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MAPDVIS-001 (06/21) Directorio De Proveedores De Atención De La Vista

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MAPDVIS-001 (06/21) Directorio De Proveedores De Atención De La Vista Vision Provider Directory Directorio de proveedores de atención de la vista This directory is current as of May 25, 2021. This directory provides a list of network providers for Blue Shield 65 Plus (HMO), Blue Shield 65 Plus Plan 2 (HMO), Blue Shield 65 Plus Choice Plan (HMO), Blue Shield AdvantageOptimum Plan (HMO), Blue Shield AdvantageOptimum Plan 1 (HMO), Blue Shield AdvantageOptimum Plan 2 (HMO), Blue Shield Coordinated Choice Plan (HMO), Blue Shield Inspire (HMO), Blue Shield Inspire (PPO), Blue Shield Inspire (HMO D-SNP), Blue Shield TotalDual Plan (HMO D-SNP), and Blue Shield Vital (HMO). This directory is for Alameda, Fresno, Kern, Los Angeles, Madera, Merced, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, San Luis Obispo, San Mateo, Santa Barbara, Santa Clara, Stanislaus, and Ventura Counties. To access our Plan's online provider directory, you can visit blueshieldca.com/fad, locate the Directories section at the bottom right page and click on Vision Service Plan (VSP) Vision Providers. For any questions about the information contained in this directory, please call Customer Care at (800) 776-4466, 8 a.m. to 8 p.m., seven days a week, from October 1 through March 31, and 8 a.m. to 8 p.m., weekdays (8 a.m. to 5 p.m., Saturday and Sunday), from April 1 through September 30. TTY users should call 711. The provider network may change at any time; you will receive notice when necessary. To find out whether or not a provider is accepting new patients, please contact the provider directly. Out-of-network/non-contracted providers are under no obligation to treat Blue Shield Inspire (PPO), members, except in emergency situations. Please call our Customer Care number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call (800) 776-4466 (TTY: 711). This document may be available in other formats such as large print or other alternate formats. Y0118_21_040A1_C 02092021 MAPDVIS-001 (06/21) Directorio de proveedores de atención de la vista Este directorio tiene vigencia a partir del 25 de mayo de 2021. Este directorio brinda una lista de los proveedores de la red de Blue Shield 65 Plus (HMO), Blue Shield 65 Plus Plan 2 (HMO), Blue Shield 65 Plus Choice Plan (HMO), Blue Shield AdvantageOptimum Plan (HMO), Blue Shield AdvantageOptimum Plan 1 (HMO), Blue Shield AdvantageOptimum Plan 2 (HMO), Blue Shield Coordinated Choice Plan (HMO), Blue Shield Inspire (HMO), Blue, Shield Inspire (PPO), Blue Shield Inspire (HMO D-SNP), Blue Shield TotalDual Plan (HMO D-SNP) y Blue Shield Vital (HMO). Este directorio es para los condados de Alameda, Fresno, Kern, Los Angeles, Madera, Merced, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, San Luis Obispo, San Mateo, Santa Bárbara, Santa Clara, Stanislaus y Ventura. Para obtener acceso al directorio de proveedores en línea de nuestro Plan, puede visitar blueshieldca.com/fad, buscar la sección ªDirectoriosº en la parte inferior derecha de la página y hacer clic en Vision Service Plan (VSP) Vision Providers. Si tiene alguna pregunta sobre la información incluida en este directorio, comuníquese con Atención al Cliente llamando al (800) 776-4466, de 8:00 a. m. a 8:00 p.m., cualquier día de la semana, desde el 1 de octubre hasta el 31 de marzo, y de 8:00 a. m. a 8:00 p. m., de lunes a viernes (8:00 a. m. a 5:00 p. m., los sábados y domingos), desde el 1 de abril hasta el 30 de septiembre. Los usuarios del sistema TTY deben llamar al 711. La red de proveedores puede cambiar en cualquier momento; recibirá un aviso cuando sea necesario. Para saber si un proveedor está aceptando pacientes nuevos o no, comuníquese directamente con el proveedor. Los proveedores que están fuera de la red o que no están contratados no tienen la obligación de tratar a los miembros de Blue Shield Inspire (PPO), excepto en situaciones de emergencia. Llame a nuestro número de Atención al Cliente o lea su Evidencia de Cobertura para obtener más información, incluido el costo compartido que corresponde para los servicios fuera de la red. ATENCIÓN: Si no habla inglés, tiene a su disposición gratis el servicio de asistencia en idiomas. Llame al (800) 776-4466 (TTY: 711). Este documento puede estar disponible en letra grande o en otros formatos alternativos. Y0118_21_040A1_C_SP 02092021 MAPDVIS-001 (06/21) Table of Contents / Índice Section 1 - Introduction .....................................................................................................3 What is the service area for our plans? ...............................................................3 How do you find our plan providers that serve your area? ..............................4 Sección 1: Introducción ....................................................................................................5 ¿Cuál es el área de servicio de nuestros planes? .............................................5 ¿Cómo encontrar nuestros proveedores de los planes que brinden servicios en su área? 6 Section 2 - List of Network Vision Providers ......................................................................7 Sección 2: Lista de proveedores de la red .....................................................................7 Section 1 ± Introduction This directory provides a list of network vision providers for the Blue Shield 65 Plus, Blue Shield 65 Plus Plan 2, Blue Shield 65 Plus Choice Plan, Blue Shield AdvantageOptimum Plan, Blue Shield AdvantageOptimum Plan 1, Blue Shield AdvantageOptimum Plan 2, Blue Shield Coordinated Choice Plan, Blue Shield TotalDual Plan, Blue Shield Vital, and Blue Shield Inspire plans. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC). Your routine vision coverage is provided by Vision Service Plan (VSP), a contracted vision carrier for Blue Shield of California. Please contact VSP if you have any questions at (800) 877-7195 (TTY: 1-800-428-4833). Hours of operations are Monday to Friday 5 am ± 8 pm, Saturday 7 am ± 8 pm and Sunday 7 am ± 7 pm. The network providers listed in this directory have agreed to provide you with routine vision services. You may go to any of our network providers listed in this directory. Choose one of the network providers in the vision care network to be your Contract vision provider. You don't need prior authorization (approval in advance) from your Primary Care Physician. Contact the provider directly and present your plan ID card at the time of service. If you require treatment from a specialist, your Contract Optometrist will handle the referral for you. Blue Shield Inspire (PPO) members may see non-network providers for covered services, including providers outside of the plan service area. Seeing a non-network provider outside the plan service area may cost you more. See your Evidence of Coverage (EOC) for more details on the costs. If you choose a non-network provider, you or your provider will need to complete and submit a reimbursement form, which you can request by calling Customer Care. Please contact VSP if you have any questions at (800) 877-7195 (TTY: 1-800-428-4833). Hours of operations are Monday to Friday 5 am- 8 pm, Saturday 7 am - 8 pm and Sunday 7 am - 7 pm. What is the service area for our plans? The counties in our plans' service areas are listed below. Blue Shield 65 Plus (HMO): Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, Ventura Blue Shield 65 Plus Choice Plan (HMO): Riverside, San Bernardino Blue Shield 65 Plus Plan 2 (HMO): Los Angeles, Orange Blue Shield AdvantageOptimum Plan (HMO): Fresno, Los Angeles, Merced, Orange, San Joaquin, Santa Clara, Stanislaus 3 Blue Shield AdvantageOptimum Plan 1 (HMO): San Diego Blue Shield AdvantageOptimum Plan 2 (HMO): San Diego Blue Shield Coordinated Choice Plan (HMO): Fresno, Los Angeles, Merced, Orange, Riverside, San Bernardino, San Diego, San Joaquin, Santa Clara, Stanislaus Blue Shield Inspire (HMO): Alameda, Fresno, Los Angeles, Madera, Merced, Orange, Sacramento, San Joaquin, San Mateo, Santa Clara, Stanislaus Blue Shield Inspire (PPO): Alameda Blue Shield Inspire (HMO D-SNP): Fresno, San Joaquin, Stanislaus Blue Shield TotalDual Plan (HMO D-SNP): Los Angeles, Orange, Riverside, San Bernardino, San Diego Blue Shield Vital (HMO): Los Angeles, Orange, Riverside, San Bernardino How do you find our plan providers that serve your area? If you have questions about your Blue Shield Medicare Advantage plan or require assistance in selecting a vision provider please call Customer Care at (800) 776-4466, 8 a.m. to 8 p.m., seven days a week, from October 1 through March 31, and 8 a.m. to 8 p.m., weekdays (8 a.m. to 5 p.m., Saturday and Sunday), from April 1 through September 30. TTY users should call 711. You can also visit blueshieldca.com/fad. 4 Sección 1: Introducción Este directorio brinda una lista de los proveedores de atención de la vista de la red de Blue Shield 65 Plus, Blue Shield 65 Plus Plan 2, Blue Shield 65 Plus Choice Plan, Blue Shield AdvantageOptimum Plan, Blue Shield AdvantageOptimum Plan 1, Blue Shield AdvantageOptimum Plan 2, Blue Shield Coordinated Choice Plan, Blue Shield TotalDual Plan, Blue Shield Vital y Blue Shield Inspire. Para obtener información detallada sobre su cobertura de atención de la salud, consulte su Evidencia de Cobertura (EOC). Su cobertura de la vista de rutina se brinda a través de Vision Service Plan (VSP), el proveedor de la vista contratado de Blue Shield of California. Si tiene preguntas, comuníquese con VSP al (800) 877-7195 (TTY: 1-800-428-4833). El horario de atención es de lunes a viernes, de 5:00 a. m. a 8:00 p. m., los sábados, de 7:00 a. m. a 8:00 p. m., y los domingos, de 7:00 a. m. a 7:00 p.
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