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Find a Doctor or Hospital — MedicareBlue PPO (Regional PPO) Network

MedicareBlue PPO (Regional PPO) Directory (PDFs by state)

Network Providers

Doctors, specialists, hospitals and medical clinics are often referred to as providers. With MedicareBlue PPO (Regional PPO), the provider network available to you is extensive and full of options, spanning a seven-state region that includes doctors and hospitals in cities, towns, and other areas in the following states: Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming.

You may use any doctor or hospital you choose and receive benefits, but you receive better coverage when you use contracted providers inside the network. You may have to pay more for services received outside the network, except in emergency/urgent care situations. When you access network providers, your cost sharing (coinsurance or copayments) will generally be lower than when you access non-participating providers. However, your MedicareBlue PPO (Regional PPO) insurance is still available to you when you obtain care from non-network providers, but you may pay out-of-network cost sharing. If you visit a non-network provider and receive a bill, you should not pay it, but instead submit it to MedicareBlue PPO (Regional PPO) for processing. MedicareBlue PPO (Regional PPO) will determine your out-of-pocket cost, if any.

Download and Print Statewide & Regional Provider Directories

Directories are updated weekly to provide you with the most up-to-date listing of participating providers. It is always important to ask your health care providers about their participation status in the MedicareBlue PPO (Regional PPO) network prior to receiving services.

The following directories are currently available. Some of these directories are large and may take some time to download.

Order a Preprinted Provider Directory

To receive a preprinted MedicareBlue PPO (Regional PPO) Provider Directory for your state, you may submit an online request or call the Customer Service number below. A directory will be mailed to your home.

Call Customer Service Toll Free 1-866-434-2038
TTY users call: 1-866-456-1550
8 a.m. to 8 p.m., daily, Central and Mountain Time
You have the option to speak with a licensed sales representative when you call this number.

Need Help Finding a Provider?

You can call Customer Service at 1-866-434-2038 (TTY users call 1-866-456-1550) 8 a.m. to 8 p.m., daily, Central and Mountain Time, and a customer service representative will help you locate a MedicareBlue PPO network provider.

March 20, 2010

Important Information

This page last updated and accepted by CMS January, 2010.

MedicareBlue Rx (PDP) is a Medicare-approved Part D sponsor. MedicareBlue PPO (Regional PPO) is a Medicare-approved regional PPO plan.

Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* and Blue Cross Blue Shield of Wyoming.*

*Independent licensees of the Blue Cross and Blue Shield Association.