If you have any questions or need assistance, Blue Access for Employers puts the power of searching at your fingertips. It’s one of the many benefits of belonging to the nation’s oldest and largest health insurance system. Blue Cross and Blue Shield of Texas (BCBSTX) Customer Service at 1-888-657-6061. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue. We take care of this nightmare for you. (But really, trust us, we’ve filed tens of thousands to Blue Card plans)! With the constant changes in provincial health care plans, affordable protection against unexpected medical expenses is important to everyone. With so much to do, it’s easy to overlook one item that might prove crucial: ensuring that you will be covered if you need medical care while traveling. Blue Shield of California has quietly scaled back the national Blue Card program that has allowed its members to receive a range of services out of state in an effort to reduce costs. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. We have a wonderfully specific guide on how to verify eligibility and benefits for mental health outpatient providers (click anywhere). Note: We only work with licensed mental health providers. Call your Blue Plan for precertification or prior authorization if necessary. Blue Cross Coverage Whether you're an employer looking for a benefits plan to offer your employees, self-employed, between jobs or retired, there is a perfect health care package of benefits available through the Blue Cross in your area. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Coverage can also vary depending on the treatment program. But we have some specific, repeatable advice that will help you dramatically reduce your headache handling Out of State Blue Card billing. “As private practitioners, our clinical work alone is full-time. What happens if I see a specialist without a referral? Blue Cross Blue Shield of Michigan and Blue Care Network members under age 65. See how to find out what’s covered by your Blue Cross and Blue Shield of Minnesota or Blue Plus health plan. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. We also call them participating providers. For more information, Contact Us or view the Member Handbook. When traveling within the United States, most Blue Cross Blue Shield members will be covered under the, program, which connects all 36 individual. Treatment programs can include counseling, behavior modification treatment, inpatient and outpatient … If you want to skip the pain completely, consider trying our insurance billing service exclusively for mental health providers. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. NEW MEMBERS. • Eligibility & Benefits Verification (in 2 business days), • EAP / Medicare / Medicaid / TriCare Billing, • Month-by-Month Contract: No risk trial period. We provide free eligibility and benefits verification as part of our billing service so you can skip insurance phone calls. Leading the way in health insurance since 1929. For example, you can appeal a decision to deny or stop coverage or payment for health care services or drugs. Every provider we work with is assigned an admin as a point of contact. Skip to main content ... To see your plan’s coverage information, log in or register on the member site or call customer service using the number on the back of your ID card. For example, if a member of Blue Cross Blue Shield of Texas, whose Plan includes the BlueCard program, falls and breaks his arm while hiking in Yellowstone, he will be charged the rate Blue Cross Blue Shield of Wyoming has negotiated with the local hospital rather than paying the steep fees he would otherwise encounter. Here are a few steps you can take to take charge of your health while traveling: To learn more, visit BCBS.com or the GeoBlue website. Is that you make sure to verify the local blue cross blue shield plan and claims address to file to, especially if the claims are subcontracted to a mental health specific plan. ... 3 out of 4 Years ‌ ‌ ‌ ‌ This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana. My daily insurance billing time now is less than five minutes for a full day of appointments. You'll always be able to get in touch. The BlueCard® Program allows us to offer some of the largest networks coast to coast so our members can access healthcare services while traveling or … Blue Cross and Blue Shield of Oklahoma does not offer those plans shaded in gray below. Coverage and Plans 2020 Benefits. Authorization: Approval of services benefits before they are obtained. But we have some specific, repeatable advice that will help you dramatically reduce your headache handling Out of State Blue Card billing. A medical out-of-pocket maximum is the most you pay for expenses in a plan year. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. If your plans include international travel, GeoBlue has an extensive network of options to meet your needs when living or working abroad for an extended period of time. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Texas. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Anthem Blue Cross and Blue Shield is a DSNP plan with a Medicare contract and a contract with the state Medicaid program. You can call 888.630.2583 to learn about your coverage options. When traveling within the United States, most Blue Cross Blue Shield members will be covered under the BlueCard program, which connects all 36 individual Blue Cross Blue Shield companies so that members can enjoy access to the savings the local Blue Cross Blue Shield plan has negotiated with its doctors and hospitals. Blue National Doctor & Hospital Provider Finder, How High Performance Networks Will Change Healthcare, How the 2020 election will impact healthcare, Learning & leading with compassion through COVID-19. If you are moving to a new state, changing jobs, out of work, getting ready to retire, or your employer has stopped offering insurance, Blue Cross Blue Shield can help. If your question involves other party liability/duplicate coverage, pre-existing conditions or payment recovery, specialists are available to assist you after 8 am. coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. © 2021 Blue Cross Blue Shield Association. Blue Choice ® and Blue Choice New England SM members have the option to self-refer for covered services at a higher out-of-pocket cost. Learn how we can handle your mental health insurance billing and credentialing headache: It's our goal to ensure you simply don't have to spend unncessary time on your billing. I cannot capture in words the value to me of TheraThink. These limits will vary depending on the policy and the state. