• BlueAccess
  Your secure service center – includes Member Self-Service - order ID cards, verify benefits, view online EOBs, and more.
• Healthy Focus
  Personalized Health Coaching plus added help for chronic conditions.
• MyMagellan
  Behavioral Health Information

Need to restore your health benefit plan?

If you don’t pay your monthly bill, your coverage may end. For Cover Tennessee, COBRA or individual members, you may qualify to have it restored.

Know About Prior Authorization

Prior authorization helps you get the most for your health care dollar. Registered nurses work with physicians to check and monitor medical services to help assure that you receive the most appropriate and cost-effective care for your condition. Only a physician can deny a prior authorization request.

Services that require Prior Authorization include, but are not limited to:

• Inpatient hospital stays (except maternity admissions)
• Skilled nursing facility
• Rehabilitation facility admissions
• Home health care (skilled nurse visits in the home, including home infusion)
• Organ transplants
• Certain outpatient surgeries and/or procedures, including:
  • Endometrial ablation
• Certain specialty drugs
• Certain prescription drugs (if covered by prescription drug benefit)
• Advanced radiological imaging services (including MRIs, CT and PET scans and CT Angiography)
• Durable medical equipment (DME) costing more than $500

Network providers in Tennessee will request prior authorization for you.

If you use providers outside Tennessee or out-of-network providers, it is your responsibility to request prior authorization by calling the number on the back of your member ID card.  Failure to request prior authorization may result in your benefits being reduced or denied, costing you more out-of-pocket.

Use network providers and save

Your provider network is an important part of your health plan coverage. When you use the doctors, hospitals and pharmacies that belong to your specific network, you save money.

The high cost of high-tech imaging

High-tech imaging costs are now a major factor driving up the cost of health care. To help make sure that the type of technology chosen matches the type that's needed, BlueCross BlueShield of Tennessee is asking doctors and hospitals to use a prior authorization process.