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Q: It is my understanding that there are certain provider categories that do not participate in the BCBS PPO Network but do participate in the BCBS Traditional Network. If I receive services from such providers will they be treated as out-of-network?

A. No. The below listed provider categories do not participate in the BCBS PPO Network, but do participate in the BCBS Traditional Network. Services obtained from BCBS Traditional Network providers in these categories will be covered at in-network benefit levels:

•  Ambulance providers
•  Ambulatory surgical centers
•  Certified nurse anesthetists
•  Certified nurse midwives
•  Certified nurse practitioners
•  Durable medical equipment suppliers
•  ESRD facilities
•  Hearing aids suppliers
•  Home health care providers
•  Hospice providers
•  Independent licensed physical therapists
•  Outpatient physical therapy facilities
•  Private duty nursing providers
•  Prosthetic and orthotic suppliers

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