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. There are some exceptions when care you receive from an out-of-network provider will be covered. Type of Rehabs Covered by Blue Cross Blue Shield . You can call, text, or email us about any claim, anytime, and hear back that day. Let us handle handle your insurance billing so you can focus on your practice. Call your BCBS company to find out what your benefits cover while traveling. Filing to out of state Blue Cross Blue Shield plans can be a huge pain! If the program is considered in-network, coverage will be higher than for programs that are deemed out-of-network. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. Today’s Blue cross Blue Shield is made up of both non-profit and for-profit entities. When a doctor, hospital or other provider accepts your health insurance plan we say they’re in network. To access your member services, please visit your BCBS company. That's why Blue Access includes reporting tools designed to help you track and better control your health care spending. Has chest pains. Swedish is in-network with most Blue Cross Blue Shield out-of-state insurance plans. TheraThink provides an affordable and incredibly easy solution. Blue Cross Blue Shield (BCBS) Out-of-state We know finding a doctor that’s right for you isn’t always easy. We understand that it's important to actually be able to speak to someone about your billing. If you aren’t sure what’s covered, it’s a good idea to call your Blue Cross Blue Shield company to find out what your benefits are if something goes awry while on vacation. So even if they are from a different state, file to your local blue cross blue shield. Covered under the State Health Plan. The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies. A separate out-of-pocket maximum applies to prescription drugs. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. Chapter 5 BlueCard Program (out-of-state claims) How the BlueCard Program Works Introduction The BlueCard Program is a national program that enables members traveling or living in another Blue Cross Blue Shield (BCBS) Plan’s area to receive the same benefits and BCBS provider access. This website does not display all Qualified Health Plans available through Get Covered NJ. BlueCard® Program. We provide this service, of course. program, falls and breaks his arm while hiking in Yellowstone, he will be charged the rate Blue Cross Blue Shield of Wyoming has negotiated with the local hospital rather than paying the steep fees he would otherwise encounter. If your plans include international travel. to find out what your benefits are if something goes awry while on vacation. Cannot breathe or is choking. Verify your international benefits with your Blue Plan before leaving the United States, or purchase a. You will be covered for emergency services in the U.S. even if the emergency services provider is not part of the Blue Cross and Blue Shield of Texas (BCBSTX) network. If you want to skip the pain completely, consider trying our insurance billing service exclusively for mental health providers. The Blue Cross Blue Shield System is made up of 36 independent and locally operated companies. If you're looking for general information on your coverage, this is a great place to start. My cost is a percentage of what is insurance-approved and it’s my favorite bill to pay each month! A person should go to the emergency room if he or she: May die. For State of Kansas employees, customer service representatives are available from 8 am to 5 pm. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginner’s Guide To Mental Health Billing, insurance billing service exclusively for mental health providers, eligibility and benefits for mental health outpatient providers, Inquire about our mental health insurance billing service, offload your mental health insurance billing, Verify eligibility and benefits via a phone call, We charge a percentage of the allowed amount per paid claim (only paid claims). 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. There are a few options to find a plan: Stay on a Parent’s Plan: Students under 26 have the option to stay on their parents’ health insurance plan. BASIC BENEFITS: • Hospitalization – Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. You’ll have to book your travel, lodging and activities, pack and be sure your home is looked after while you’re gone. so that members can enjoy access to the savings the local Blue Cross Blue Shield plan has negotiated with its doctors and hospitals. Call 1-800-851-2227 Find an Agent Find a Member Center Options for Everyone Individuals & Families Shop Plans Medicare Supplement Shop Senior Blue Businesses Shop Group Plans Why […] Trust us! Out-of-Area Coverage. If you can't find what you need, call the Customer Service number on the back of your enrollee ID card and we'll help. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. File is in portable document format (PDF). This information will make sure that you are sending out of state Blue Cross Blue Shield claims to the right claims office every time. Planning to hit the road this travel season? • Free Account Setup - we input your data at signup. Blue Cross and Blue Shield of Illinois does not offer those plans shaded in gray below. So we've created this customized site just for employees and retirees of the State of Michigan. That’s a lot to think about, and the list goes on. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. Our data is encrypted and backed up to HIPAA compliant standards. You’ve got a lot to do! We’ll get you sorted in no time. Our form finder can retrieve your often used forms in an instant. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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