If your BCBS home plan is administered as a PPO, even if it is from Washington, DC (Care First) or from a state other than Virginia, you should be able to use your benefits for the services we provide. Organizations that administer the behavioral health provider networks on behalf of BCBS PPO plans (such as Magellan does on behalf of Care First BCBS) frequently provide incorrect information to subscribers about a provider’s network status.
If your plan is a BC/BS PPO, you are not required to see a Magellan provider, but can see any provider in a BC/BS PPO network. For guidance on this, please visit the Anthem BCBS Nationwide BlueCard Program.
The therapists at our office are approved network providers only with the HMO plans administered by Anthem Blue Cross Blue Shield in Richmond, Virginia. Unfortunately, this is not the case with HMO plans; generally, HMO plans, including those administered by Care First BCBS in Washington, DC, require you to see a provider in their approved HMO provider network.