What does Blue Cross out of state mean?
Duration: 1.5 hours. This module explains that BlueCard is a national program that enables members of one Blue Cross and Blue Shield (BCBS) plan to obtain health care services while traveling or living in another BCBS Plan’s service area.
Can I use Blue Cross Blue Shield in another state?
Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.
What is the BlueCard network?
What Is the BlueCard® Program? The BlueCard Program is a national program that enables members obtaining healthcare services while traveling or living in another Blue Plan’s area to receive all the same benefits of their contracting Blue Plan and access to providers and savings.
Does Blue Cross Blue Shield Illinois cover out of state?
Whether traveling across the country or around the world, the BlueCard Program helps Blue Cross and Blue Shield of Illinois (BCBSIL) members: Get needed health care when you travel or live outside your Blue Plan service area.
What is local BCBS Plan?
Local health insurance networks are just what they sound like. They’re networks of doctors and hospitals focused in certain geographic areas. We offer local HMO plans in Metro Detroit. With these plans, you’ll need to get care from doctors and hospitals in your network.
Is Blue Shield of California part of Anthem?
“In California, Anthem Blue Cross and Blue Shield are actually different companies and are competitors. In most other states, they are the same company and formed an association, the Blue Cross Blue Shield Association. Anthem Blue Cross is a for profit company in California, and Blue Shield is a non-profit.
What states does BCBS cover?
BCBS companies provide coverage to people across every ZIP code in all 50 states, the District of Columbia and Puerto Rico. Through the BlueCard® program, BCBS members can receive healthcare services throughout the United States and around the world.
How do I find my BCBS group number?
Your member number, also known as your identification number, is listed directly below your name. You’ll need this information when receiving medical services at the doctor or pharmacy, or when calling customer service for assistance. If your group number is available, you’ll find it directly below your member number.
What are BlueCard claims?
The BlueCard Program allows health care providers to submit claims for members from other BCBS Plans, including international BCBS Plans, directly to BCBSMT.
Will my health insurance cover me in another state?
The Short Answer: All plans cover emergency services at any hospital in the United States, regardless of what state plan was purchased from, with the exception of Hawaii.
How to apply for the Blue Card program?
Telephone: Call the BlueCard Eligibility line at 1-800-676-2583 and ask to be transferred to the Medical Management Department. Electronic: Use the Pre-Cert/Pre-auth Router (out-of-area members) to view the applicable Blue Plan’s medical policy or general pre-certification/prior authorization information.
How to request prior authorization for Blue Card?
Electronic: Use the Pre-Cert/Pre-auth Router (out-of-area members) to view the applicable Blue Plan’s medical policy or general pre-certification/prior authorization information. If pre-certification/prior authorization is required, submit an electronic request (278 transaction) through Availity or your preferred web vendor portal.
What to do if you lose a bluecard letter?
If you lose the letter and it is required, please call customer service and we will fax a new one; otherwise, you can fax the documentation and include the fax cover sheet with the patient’s identification number and claim number.
How does Blue Shield of California bluecard program work?
BlueCard Program The BlueCard® Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. When an out-of-state Blue plan member seeks medical care from your office, use the information and tools in this section to submit those claims to Blue Shield of California.