Primary care doctors that accept blue cross

Your primary care physician is your number one contact for health care through Blue Care Network. Whether you’re choosing a primary care physician for the first time, or need to change your current one, it’s easy to do online.

How can I choose or change my primary care physician online?

Just log in to your account at bcbsm.com and follow the steps we've outlined. Don't have an account with us yet? It only takes a few minutes to register.

1. Once you've logged in, click on "Doctors & Hospitals," then select "Primary Care Physicians."
2. Find the row associated with your name and click "Change." You'll be taken to our Find a Doctor tool. 
3. Follow the instructions to find a primary care physician who accepts your plan.

How can I choose or change my primary care physician through the mobile app?

Simply open the app and follow the steps we've outlined. Don't have our mobile app yet? It's easy to download.

As a Blue Cross and Blue Shield of Texas (BCBSTX) STAR member, you can find many network providers in the Travis service area. You have a wide choice of primary care providers, specialists, hospitals and pharmacies.

You should use in-network providers. If you choose to see a doctor who is not part of our network, you may have to pay for the services. Except in an emergency, the plan may not cover care received from out-of-network providers. Check with the provider to make sure that he or she is in the network before you get care. See Out-of-Network Coverage for more information.

You also must choose a primary care physician (PCP) from the Provider Network when you join. You can choose a different PCP for each member. A PCP is your main health care provider and will arrange your care with other doctors and hospitals. Your PCP can be a:

• Pediatrician
• Family or General Practitioner
• Obstetrician/Gynecologist (OB/GYN)
• Internist (Internal Medicine)
• Nurse Practitioner (NP) or Physician Assistant (PA)
• Clinic such as Federally Qualified Health Centers (FQHCs) or Rural Health Clinics (RHCs)

You can call customer service for help choosing a PCP or use the Provider Finder®.

The Provider Finder® makes it easy to find a doctor or hospital in your area. Select the link below to open a new browser window and search for STAR providers. When you're done, close that window and keep viewing this site.

Search Provider Finder

Download a print version of the STAR Provider Network Directory.*

Download a machine-readable version of the STAR Provider Network Directory.*

* Please note: These are large files. They may take longer to download depending on your Internet connection speed.

Keep in mind that you may need to get approval for some services before you are treated. This is called "preauthorization." BCBSTX may not cover the service if you don't get approval.

Blue Cross NC believes in the value of maintaining a relationship with a primary care provider. These providers are general practice, family practice, internal medicine and pediatric doctors who deal with a broad range of health care issues. They also help members manage their health and make decisions about their health care needs.

In addition, participating primary care providers participate in cost-saving quality assurance and utilization management programs. They also coordinate patient care, allowing the patient to easily navigate the health care system. These activities serve to enhance the physician-patient relationship, as well as increase the practice of cost-effective, high-quality medicine.

A primary care provider (PCP), sometimes referred to as a Primary Care Physician, is a doctor, nurse practitioner or physician assistant who you select from your health plan’s approved group of providers (network) to handle health care needs like annual checkups and sick visits. Your PCP will also help coordinate additional care you may need such as a visit with a specialist, X-rays or lab work.

If you have an HMO health plan, you will usually be required to choose a PCP and to get a referral (written notice) from your PCP to see any medical specialists other than an OB/GYN.

How to Choose a Primary Care Provider in Washington D.C., Maryland, and Virginia

If you don't yet have a primary care doctor, you can start your search by talking to friends and family about their doctors. Personal recommendations can give you a sense of whether you would be comfortable with a particular doctor, and what his or her values and personality are like.

If you're new to the area or don't know where to start, you can use the Find a Doctor tool to help you find a primary care doctor in your area.

For the best health care experience, you’ll want to choose a PCP who is:

• Part of your health plan's network.
• Currently accepting new patients.
• Conveniently located.
• Fluent in your preferred language.
• Able to offer appointment times, like evenings or weekends, that work with your schedule.

You may also want to consider choosing a PCP who specializes in a certain area. Common specializations for primary care providers include:

• Family Practice – Family practitioners treat patients of all ages, including newborn babies and elderly individuals. They can treat a wide variety of conditions including some you may otherwise see a specialist for, such as sports injuries or women’s health. A family practice physician might be a good choice if you are looking for a primary care provider for yourself, your spouse and your children.
• Internal Medicine – These physicians usually treat adult patients, and are experienced in preventing, diagnosing, and managing diseases and chronic conditions. An internal medicine physician may be a good choice if you have a chronic illness or if you have a family history of health conditions you'd like your PCP to be knowledgeable about.
• Geriatrics - Geriatricians specialize in treating the elderly and have experience with conditions such as osteoporosis that are more common as we age. If you qualify for Medicare, a geriatrician may be a good choice for your primary care provider.
• General Practice – General Practice physicians, like family practice physicians, are familiar with treating patients of all genders and ages.

Using the Find a Doctor Tool

To use the Find a Doctor tool to help you choose a PCP, log in or select the Guest option. Then from the list of types of care, select Medical Care. You will then see an option to search Primary Care Providers. This tool will show you primary care physicians who are in-network for CareFirst's Blue Cross Blue Shield coverage, with their specialty, whether they are accepting new patients, what languages they speak, where they went to medical school, and their practice address and phone number.

If you’re already a member, you’ll only get results for doctors that accept your particular CareFirst plan.

Why is it Important to Choose a Primary Care Physician?

Establishing a relationship with a PCP is as important as saving for retirement. The job of the PCP isn’t simply to keep you healthy today, but to also help you make the right “investments” or positive lifestyle choices to maintain your health well into the future.

Establishing a relationship with one doctor is the best way for you to receive consistent, quality health care. A doctor who knows your personality, habits and complete medical history can potentially catch health issues before they become serious. Recognizing and detecting problems in the early stages can help you avoid medication or worsening health.

A PCP is also concerned with your overall health. If you have an urgent health issue, having a PCP who knows your health history often makes it easier and faster to get the care you need. Your PCP can sometimes provide advice over the phone or fit you in for a visit the same day. That helps you avoid long lines and expensive charges at the emergency room.

Choosing a primary care doctor can help you get the most out of your health coverage and stay in good health to feel your best.