Find a doctor

Due to COVID-19, some provider offices may be closed or have different hours. Please call the office to confirm.

We encourage the use of telehealth for healthcare services when appropriate (not just those related to COVID-19).

Keeping your relationship with your primary care provider (PCP) is important. Telehealth is a great way to stay in touch with your PCP when you need care anytime.

If your current PCP can’t offer a telehealth visit, please visit LiveHealth Online (LHO). LHO offers free, easy-to-access medical and behavioral healthcare. LHO shouldn’t take the place of your PCP.

In an emergency, call 911 or go to the nearest emergency room (ER).

Use our provider directory to find providers, hospitals and more. If you want to change your PCP, use this tool to find the name of the new PCP you want. You can search for:

Primary care providers (PCP)
Specialists
Mental health providers
Hospitals
Laboratories
Facilities

Search for providers now

Prior authorization, referrals, reporting inaccurate information, and assistance

Prior authorization

Preapproval is sometimes called preauthorization. Some Healthy Blue services and benefits require preapproval. This means that you and/or your provider must ask Healthy Blue to approve those services or benefits before you get them.

For more information about services that need preapproval, please see your member handbook.

Referrals

For some services, you’ll need a referral from your primary care provider (PCP) before getting care.

A referral is when your PCP sends you to another provider for care. When a referral is needed, your PCP will sign a referral form and send you to a provider who works with Healthy Blue.

Reporting inaccurate information in the provider directory

Member Services is ready to answer any questions you may have about this directory, including reporting inaccurate provider directory information. Call 844-521-6941 (TTY 711), Monday through Friday from 7 a.m. to 7 p.m.

Assistance

If you need help finding a provider in your area, please call 844-521-6941 (TTY 711), Monday through Friday from 7 a.m. to 7 p.m.

LiveHealth Online

Visit a doctor 24/7 through live video using LiveHealth Online. All you need is your smartphone, tablet or computer. Don’t wait until your next sick day. Sign up today

Provider education and training

You can get more information about the providers in our health plan. Visit docinfo.org to search for providers and find out where they went to medical school.

Looking for a dentist?

We offer adult dental services as an extra benefit to members. Members age 21 and older can get dental care through DentaQuest. Adult dental care includes teeth cleaning and oral exam every six months and X-rays once a year.

Find a dentist in your area

You can call DentaQuest at 1-844-234-9835 Monday through Friday from 7 a.m. to 7 p.m. or use their online "Find a Dentist" search.

Find a dentist on DentaQuest

Medicaid Dental Program

The Louisiana Department of Health (LDH) has selected DentaQuest and MCNA Dental Plans as its dental benefit program managers. They will be responsible for providing Medicaid dental benefits and services to eligible children and adults, effective January 1, 2021. Each plan will administer both the EPSDT Dental and Adult Denture Programs.

DentaQuest
1-800-685-0143
TTY: 1-800-466-7566
Available Monday – Friday, 7:00 a.m. – 7:00 p.m.
www.DentaQuest.com

MCNA Dental
1-855-702-6262
TTY: 1-800-846-5277
Available Monday – Friday, 7:00 a.m. – 7:00 p.m.
www.mcnala.net

Vision

We offer adult vision care as an extra benefit to members. Adult vision care includes yearly eye exams, glasses (frames and lenses) each year, and $40 toward the cost of nonstandard glasses. Healthy Blue members younger than age 21 also receive routine vision services. Vision benefits for Healthy Blue are provided by Superior Vision.* You don’t need a referral for vision care.

Find a vision provider in your area

Visit the Superior Vision member website. On the website, enter your Healthy Blue member ID — this will help make sure you find a provider who works with Medicaid.

Need more help? Call Superior Vision at 1-800-787-3157 (TTY 1-800-735-2258) Monday through Friday from 7 a.m. to 7 p.m.

*You must see a Superior Vision provider to get this extra benefit.

Pharmacy and prescription drugs

CarelonRx provides your pharmacy benefit. When you need to fill your prescriptions, you must go to a pharmacy that works with Healthy Blue. Our pharmacy benefit covers a wide range of prescriptions and over-the-counter medicines.

Getting your prescriptions filled is easy!

Simply present the written prescription from your doctor to a pharmacy in our network. Or, your doctor can send your prescription directly to the pharmacy you choose. When you pick up your medicine, you’ll need to show the pharmacy your Healthy Blue member ID card and your Medicaid ID card.

It’s good to use the same pharmacy each time. This way, your pharmacy will know all the medicines you are taking and can watch for problems that may occur. If you use a new pharmacy, you should tell the pharmacist about any medicines you’re taking.

Find a local pharmacy near you

Helpful numbers

Medicaid and LaCHIP members: 1-833-207-3114 (TTY 711)
Help for pharmacists: 1-833-236-6194

Learn more about pharmacy and prescription drug benefits

Indian Health Care Providers

If you’re an Indian and eligible, you can get services from an Indian Health Care Provider (IHCP). This means:

You can obtain services from an IHCP whether or not they’re in our plan.
You can access out-of-state IHCPs.
An out-of-network IHCP can refer you to a provider who is part of our plan.
You may choose an IHCP as your primary care provider (PCP) if they’re able to provide PCP services.

Definitions

Indian – Any individual defined at 25 U.S.C. 1603(13), 1603(28), or 1679(a), or identified eligible as an Indian, under 42 CFR 136.12.
Indian Health Care Provider (IHCP) – A health care program operated by the Indian Health Service (IHS), by an Indian Tribe, Tribal Organization or Urban Indian Organization (otherwise known as an I/T/U). These terms are defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603).

Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies

Only Native Americans and Alaska Natives can use the Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies in our plan. Other members may be able to go to these pharmacies under special circumstances like emergencies.

To learn more about these pharmacies, contact your service coordinator, the I/T/U pharmacy listed in your provider directory, or call Member Services at
1-855-878-1784 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m.