Part 2 – Explanation of Terms (continued) WORDS IN ITALICS ARE EXPLAINED IN PART 2. Page 13 copayment. It also shows those covered services for which you must pay a copayment. (Also refer to riders—if there are any—that apply to coverage in this health plan.) Covered Providers To receive the highest benefit level under this health plan (your in-network benefits), you must obtain your health care services and supplies from covered providers who participate in your PPO health care network. These health care providers are referred to as “preferred providers.” A preferred provider is a health care provider who has a written preferred provider arrangement (a “PPO payment agreement”) with, or that has been designated by, Blue Cross Blue Shield HMO Blue or with a local Blue Cross and/or Blue Shield Plan to provide access to covered services to members. You also have the option to seek covered services from a covered provider who is not a preferred provider. (These health care providers are often called “non-preferred providers.”) In this case, you will usually receive the lowest benefit level under this health plan (your out-of-network benefits). To find out if a health care provider participates in your PPO health care network, you can look in the provider directory that is provided for your specific plan option. The kinds of health care providers that are covered providers are those that are listed below in this section.  Hospital and Other Covered Facilities. These kinds of health care providers are: alcohol and drug treatment facilities; ambulatory surgical facilities; chronic disease hospitals (sometimes referred to as a chronic care or long term care hospital for medically necessary covered services); community health centers; day care centers; detoxification facilities; free-standing diagnostic imaging facilities; free-standing dialysis facilities; free-standing radiation therapy and chemotherapy facilities; general hospitals; independent labs; licensed outpatient birthing centers; limited services clinics; mental health centers; mental hospitals; opioid treatment program providers; rehabilitation hospitals; and skilled nursing facilities.  Physician and Other Covered Professional Providers. These kinds of health care providers are: certified registered nurse anesthetists; chiropractors; clinical specialists in psychiatric and mental health nursing; dentists; licensed acupuncturists; licensed alcohol and drug counselor I providers; licensed applied behavioral analysts; licensed audiologists; licensed dietitian nutritionists (or a dietitian or a nutritionist or a dietitian nutritionist who is licensed or certified by the state in which the provider practices); licensed hearing instrument specialists; licensed independent clinical social workers; licensed marriage and family therapists; licensed mental health counselors; licensed speech-language pathologists; nurse midwives; nurse practitioners; occupational therapists; optometrists; physical therapists; physicians; physician assistants; podiatrists; psychiatric nurse practitioners; psychologists; and urgent care centers.  Other Covered Health Care Providers. These kinds of health care providers are: ambulance services; appliance companies; cardiac rehabilitation centers; early intervention providers; home health agencies; home infusion therapy providers; hospice providers; mail order pharmacy; oxygen suppliers; retail pharmacies; and visiting nurse associations. A covered provider may include other health care providers that are designated for you by Blue Cross Blue Shield HMO Blue.