CareFirst BlueCross BlueShield Advantage Complete & Essential (PPO) Plan Resources
Once you're enrolled, we can help you get started with your plan. As a member, you'll have access to various benefits, support and helpful documentation.
FIND A PROVIDER
FIND A PHARMACY
FIND YOUR MEDICATION
NEED HELP?
We want to make it easy for you to get started enjoying the benefits of your new plan right away. This page includes information about your first 30 days as a new member and details about using your benefits.
Get the Most from Your Plan
Your First 30 Days
Register or log ln to My Account. There, you can check your eligibility and claim status, view authorization and update demographics.
Complete the Health Risk Assessment (HRA) to provide more information about your health care needs and earn a Healthy Reward.
Schedule your annual wellness visit with your PCP as soon as you join the plan.
If you have a chronic condition, schedule all your follow up appointments with your specialist, as soon as you join the plan.
Discuss with your providers any questions you have about your medications.
Review your Welcome Kit to learn about all the benefits of your plan.
Answer the Call
Once you’re enrolled, CareFirst health specialists may call to offer assistance. They can help you complete your Health Risk Assessment (HRA) and understand your plan's many benefits to ensure you’re getting the most from your plan.
Finally, CareFirst has partnered with Porter Cares, a local company that may call you to set up an appointment to see you in the comfort of your own home. They can offer services such has home health screenings, access to local resources, help scheduling your doctor visits and more.
Your Plan Documents
Get the most from your plan by understanding all your benefits!
Access a host of helpful documents like the Summary of Benefits that explain your plan in detail, including provider directories, formulary lists and much more.
View DocumentsAccessing Your Benefits and Programs
Our plans offer preventive and comprehensive dental benefits that help to protect your teeth and overall oral health. To access your dental benefit, use the find a doctor link in your member portal to find an in-network provider and make an appointment. It you have any questions please call member services (833) 536-2001.
Our plans include routine eye exams and eyewear coverage through the Davis Vision network. The robust vision network includes Visionworks, Target, Walmart, Costco, MyEyeDr. and Pearle Vision as well as hundreds of independent providers. For more details on your routine vision coverages and allowances please call DavisVision at (888)573-2990.
Your plan will include coverage for hearing exams, fittings and hearing aids through NationsHearing. NationsHearing offers a national network of more than 8,000 locations with the ability to test your hearing from home using your computer or phone. Please contact NationsHearing by phone at (877) 246-1666 for more information or to schedule an appointment.
Our plans offer a SilverSneakers fitness benefit which includes nationwide gym access, online resources and at-home fitness kits. Go to SilverSneakers.com to learn more about your benefit or call 1-888-313-5693 Monday through Friday, 8 a.m. to 8 p.m. ET,
Non-emergency transportation is available to take you to and from health-related locations like doctor appointments or the pharmacy. Members should call (833) 536-2001, 7 days a week from October 1 through March 31 and 8 a.m. to 8 p.m., and Monday through Friday from April 1 through September 30.
These plans include an over-the-counter allowance for items like vitamins, first aid kits, incontinent supplies and more. To order online please visit www.carefirst.nationsbenefits.com or order by phone with a Member Experience Advisor at 844-386-6762 between 8 a.m. and 8 p.m., seven days a week. For more information, please visit our FAQ , call (844)-386-6762, or access a printable OTC catalog.
- $0 exam copay for an annual wellness exam with your primary care physician
We offer personalized care coordination and assistance by offering care that comes to you. Your in-home assessment does not replace your yearly visit with your PCP. For more information please contact 1-800-558-9922.
Earn up to $290 in healthy rewards for taking care of your health and completing health screenings. More details available at Healthy Rewards Booklet.