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Preferred State of Connecticut Site of Service Laboratory and Radiology Listing (When searching in Find A Doctor Site of Service providers will appear with an "SOS" indicator)

How to Avoid Higher Out-of-Pocket Costs

Anthem's State of Connecticut Preferred Provider Guide

This guide will help you navigate Anthem's "Find a Doctor" tool to determine which doctors, laboratories and radiology providers are designated "Preferred Providers." Using Preferred Providers will help you avoid paying copays and other costs such as coinsurance.

 

 

 

Provider Type

 

Find a Preferred Provider

 

Find a Doctor by your plan type

Primary Care Physicians or Specialists*
Preferred Providers are marked as
"Value Tier 1"

$0 copay for Value Tier 1 providers
$5 or $15 copay for all other PCPs or specialists, depending on your coverage

*The $0 copay for Value Tier 1 specialists applies to the following specialties: Allergy & Immunology, Cardiology, Endocrinology, ENT, Gastroenterology, OB/GYN, Ophthalmology, Orthopedic Surgery, Rheumatology and Urology. You are responsible for a standard office visit copay for any specialties not listed here.

 

 

Enter your search criteria for provider type and desired location – and then select "Search." 

Beneath the name of each provider listed, it will indicate "Value Tier 1" for all that are deemed a Preferred Provider.

 

State Bluecare
(POE Plus, POE and POS)

State Preferred

Out-of-Area

Laboratory, X-Ray or High-Cost Imaging Providers
Preferred Providers are marked as "SOS" (also known
as Site of Service)

  • You are covered 100 percent for services performed by an SOS provider
  • You must pay 20 percent of the rate (known as 20-percent coinsurance) when you use a Lab/Pathology/Radiology provider that is not listed as an "SOS" (Site of Service) provider
  • You must pay the applicable office visit copay when lab and radiology services are performed at a doctor's office, depending upon the provider's tier status

 

 

Enter your search criteria for Lab/Pathology/Radiology and desired location – and then select "Search." 

Beneath the name of each Lab/Pathology/Radiology provider listed, it will indicate "SOS" (which stands for Site of Service) for all that are deemed a Preferred Provider.

 

State Bluecare
(POE Plus, POE and POS)

State Preferred

Out-of-Area

You pay the standard copay for these services when they are performed during the course of an office visit at a physician
or specialist's office (for a Preferred Provider office visit the standard copay is $0 and for all others it's $15). Imaging and
lab work performed at your physician's office is covered under Site of Service at no cost to you.

*Site of service applies to outpatient laboratory, radiology and high cost imaging

 

 

 

All other provider types

Standard copays apply

 


Enter provider type and desired location.

 


State Bluecare
(POE Plus, POE and POS)

State Preferred

Out-of-Area

 

 

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