BlueAdvantage-PPO

BlueCross BlueShield of Tennessee offers four Medicare Advantage Local Preferred Provider Organization (LPPO) products: BlueAdvantage Diamond, BlueAdvantage Garnet, BlueAdvantage Ruby and BlueAdvantage Sapphire. Currently the county Service Area for the LPPO is Anderson, Bedford, Benton, Bledsoe, Blount, Bradley, Campbell, Cannon, Carroll, Carter, Cheatham, Chester, Claiborne, Clay, Cocke, Coffee, Crockett, Cumberland, Davidson, Decatur, DeKalb, Dickson, Dyer, Fayette, Fentress, Franklin, Gibson, Giles, Grainger, Greene, Grundy, Hamblen, Hamilton, Hancock, Hardin, Hardeman, Haywood, Hawkins, Henderson, Henry, Hickman, Houston, Humphreys, Jackson, Jefferson, Johnson, Knox, Lake, Lauderdale, Lawrence, Lewis, Lincoln, Loudon, Macon, Madison, Marion, Marshall, Maury, McMinn, McNairy, Meigs, Monroe, Montgomery, Moore, Morgan, Obion, Overton, Perry, Pickett, Polk, Putnam, Rhea, Roane, Robertson, Rutherford, Scott, Sequatchie, Sevier, Shelby, Smith, Stewart, Sullivan, Sumnet, Tipton, Trousdale, Unicoi, Union, Van Buren, Warren, Washington, Wayne, Weakley, White, Williamson, Wilson counties.

• Claims Information
• Contact Us
• Forms
• More Information
• Pharmacy 
• Utilization Management
• Provider Appeals
• Physician Health Risk Assessment Tool
  • Patient Assesment Form Instructions (PDF)
  • Patient Assesment Form
  • Additional information about health assessments (May 2013)
• Medicare Home Health Face-to-Face Encounter

• BlueAdvantage Sapphire and Garnet Summary of Benefits
• BlueAdvantage Diamond and Ruby Summary of Benefits

• 2013 BlueAdvantage PPO Benefit Highlights

• Sample PPO ID Card

• 2011 Medicare Advantage CAHPS Results - PPO

• Guide to Documentation
• Quick Reference Guide