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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

Search our online provider directory when you need a doctor, hospital, or other health care provider.

Consumer Choice Option Plans

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Beginning January 1, 2000, Georgia law required insurance companies to offer a “Consumer Choice” option to members enrolling in an HMO, POS or PPO plan. This option allows members to receive services from an out-of-network provider (physician, hospital or other provider) while still being covered at an in-network level. Detailed information about these plans is included in our group proposals and our member enrollment kits.  
Q&A about Consumer Choice
This helpful Question and Answer document is included in our member enrollment kits and explains Consumer Choice in detail. 
Provider Nomination Form
A member must complete this form to have an out-of-network provider nominated to act as part of our network. 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.