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Vision Provider Directory Directorio De Proveedores De Atención De La Vista

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Vision Provider Directory Directorio De Proveedores De Atención De La Vista Blue Shield 65 Plus (HMO) / Blue Shield Trio Medicare (HMO) / Blue Shield 65 Plus Choice Plan (HMO) vision provider directory directorio de proveedores de atención de la vista This directory is current as of July 30, 2018. This directory provides a list of Blue Shield 65 PlusSM / Blue Shield Trio Medicare / Blue Shield 65 PlusSM Choice Plan network providers. This directory is for Fresno, Orange, and San Diego counties and parts of Kern, Los Angeles, Riverside, Sacramento, San Bernardino and Ventura counties. To access our plan's online provider directory, you can visit blueshieldca.com/find-a-doctor. For any questions about the information contained in this directory (hardcopy or online), please call our Member Services department at (800) 776-4466, 8 a.m. to 8 p.m., seven days a week from October 1, to February 14, and 8 a.m. to 8 p.m., weekdays, from February 15 through September 30. TTY users should call 711. Blue Shield of California is an HMO plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal. ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-800-776-4466 (TTY: 711) Blue Shield of California complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue Shield of California cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Blue Shield of California 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何 人。 This document may be available in other formats such as large print or other alternate formats. H0504_17_250A NM 08032017 MR14437 (08/18) Este directorio tiene vigencia a partir del 30 de julio de 2018. Este directorio brinda una lista de los proveedores de la red de Blue Shield 65 PlusSM/Blue Shield Trio Medicare/Blue Shield 65 PlusSM Choice Plan. Este directorio es para los condados de Fresno, Orange y San Diego, y para algunas partes de los condados de Kern, Los Ángeles, Riverside, Sacramento, San Bernardino y Ventura (condados parciales). Para obtener acceso al directorio de proveedores en línea de nuestro plan, puede visitar blueshieldca.com/find-a-doctor. Si tiene alguna pregunta sobre la información incluida en este directorio (ya sea la versión impresa o la versión electrónica), comuníquese con nuestro Departamento de Servicio para Miembros 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 14 de febrero, y de 8:00 a. m. a 8:00 p. m., de lunes a viernes, desde el 15 de febrero hasta el 30 de septiembre. Los usuarios del sistema TTY deben llamar al 711. Blue Shield of California es un plan HMO que tiene un contrato con Medicare. La inscripción en Blue Shield of California depende de la renovación del contrato. ATENCIÓN: Si no habla inglés, tiene a su disposición gratis el servicio de asistencia en idiomas. Llame al 1-888-239-6469 (TTY: 711). Blue Shield of California complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue Shield of California cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Blue Shield of California 遵守適用的聯邦民權法律規定，不因種族、膚色、民族血統、年齡、殘障或性別而歧視任何 人。 Este documento puede estar disponible en letra grande o en otros formatos alternativos. Table of Contents Section 1 ± Introduction ........................................................................................................................ 1 What is the service area for our plans? ............................................................................................. 2 How do you find our plan providers in your area? ........................................................................... 6 Section 2 ± List of Network Providers .................................................................................................. 7 Índice Sección 1: Introducción ........................................................................................................................ 1 ¿Cuál es el área de servicio de Blue Shield 65 Plus/ Blue Shield Trio Medicare /Blue Shield 65 Plus Choice Plan? .................................................................................................... 2 ¿Cómo puede encontrar proveedores de Blue Shield 65 Plus/ Blue Shield Trio Medicare / Blue Shield 65 Plus Choice Plan en su área? .................................................................................... 6 Sección 2: Lista de proveedores de la red ............................................................................................. 7 Page | 1 Section 1 ± Introduction This directory provides a list of Blue Shield 65 Plus/Blue Shield Trio Medicare/Blue Shield 65 Plus Choice Plan's network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage. The network providers listed in this directory have agreed to provide you with your vision services. You may go to any of our network providers listed in this directory. Other providers are available in our network. If you choose a network 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. You may see non-network providers for covered services ―this includes 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 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 Member Services. Your vision care is administered by a contracted vision plan administrator, and your services are provided by eyecare professionals in the provider network. Sección 1: Introducción Este directorio brinda una lista de los proveedores de la red de Blue Shield 65 Plus/Blue Shield Trio Medicare/Blue Shield 65 Plus Choice Plan. Para obtener información detallada sobre su cobertura de atención de la salud, consulte su Evidencia de cobertura. Los proveedores de la red que se incluyen en este directorio han acordado brindarle servicios de atención de la vista. Usted puede ir a cualquier proveedor de nuestra red que esté incluido en este directorio. En nuestra red, se encuentran disponibles otros proveedores. Si usted elige un proveedor de la red, no necesita una autorización previa (aprobación por adelantado) de su médico de atención primaria. Comuníquese directamente con el proveedor y presente su tarjeta de identificación del plan al momento de obtener el servicio. Usted puede ir a proveedores que no forman parte de la red para obtener servicios cubiertos (incluidos los proveedores que se encuentran fuera del área de servicio del plan). Si va a un proveedor que no forma parte de la red fuera del área de servicio del plan, es posible que deba pagar Page | 2 un costo más alto. Consulte su Evidencia de cobertura para obtener más detalles sobre los costos. Si elige un proveedor que no forma parte de la red, usted o su proveedor deberán completar y enviar un formulario de reembolso. Para obtener este formulario, comuníquese con el Departamento de Servicio para Miembros. Su atención de la vista está administrada por un administrador del plan de la vista contratado, y sus servicios son proporcionados por profesionales de atención de la vista que forman parte de la red de proveedores. What is the service area for our plans? ¿Cuál es el área de servicio de Blue Shield 65 Plus/ Blue Shield Trio Medicare / Blue Shield 65 Plus Choice Plan? The county / counties / parts of counties/zip codes in our service area are listed below. A continuación, se indican los condados o las partes de los condados que se incluyen en nuestra área de servicio. The service area for Blue Shield 65 Plus Choice Plan (HMO) includes: Los Angeles (partial) and Orange counties, CA. El área de servicio de Blue Shield 65 Plus Choice Plan (HMO) incluye: Condado de Los Ángeles (parcial) y Condado de Orange, estado de California. The service area for Los Angeles County (partial) includes only the ZIP Codes listed below. El área de servicio del Condado de Los Ángeles (parcial) incluye solamente los siguientes códigos postales. 90001 90002 90003 90011 90022 90023 90031 90032 90033 90040 90044 90058 90059 90061 90063 90189 90201 90202 90220 90221 90222 90239 90240 90241 90242 90255 90262 90270 90280 90601 90602 90603 90604 90605 90606 90607 90608 90609 90610 90612 90637 90638 90639 90640 90650 90651 90652 90659 90660 90661 90662 90665 90670 90671 90701 90702 90703 90706 90707 90711 90712 90713 90714 90715 90716 90723 90745 90746 90747 90749 90801 90802 90803 90804 90805 90806 90807 90808 90810 90813 90814 90815 90822 90831 90832 90833 90834 90835 90840 90842 90844 90845 90846 90847 90848 90853 90888 90899 91731 91732 91733 91744 91745 91746 91747 91748 91749 91754 91755 91765 91770 91776 Page | 3 91788 91789 91795 91801 91803 The service area for Blue Shield 65 Plus (HMO) includes: The service area for Blue Shield 65 Plus is all of Orange, Fresno, and San Diego counties and parts of Kern, Los Angeles, Riverside, San Bernardino, and Ventura counties. The service area for Los Angeles County (partial) includes all ZIP codes except
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