WE'VE GOT YOUR QUESTIONS COVERED
Health plans have a lot of moving parts, so we're here to help you make sense of it all. Check out our FAQs for additional support.
Stay up to date
When you opt in to receive email or texts, we'll send you information throughout the year to help you better understand and use your plan benefits, provide helpful wellness tips and care reminders, and more.
Frequently Asked Questions
MyBlue is your personalized online member account that makes understanding and using your health plan simple. Create a MyBlue account here to access your health plan details, claims, providers, member ID information, and more. You can also download the MyBlue app and instantly tap into the resources and features you need most, like adding your member ID card to your digital wallet. Keep in mind, if you create your account before your plan’s effective date, you won’t be able to access your plan details until your plan has started. Learn more about MyBlue here.
You must have your member ID number to create a MyBlue account. It helps us to verify your identity and link your account to your plan. Your member ID card will arrive in the mail after you’ve enrolled in a plan.
Our Find a Doctor & Estimate Costs tool helps you search for in-network doctors, dentists, hospitals, and other health care providers by entering the provider’s name, specialty, or procedures. When using the Find a Doctor tool, sign in to MyBlue to see providers that match your current plan and network.
If your plan requires a PCP, like an HMO plan, just sign in to your MyBlue account, and use the Find a Doctor & Estimate Costs Tool to search for one. Once you’ve found your provider in the results, click Add PCP to begin the online process. You can also add a PCP from your My Doctors page by clicking the Add PCP button.
It depends on your plan type. Generally, PPO and EPO plans don't require referrals. HMO plans require a referral from your PCP before seeing a specialist. To get a referral for your upcoming appointment, call your PCP's office before the appointment. Without that referral, you could be responsible for the whole cost of the appointment (not just the copay or co-insurance).
Once you've created your MyBlue account, you can use our Medication Lookup Tool to see if your existing prescriptions will be covered under your new health plan. Look for your current or new medications by entering the medication name in the search bar.
To ensure that your claim will process correctly when you pick up prescriptions, call your pharmacy ahead of time and provide your new insurance information. You can also bring your card to the pharmacy the first time you fill a prescription in 2025, so that they can update your information. To get a digital copy of your member ID card, download the MyBlue app. Learn more.
Sign in to your MyBlue account, then use our Find a Doctor & Estimate Costs Tool to help you plan and budget for any upcoming appointments or procedures.
Visit our Contact Us page for address information. Here you’ll also find general frequently asked questions and helpful links and resources.