Traditional/Indemnity, POS or PPO Plan

The BlueCard - For Health Care Confidence at Home or Away

With BlueCross BlueShield traditional indemnity, Preferred Provider Organization (PPO) and Point-Of-Service (POS) products, our members never have to worry about health care regardless of where they live or travel.

Your BlueCross BlueShield member identification card - The BlueCard - is your direct link to care anywhere in the country and many places overseas. Show your identification card to any BlueCross BlueShield participating hospital or physician when you travel and receive the same special treatment as local members.

More than 85% of all hospitals and physicians throughout the United States contract with independent BlueCross BlueShield Plans. We also have participating hospitals and physicians in 16 countries overseas. The BlueCard links these health care providers to an electronic data system that quickly delivers your benefit information anywhere in the country or overseas.

How it Works

  1. If you need emergency medical care, go directly to the nearest hospital.
  2. To find the names and addresses of nearby doctors and hospitals, visit provider.bcbs.com  or call BlueCard Access at 1-800-810-BLUE (2583). When you arrive at the doctor's office or hospital, simply present your member ID card.
  3. Call us for pre-certification or prior authorization, if necessary. Refer to the phone number on the back of your member ID card.
  4. After you receive medical attention, your claim is electronically routed to us for processing. You are only responsible for the usual out-of-pocket expenses (non-covered services, deductible, co-payment, and co-insurance).
  5. We'll then send you a detailed Explanation of Benefits report. All participating providers are reimbursed, relieving you of any of the hassle of paperwork.
  1. If you need emergency medical care, go to the nearest hospital. If you're admitted, call the Blue Cross Blue Shield Global Core at 1-800-810-BLUE (2583) or call collect at 1-804-673-1177.
  2. If you need non-emergency medical care, you must call the Blue Cross Blue Shield Global Core at 1-800-810-BLUE (2583). The Service Center will facilitate hospitalization at a Blue Cross Blue Shield Global Core hospital or make an appointment with a doctor. It is important that you call the Blue Cross Blue Shield Global Core in order to obtain cash-less access for inpatient care. The Service Center is staffed with multilingual representatives and is available 24 hours a day, seven days a week.
  3. Call us for pre-certification or prior authorization, if necessary. Refer to the phone number on the back of your member ID card.
  4. For inpatient care at a hospital that was arranged through the Blue Cross Blue Shield Global Core, you only pay the provider the usual out-of-pocket expenses (non-covered services, deductible, co-payment and co-insurance). The provider files the claim for you.
  5. For all outpatient and professional medical care, you pay the provider and submit a claim. You may also have to pay the hospital (and submit a claim) for inpatient care obtained from a Blue Cross Blue Shield Global Core hospital or when inpatient care was not arranged through the Blue Cross Blue Shield Global Core.

 

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