What network options are offered by the state of Tennessee?

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• Is the plan design any different for the Cigna LocalPlus network, Cigna Open Access Plus network, BCBS Network S or BCBS Network P?
• Where can I find more information about the BlueCross BlueShield and Cigna networks?
• What happens when I go to a provider outside LocalPlus but within other Cigna networks?
• • What is the difference between the carriers and networks?
• Do I have to have a referral from my PCP, or primary care provider?