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.

Provider Performance Reports


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Serving Bradford, Carbon, Clinton, Lackawanna, Luzerne, Lycoming, Monroe, Pike, Sullivan, Susquehanna, Tioga, Wayne and Wyoming Counties.
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