Click on the region nearest you to go straight to a list of hospital-based physicians in the area (Adobe PDF format):
Are you planning a hospital stay? If you just found out that you need surgery, or if you will be admitted to a hospital or ambulatory surgical center for any reason, you will most likely receive some care during your stay from a hospital-based physician.
A hospital-based physician only performs medical services in the facility where he or she works. These providers may be employed by the facility, or they may be independent contractors. When you receive care in a facility from physicians in certain specialties, you may not have a choice of doctor. These specialties are anesthesiology, pathology, radiology, emergency medicine and neonatology.
In those cases, the physician may have the right to "balance bill" you for your care. The term "balance billing" means that an out-of-network provider may bill you for the difference between his charges and what your policy pays for out–of-network care.
A new law passed by the Louisiana Legislature, the Health Care Consumer Billing and Disclosure Protection Act, requires us to give our members this information.
Your hospital may be in your network, but some doctors who work there may NOT be. That means you could pay more than you have to when those doctors treat you. Find out what it means when doctors working at your hospital are out of your network.
Clicking any of the regions above will bring up a list, in Adobe PDF format, of the facilities in that region that participate in Blue Cross provider networks. Please use these lists to help make informed decisions before you seek medical care. Using network healthcare providers as much as possible will lower your out-of-pocket costs.
What should you do next?If you are planning to have surgery at one of our contracted hospitals or ambulatory surgical centers that has more than one out-of-network hospital-based physician you may be balance-billed for the difference between the Blue Cross payment and the out-of-network provider's allowable charge, as explained above. You may consider asking your surgeon whether you can have your procedure at another facility. If that is not possible, and you are balance-billed, call the out-of-network provider's office and ask whether they will accept Blue Cross' allowable charge as full payment for their services.
If you have any questions, call Customer Service at the number on your member ID card, or use our secure online inquiry form to send us your question.
Health Care Consumer Billing and Disclosure Protection ActIn 2009, Louisiana Legislature passed the Health Care Consumer Billing and Disclosure Protection Act, which requires all of our contracted hospitals and ambulatory surgical centers to provide health plans like Blue Cross with a list of their hospital-based physicians and groups in certain specialties — specifically anesthesiologists, pathologists, radiologists, emergency medicine physicians and neonatologists — who provide services at that facility.
All health plans in the state are required to publish a list of these physicians and groups available to their members, along with their network participation.
BALANCE BILLING DISCLOSURE NOTICE: HEALTH CARE SERVICES MAY BE PROVIDED TO YOU AT A NETWORK HEALTH CARE FACILITY BY FACILITY-BASED PHYSICIANS WHO ARE NOT IN YOUR HEALTH PLAN. YOU MAY BE RESPONSIBLE FOR PAYMENT OF ALL OR PART OF THE FEES FOR THOSE OUT-OF-NETWORK SERVICES, IN ADDITION TO APPLICABLE AMOUNTS DUE FOR CO-PAYMENTS, COINSURANCE, DEDUCTIBLES, AND NON-COVERED SERVICES.
SPECIFIC INFORMATION ABOUT IN-NETWORK AND OUT-OF NETWORK FACILITY-BASED PHYSICIANS CAN BE FOUND AT THE WEBSITE ADDRESS OF YOUR HEALTH PLAN OR BY CALLING THE CUSTOMER SERVICE TELEPHONE NUMBER OF YOUR HEALTH PLAN.
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