Blue Review
A Provider Publication
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November 2022

New BCBSOK Network MyBlue HMOSM Launches Jan. 1, 2023

We are excited to announce that Blue Cross and Blue Shield of Oklahoma (BCBSOK) has created a new network called MyBlue HMOSM. It will include the following counties effective January 1, 2023:

MyBlue HMO members living in these areas will access care through providers contracted in the MyBlue HMO network. Members living in one geographic area can see an in-network provider in the other geographic area.
MyBlue HMO members must choose a primary care provider (PCP).  The PCP can be a family practitioner, obstetrician/gynecologist, pediatrician, behavioral health practitioner, internist, or physician assistant or advanced practice nurse in one of those areas of practice. This can be an independent provider or one from the following provider groups: 

Counties

Provider Groups

Cleveland, Lincoln, Logan and Oklahoma

  • Mercy Clinic Oklahoma Communities, Inc.

Creek, Okmulgee, Osage, Pawnee, Rogers and Tulsa
  • Utica Park Clinic
  • UPC Primary Care Hillcrest Hospital Claremore
  • UPC Hillcrest Hospital Henryetta
  • UPC Hillcrest Hospital Pryor

The following hospitals can be used with an appropriate referral:

Counties

Hospitals

Cleveland, Lincoln, Logan and Oklahoma

  • Mercy Hospital Logan County
  • Mercy Hospital Oklahoma City
  • Mercy Hospital Oklahoma City South
  • Oklahoma Heart Hospital
  • Oklahoma Heart Hospital South

Creek, Okmulgee, Osage, Pawnee, Rogers and Tulsa
  • Bailey Medical Center
  • Hillcrest Hospital Claremore
  • Hillcrest Hospital Henryetta
  • Hillcrest Hospital South
  • Hillcrest Medical Center
  • Tulsa Spine and Specialty Hospital

Members covered by MyBlue HMO can be identified through their BCBSOK ID card:

Patient eligibility and benefits should be checked prior to every scheduled appointment through Availity® Essentials or your preferred web vendor. Eligibility and benefit quotes include participant confirmation, coverage status and other important information, such as applicable copayment, coinsurance and deductible amounts. It is strongly recommended providers ask to see the participant's ID card for current information and photo ID at every visit to guard against medical identity theft. When services may not be covered, participants should be notified they may be billed directly.

If you have any questions, please contact your Network Management Representative.

More Information: watch future Blue Review newsletters and News and Updates on our provider website for more information on the new MyBlue HMO network.

Checking eligibility and/or benefit information and/or obtaining prior authorization is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility and the terms of the member’s certificate of coverage, including, but not limited to, exclusions and limitations applicable on the date services were rendered. If you have any questions, call the number on the member's ID card.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSOK. BCBSOK makes no endorsement, representations or warranties regarding any products or services provided by third party vendors such as AIM or Availity. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly.