Thank you for your membership with Blue Cross and Blue Shield of Oklahoma. We value your trust in us and the health care coverage we provide.
We’d like to highlight an important change to your policy.
As of January 1, 2025, non-emergency or non-urgent care out of state beyond the counties that border Oklahoma will not be a covered benefit under your plan.
To find in-network care, log in to Blue Access for MembersSM or visit our Provider Finder® tool.
You will need an approved waiver from BCBSOK before you receive non-emergency or non-urgent care:
To ask for a waiver for services beginning January 1, 2025, call Customer Service at the number on your member ID card.
Please refer to the "Answers to Questions You May Have" section of this page to see the counties that are contiguous to Oklahoma as well as more information on out-of-service-area waivers.
If you do not receive an approved waiver in advance of receiving non-urgent or non-emergency care from providers outside Oklahoma and its contiguous counties, the services will not be covered under your plan. You will be responsible for the full cost. As always, if you are facing a medical emergency, call 911 or proceed to the nearest emergency room.
To request a waiver, call Customer Service at 1-866-520-2507. An agent will need the following information, so it may be helpful to speak with your doctor ahead of calling:
You will still be able to get emergency and urgent care nationwide without the need for a waiver.
You can still find in-network providers through Blue Access for Members under "Find Care."
You continue to be free to visit a range of in-network providers, specialists, and hospitals throughout Oklahoma and its contiguous counties.
You will receive benefits similar to the benefits that are part of your plan today. You can choose to go to an out-of-network provider or facility within Oklahoma without a waiver. If you do, however, you may pay more for your care than if you were to stay in network.
Review a map of included counties for BCBSOK members.
You won’t need a waiver for providers in Oklahoma or for providers who are in network with a Blue Cross and Blue Shield Plan in the border counties below:
Certain conditions or situations that began before January 1, 2025, and require ongoing treatment may qualify for “continuity of care” or “transition of care” for a period of time. For example, you may qualify if you are currently going to a provider or facility outside Oklahoma and Oklahoma’s contiguous counties for:
To find out more about continuity or transition of care and to see if you may qualify, call Customer Service at the number on your ID card. A health advocate will help you. You may also receive communications from us with more information.
The waiver approval or denial will be provided within 7 days after we receive your request. It will be mailed through the United States Postal Service. Please note, waiver approval is not guaranteed.
A review will be conducted to determine:
A waiver may be granted to receive non-urgent or non-emergency care from:
You may see the provider as many times as is medically necessary while the approved waiver is in effect.
As with claims denial, you may appeal a waiver denial. You will receive information on how to appeal if your request is denied.