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Find a doctor or hospital in Western New York using our online tools.

 

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Search for a doctor or hospital in the United States by using our online tools. 

 

 
 

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Health Advocate

 

Speak to your personal Health Advocate, who can help you find a doctor, hospital or any medical provider in the United States—free of charge. 

 
 

View our Medicare Provider/Pharmacy Directories 

 

 

If you would like a copy of the provider directory mailed to you please call customer service at 1-800-329-2792, TTY 711. We are available Oct. 1 - Feb. 14, 8 a.m. to 8 p.m., 7 days a week, Feb. 15 - Sept. 30, 8 a.m. - 8 p.m., Mon. - Fri.

 

Quest Diagnostics

Make an appointment using Quest Diagnostics

Use Quest Diagnostic's online service to make an appointment at one of their local WNY Patient Service Centers.
Making an appointment will help to eliminate your wait time for your routine laboratory services.

Make Appointment

 

If you are a member of Community Blue, Traditional Blue POS or Traditional Blue PPO, in order to be covered your tests must be performed at a Quest Lab. This includes the following member products:

  • Community Blue CHP 201
  • Community Blue FHP 201
  • Community Blue HMO 100
  • Community Blue HMO 100 Plus Series
  • Community Blue HMO 200 Series
  • Community Blue HMO 200 Plus Series
  • Community Blue HNY 201
  • Community Blue MCO 501
  • Community Blue Senior Blue 400 Series
  • Traditional Blue Medicare PPO 200 Plus Series
  • Series Traditional Blue POS 200 Series
  • Traditional Blue POS 200 Plus Series
  • Traditional Blue EPO 5000 Series
  • Traditional Blue PPO 800 Series
  • Traditional Blue PPO 900 Series
  • Traditional Blue PPO 900 Series

If you do not have your test performed at a Quest Lab, the claim will be paid only if the terms of your contract allow for coverage of services rendered by non-participating providers, such as POS and PPO plans. If you are a member of Traditional Blue Indemnity, your laboratory services will be covered in full if performed at a Quest Lab, or at any other participating provider of laboratory services, per the terms of your contract.

You do not have to use a Quest Lab for:

  • Testing performed during your inpatient admission
  • Pre-admission or pre-surgical testing performed prior to an inpatient stay or outpatient surgery
  • Tests associated with Emergency Room visits
  • Pap Smears and Thin Preps
  • Certain testing that your physician may perform in his/her office. Your physician will be able to tell you what testing is applicable.

Use the lab search to find a lab that participates in your health plan network. You can search based on location (county, city, or zip code).

Search results for Quest labs will include information about:

  • services such as pediatric draws and urine drug collection
  • hours of service at a laboratory site
  • wheelchair accessibility
  • availability of appointments at the site of your choice

    Please note that not all sites offer the services listed above.

    To minimize your wait time, we encourage you to make an appointment. Scheduled appointments are taken first; walking in to a laboratory that takes appointments may cause you to have a longer wait for service. Quest Diagnostics has the following available at all Appointment Preferred Patient Service Centers:
  • Appointments may be scheduled in advance for all hours of operations
  • Patients may schedule "Same Day" appointments
  • Patients can make appointments at their convenience - 24 hours/day, 7 days/week by using Quest's website or voice activated phone service

Visit the website at: http://www.questdiagnostics.com/appointment . To speak with a call center operator to schedule an appointment, call 1-716-568-5160 or 1-866-890-5346 Monday through Friday from 8:30a.m to 5:00p.m. Call 1-888-277-8772 to access the voice activated appointment scheduler.

Find a Vision Provider

Use this interactive tool to find a provider that is located near you. Please note, you must choose your "Select" network in order to locate an eye doctor within your plan.

 

 

EyeMed Vision Care

Effective 9/1/2014, BlueCross Blueshield of  Western New York now has one enhanced pharmacy network where A and B networks have been combined.

Pharmacy Network


2016 Medicare Pharmacy Directory

To view our Medicare Prescription Drug Part D information, please visit our 2016 Medicare Resource Center.

If you have any questions regarding your Formulary, please call the number on the back of your card for assistance.

Medicaid Formulary
Our list of covered drugs for Medicaid members

Updates to Medicaid Formulary

NYS Medicaid Prior Authorization Form for Prescriptions

If you have any questions regarding your Formulary, please call the number on the back of your card for assistance.

High Risk Medication List
The Pharmacy Quality Alliance has determined that these high risk medications have the highest risk of side effects for elderly patients


Looking for a Dental Provider?

 

BlueCross BlueShield of Western New York offers stand-alone pediatric and adult dental plans for small groups administered by us effective on the group’s renewal date in 2016. Our plans provide essential health benefits to ensure members receive comprehensive oral health coverage through our own dental network. This replaces our former Healthplex offering. Members now have flexibility to see out-of-network dentists. Members that have medical and dental with BlueCross BlueShield of Western New York will have one ID card. 

View Pediatric and Adult (Family) Dental Plans

 

Individual Plans

BlueCross BlueShield of Western New York offers stand-alone pediatric and adult dental plans for individuals. Our plans provide essential health benefits to ensure members receive comprehensive oral health coverage. We partner with and utilize the HealthPlex network to service our Adult and Pediatric plans. HealthPlex is the largest dental benefits administrator in New York. These plans will no longer be available as of January 1, 2016. 

View Pediatric and Adult (Family) Plans

 

 

2015 Small Group (Employer) Dental Plans

BlueCross BlueShield of Western New York offers stand-alone pediatric and adult dental plans for small groups. Our plans provide essential health benefits to ensure members receive comprehensive oral health coverage. We partner with and utilize the HealthPlex network to service our Adult and Pediatric plans. HealthPlex is the largest dental benefits administrator in New York. These plans will no longer be available in 2016. 

View Pediatric and Adult (Family) Dental Plans

View Pediatric Dental Plan

View Adult Dental Plan

 

2015 Individual Plans

BlueCross BlueShield of Western New York offers stand-alone pediatric and adult dental plans for individuals. Our plans provide essential health benefits to ensure members receive comprehensive oral health coverage. We partner with and utilize the HealthPlex network to service our Adult and Pediatric plans. HealthPlex is the largest dental benefits administrator in New York. These plans will no longer be available as of January 1, 2016. 

View Pediatric and Adult (Family) Plans