Navigating Our Network Navigate Our Provider Network the Easy Way STEP 1 FINDING AN IN-NETWORK PROVIDER We understand the importance Whether it be our EPO network or our PPO Tier 1 or NOTE: Always verify a of 昀椀nding a healthcare provider Tier 2 network, our Network Guides can help you: provider’s network status by who can best meet the needs • Find a provider in network calling Blue Cross Blue Shield at of you and your family. We also (833) 468-3594 or by logging understand how daunting it might • Check if a provider you are already seeing is on to MyHealthToolkitLA. be to scroll through a list of doctors in network prior to enrollment com/links/fmolhs. You will in search of the best 昀椀t. That’s why • Assist with scheduling an appointment with have access to the EPO and PPO we offer team members a resource network-based primary care physicians Tier 1 and Tier 2 networks at this to help navigate our FMOLHS site. If the provider address customized network. • Check availability of a specialty service They are called Network Guides, within our network listed on the directory is not and they are available in most Call (855) 875-6265 to connect with a Network Guide the address where care will locations by phone 24/7 for team today. You will be prompted to select a guide for either be delivered, the provider members in both Louisiana and our Louisiana or Mississippi network. may not be in network. Mississippi. Contact BCBS to con昀椀rm. STEP 2 ACCESSING CARE IN OUR NETWORK We offer a variety of ways to connect and access care with an FMOLHS primary care provider. Your PCP is responsible for providing comprehensive care, for having knowledge of your overall medical history, and in assisting you with navigating certain health risks and your healthcare journey. In-Person Video Visits Virtual Extended Hours Visits Same great Avoid urgent care or ER fees and Meet face to care from your meet virtually with a FMOLHS primary All appointment types face with your own provider care provider in our network after are available to schedule provider for from the hours for free with the EPO plan or through MyChart for all wellness checks comfort of your for $5 with the PPO Plan. or appointments home. Available in Louisiana only. ages. that need full We’re working to expand this care evaluations. opportunity to Mississippi. STEP 3 ACCESSING CARE OUTSIDE OUR NETWORK If you need services that are not available Submit all completed requests in NOTE: The network within our EPO or PPO Tier 1 or Tier 2 writing via fax to (803) 264-0259, exception MUST be network, Network Exceptions are available. by email to FMOLHSEXCEPTION@ [email protected] requested and approved To receive an exception, you must complete BCBSSC.COM or by mail to: before services are the Network Exception form on the Total Blue Cross Blue Shield rendered. If the request Rewards My Bene昀椀ts page and have it signed of South Carolina is made after services by your provider. Signed and completed Attn: Network Waiver, AX-630 are rendered, it will not forms must be submitted to BCBS of South PO Box 100300 be considered unless Carolina before services are rendered to be Columbia, SC 29202 otherwise required by law. considered. BCBS SC will notify you of their decision on your request. 12