Get Care

A step by step guide on how to use your BMC HealthNet Plan, including a chart describing who to contact based on common symptoms. 

  1. Pick a doctor.
  2. Choose a doctor, nurse practitioner, or physician assistant to be your primary care provider (PCP) for all your routine care. They will make sure you are up-to-date on vaccines and screenings and will send you to specialists when needed. Once you choose a PCP, log in to your account or call us to let us know who you picked. Put your PCP phone number in your phone for easy access in the future.
  3. See what medications are available and what they cost.
  4. We cover thousands of medications. See if your medications are on the list.
  5. See what services are covered.
  6. Learn how to take full advantage of your plan benefits — including your FREE extras. Get to know your benefit document and refer back to it when you need to find out if a service is covered. And when in doubt, please call and ask us before you get the service. We don't want you to receive a surprising bill.

    In some cases you will need prior approval before a service will be covered. You or your doctor may confirm if the service requires a prior authorization by checking our Medical Procedure Code Lookup Tool or our Supplies and Services Code Lookup Tool.

    If you are a ConnectorCare or Qualified Health Plan member and want to know how much a service costs, you can estimate the cost of common treatments with this tool.
  7. Know who to call.
  8. Sometimes you may feel sick when your Primary Care Physician isn’t available. Your PCP’s office may have doctors or nurses available for these situations.

    1. For routine care, call your PCP during business hours.
    2. For urgent care needs that happen after hours, please call your PCP first. If your PCP office is not available, try our 24/7 Nurse Advice Line.
    3. If you are having a true emergency, please call 911.

How to Get Care Chart
BMC HealthNet Plan is committed to ensuring that the health care services provided to eligible members are done so by providers entitled to participate in federal programs, are medically necessary, meet certain quality requirements, are provided in a cost effective manner, are billed appropriately and paid according to contract terms and our policies. To learn more about Fraud, Waste, and Abuse, as well as how you can report it click here. 

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Flu season is here, and it's time to get your flu shot! Remember, the flu is caused by a virus so if you do get it, antibiotics won't help.

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