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Generally covered specialties

The following list is for specialties generally covered by BCBSNC:

Medical Doctor (M.D.)
Doctor of Osteopathy (D.O.)
Podiatrist (DPM)
Optometrist (OD)
Chiropractor (DC)
Dentist (DDS) (DMD)
Pharmacist (vaccines only)
Registered Nurse (RN)*

PhD in Psychology and Health Service Provider (HSP) Certified (PhD)
PsyD (must be PsyD in Psychology and HSP Certified PsyD)
Licensed Psychological Associate (LPA)
Certified Substance Abuse Counselor (CSAC)

Licensed Physical Therapist (LPT)
Registered/Licensed Occupational Therapist (OT)
Certified Respiratory Therapy Technician (CRTT)
Speech Therapist (SLP)
Audiologist

Certified Nurse Midwife (CNM)
Certified Clinical Social Worker (CCSW)
Pastoral Counselor (certified, fee-based)
Licensed Professional Counselor (LPC)
Licensed Marriage Family Therapist (LMFT)
Licensed Dieticians

Remember:

  • Services given by a specialist must be within the scope of the specialist's license or certification to be considered eligible for reimbursement.
  • You should always confirm whether a specialty is covered before you receive service in case your plan has an exception.
  • For additional help, check with your provider or call Customer Service at the number listed on your member ID card.

* RNs must be stand-alone in advance practice, and must be certified in mental health treatment.