you contact the provider directly to
confirm status, office hours and to find out if the provider is accepting new
patients.
If you are a member of Blue Cross of Northeastern Pennsylvania you can search in
our service area for a participating pharmacy in our online directory
Blue Cross of Northeastern Pennsylvania offers coverage for prescription drugs
when medically necessary and dispensed by participating pharmacies. The Plan
uses the Express Scripts national pharmacy network.
Blue Cross of Northeastern Pennsylvania uses a prescription drug formulary. The
formulary is a list of the most effective drugs at the most cost-effective
prices, which have been approved by participating physicians and pharmacists
for your use.
Prescription drug benefits are not standard with all health
care coverage so it's important to refer to your group-specific contract to
determine if your coverage includes this benefit.
Provider Performance Reports:
Patient safety is important to Blue Cross of Northeastern Pennsylvania. In an
effort to assist you in obtaining cost and quality performance data about your
hospital, we are providing the link below to the Pennsylvania Health Care Cost
Containment Council (PHC4) data on health care in Pennsylvania. On this site,
you will find links to interactive databases that allow you to compare
practitioners and providers on specific health care services, including
Hospital Performance, Coronary Bypass, Hip and Knee Replacement, as well as
other non interactive reports on health care in Pennsylvania. Pennsylvania has
been a leader in collecting data on health care provider performance and making
this information available to the public. The link below will take you to
Pennsylvania Health Care Cost Containment Council home page and allow you to
compare the health care services that are important to you.