}); The Blue Cross Blue Shield System is made up of 36 independent and locally operated companies. A flat amount the member must pay before the insurer will make any benefit payments. An organization that provides dental care to its members through a network of dentists who offer discounted fees to the plan members. expires: 365 { bidder: 'onemobile', params: { dcn: '8a9690ab01717182962182bb7e310013', pos: 'old_topslot_mobile_flex' }}, The direct care provider should file claims to the local Blue Cross Blue Shield company. googletag.pubads().addEventListener('slotRenderEnded', function(event) { if (!event.isEmpty && event.slot.renderCallback) { event.slot.renderCallback(event); } }); /*schulwoerterbuch_English-German | Title 26 – Internal Revenue Code | U.S. Code | LII / Legal Information Institute, "Blue Cross parent boosts profit in second quarter", "In Final Spending Bill, Salty Food and Belching Cows Are Winners", Health Insurance Facts | Smarter Consumers of Healthcare, "Blue Cross and Blue Shield's Federal Employee Plan", "Feds Are Flocking to the Same Few Health Care Plans Despite Choices", "Florida Blue – New Name of BlueCross and BlueShield of Florida", "Cambia health solutions announces strategic", "Blue Cross and Blue Shield, A Historical Compilation", "Appeals panel upholds dismissal of class action challenge of how Blue Cross parent corp uses profits", "Judge Dismisses Attempted Class-Action Suit Against Regence BlueCross BlueShield of Oregon | The Lund Report", "Conversion and Preservation of Charitable Assets of Blue Cross and Blue Shield Plans: How States Have Protected or Failed to Protect the Public Interest", "Blue Cross and Blue Shield A Historical Compilation", "The Curious Conversion Of Empire Blue Cross", https://en.wikipedia.org/w/index.php?title=Blue_Cross_Blue_Shield_Association&oldid=985086200, Financial services companies established in 1929, Medical and health organizations based in Illinois, Members of Blue Cross Blue Shield Association, Articles with dead external links from December 2014, Wikipedia articles with WORLDCATID identifiers, Creative Commons Attribution-ShareAlike License, Missouri (excluding 30 counties in the Kansas City area), Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), Highmark BlueCross BlueShield (Western and Northeastern Pennsylvania), Highmark BlueShield (Eastern & Central Pennsylvania), Highmark Blue Cross Blue Shield Delaware (Delaware), Highmark BlueCross BlueShield West Virginia (formerly Mountain State Blue Cross Blue Shield) (West Virginia), BlueShield of Northeastern New York (A division of HealthNow New York Inc.), BlueCross BlueShield of Western New York (A division of HealthNow New York Inc.), Capital Blue Cross (Central Pennsylvania), BlueCross BlueShield of the U.S. Virgin Islands, This page was last edited on 23 October 2020, at 21:27. 'increment': 1, [9], Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. { bidder: 'ix', params: { siteId: '220442', size: [300, 50] }}, { bidder: 'triplelift', params: { inventoryCode: 'Oxford_MidArticle' }}, bids: [{ bidder: 'rubicon', params: { accountId: '17282', siteId: '162064', zoneId: '776476', position:'atf' }}, Learn more about our non-discrimination policy and no-cost services available to you. } A set of specialized healthcare services that provide support to terminally ill patients and their families. var dfpSlots = {}; } { bidder: 'openx', params: { unit: '539971143', delDomain: 'idm-d.openx.net' }}, })(window,document,'script','//www.google-analytics.com/analytics.js','ga'); gads.src = (useSSL ? { params: { }; } if(window.__tcfapi) [2] It was formed in 1982 from the merger of its two namesake organizations: Blue Cross was founded in 1929 and became the Blue Cross Association in 1960, while Blue Shield emerged in 1939 and the Blue Shield Association was created in 1948. 'cap': true { bidder: 'appnexus', params: { placementId: '12526109' }}, cmpApi: 'iab', Blue Cross Blue Shield of Massachusetts Medical Policy #350. Also known as prior authorization. * free type: "html5", BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. The direct care provider is in the same physical location as the member and offers care to patients from within the local Plan's service area. [3] It has affiliated plans in all 50 states, the District of Columbia, and Puerto Rico, as well as licensees offering plans in several foreign countries; it also operates a nationwide health insurance program for employees of the United States federal government. { bidder: 'openx', params: { unit: '539971143', delDomain: 'idm-d.openx.net' }}, m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) } var mapping_btmslot_a = googletag.sizeMapping().addSize([745, 0], [[300, 250], 'fluid']).addSize([0, 0], []).build(); An application for payment of benefits under a health plan. { bidder: 'onemobile', params: { dcn: '8a969411017171829a5c82bb7c220017', pos: 'old_topslot_728x90' }}, The deductible is usually a set amount or percentage determined by the member’s contract and is set for a given period of time. Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people. In the final spending bill for FY 2015 after much lobbying since 2010, nonprofit Blue Cross and Blue Shield plans continue to have special tax breaks that were understood to be threatened by the Affordable Care Act of 2010. 'max': 3, syncDelay: 3000 url : 'collocations', [6] The first plan guaranteed teachers 21 days of hospital care for $6 a year, and was later extended to other employee groups in Dallas, and then nationally. description : 'Search Oxford Advanced Learner\'s Dictionary', googletag.pubads().set("page_url", pageUrlSetting); expires: 60 * free initAdSlotRefresher(); [15] FEP enrolls over half of the federal workforce, with over 5 million members, making it the largest insurer of federal employees and the largest single health plan group in the world. Documentation errors in which a treatment is miscoded or the codes used to describe procedures do not match those used to identify the diagnosis. You can access the Marketplace via healthcare.gov , through Blue Cross and Blue Shield … [3], Blue Cross and Blue Shield developed separately, with Blue Cross providing coverage for hospital services and Blue Shield covering physicians' services.[5]. }; 'buckets': [{ Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs.
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