Our Provider Network
The CareFirst Group Advantage plan is a passive preferred provider organization (PPO), which means you can see doctors and other healthcare providers both in and out of our network and pay the same cost share. In-network providers include local providers in Maryland, Washington D.C. and Northern Virginia who CareFirst has contracted with directly. It also includes nationwide providers who participate in the BlueCross BlueShield Medicare Advantage PPO network. In addition, you have access to out-of-network providers that participate in Medicare and agree to bill CareFirst (or the local BlueCross BlueShield plan if outside Maryland, Washington D.C. or Northern Virginia).
Local Providers
High-quality providers throughout Maryland, Washington, D.C. and Northern Virginia
Nationwide Providers
Robust national PPO network available through BlueCross BlueShield network sharing
Broad Provider Network
See any Medicare provider at the same in-network rates*
Find Care
Use our tool to find a healthcare provider that fits your needs.
*Out-of-network providers must participate in Medicare and be willing to bill CareFirst or their local Blues plan.
More Information about the provider network
What do I pay an in-network doctor?
You pay your copay or coinsurance according to your plan benefits. Your doctor or healthcare provider will bill CareFirst for the rest of the cost of your service(s).
How can I find a network provider?
Visit carefirst.com/findadocmappo and select the Medicare Advantage (PPO) network.
What is an out-of-network doctor?
An out-of-network doctor or healthcare provider does not have a contract with CareFirst.
Can I see any out-of-network doctor?
You can see any out-of-network doctor or healthcare provider that participates in Medicare and accepts the plan. Accepting the plan means the doctor is willing to treat you and bill your health insurance plan.
What if my doctor will not accept the plan?
We’ll be happy to talk to your doctor or healthcare provider to explain how the plan works. Usually, that’s all that’s needed. You may also share this flier (PDF) with your provider.