Provider and rx Prescription search & instructions
- Carrier
- Direct Link to Providers and Prescriptions
- Direct Download of Provider Search Instructions
-
Aetna
-
Aetna DocFind (All Plans)
HMO Plans - HMO, AVN HMO, Basic HMO, AWH SoCal, AWH NoCal
PPO Plans - OAMC, Savings Plus, Open Choice, Choice POS Open Access, Select Open Access
2023 Aetna Small Group RX/Prescriptions HMO
2023 Aetna Small Group RX/Prescriptions PPO
-
Anthem Blue Cross - CA
-
Anthem Find Care Provider Search
Anthem Out of State – Use Traditional Network
2023 California Select Drug List - Small Group
2024 California Select Drug List - Small Group
2025 California Select Drug List - Small Group
-
Anthem Blue Cross Blue Shield - NV
-
Anthem BCBS Find Care Provider Search
-
Blue Shield of California
-
Blue Shield Out of State - Use PPO/EPO Network
-
CalCPA
-
CaliforniaChoice
-
CIGNA
-
N/A
-
CIGNA + Oscar
-
Community Care Health
-
Community Care Health Provider Search
Community Care Health Provider Search (Outside the Area, Within CA)
-
Community Care Health Provider Search Instructions
Community Care Health Provider Search Instructions (Outside the Area, Within CA)
-
E.D.I.S.
-
Health Net
-
Health Net Out of State Provider Search (Use the PPO Network)
-
Health Net Provider Search Instructions
Health Net Out of State Provider Search Instructions
-
Kaiser Permanente
-
Kaiser RX/Prescriptions - Use Commercial Formulary
-
Prominence Health Plan
-
Prominence Association Health Plans
-
Sharp
-
Sutter Health Plus
-
N/A
-
UnitedHealthcare
-
Western Health Advantage
- Carrier
- Direct Link to Provider Search
-
Aetna
-
DMO, Dental PPO/PDN with PPOII, Dental PPO/PDN with PPO II Extend
-
Ameritas
-
Dental Provider Search - Classic PPO
Dental Provider Search - Liberty DHMO
-
Best Life
-
CalCPA
-
Dental Provider Search - Delta Dental Plus Premier
-
California Dental
-
Camden
-
Choice Builder
-
Delta Dental
-
E.D.I.S. - Freedom Dental
-
Guardian
-
Health Net
-
Humana
-
Liberty Dental
-
Lincoln
-
MetLife
-
Provider Search - HMO - Met100 , PPO - PDP Plus
-
Principal
-
Dental Provider Search - EPO - First Dental Health EPO, POS - Principal POS Plan, PPO - Principal Plan Dental Network
-
Reliance Standard
-
SmileSaver
-
Dental Provider Search - SmileSaver 1000
-
UnitedHealthcare
-
Dental Provider Search - HMO - CA DHMO Plan. PPO - National Options PPO 30
-
United Concordia
-
Dental Provider Search - HMO - Concordia Plus Network, PPO - Elite Plus Network
-
Unum
-
Vision Plan of America
-
VSP
- Carrier
- In-network Provider Availability in Mexico?
-
Ameritas
-
Yes, the network extends into Mexico. Below is the Word & Brown microsite that houses all plan materials. There are four dental plan options available with no waiting periods.
Sales Materials:
Word & Brown CA Small Group (https://explore.ameritas.com/wordandbrown/sales-materials/)
Dental Network: (https://dentalnetwork.ameritas.com/MexicanProviders) -
Blue Shield of California
-
No, BSC does not have any in-network providers in Mexico.
-
Delta Dental
-
No, there are no providers available in Mexico.
-
E.D.I.S. - Freedom Dental
-
Yes, the DPPO plans with First Dental Health provide coverage for some providers in Mexico: https://www.wordandbrown.com/getmedia/c82e5e40-8408-4161-9e53-562a5ec98413/fdhmexico_en.pdf. The Self-Funded dental plans can cover Mexico providers, which may offer more flexibility,
-
Guardian
-
Yes, all Guardian’s PPO plans include in-network providers in Mexico via a partnership with Amexus. The provider listing can be accessed here: (https://www.wordandbrown.com/getmedia/257691b4-705e-46de-9a5e-6c1c5c1c666a/Amexus-MexicoGUARDIAN-Provider-Network-03-01-2024-(002).pdf)
-
Health Net
-
No, Health Net does not have a dental network in Mexico. Health Net uses the below “Dental Benefits Providers” network in the USA: https://yourdentalportal.com/sbd/dental?brand=healthnet
-
Humana
-
Yes, Humana PPOs will cover services in Mexico. The caveat is the benefits will be paid to the provider as though the provider is out of network. Humana encourages going with a U&C (UCR) plan and all communication including treatment plan and claims needs to be remitted to Humana in English
-
Kaiser Permanente
-
No, KP does not offer DPPO plans.
-
MediExcel
-
No, MediExcel only offers HMO plans and does not have DPPO options.
-
MetLife
-
No, Mexico would be considered out of network for Metlife.
-
Nippon Life Benefits
-
No, there are no providers available in Mexico.
-
Principal
-
Yes, Principal has a network in Mexico - Principal Mexico Dentist Directory
-
United Concordia Dental
-
No, UCD does not but members can get services in Mexico, and it will be paid as an out-of-network.
-
UnitedHealthcare
-
No, there is no UHC network available in Mexico.
-
Unum
-
Yes, UNUM can accommodate, however this would be covered under Out-of-Network benefits and the bill must be in English and denominated in USD.
- Carrier
- Direct Link to Provider Search
-
Anthem
-
Anthem Find Care Provider Search
-
Blue Shield
-
Health Net
-
Kaiser Permanente
-
Sharp
-
Western Health Advantage
-
Western Health Advantage Provider Search