Table of Contents
Who are eligible for BCBS coverage?
You are age 65 or above. You are disabled and have received disability benefits from Social Security or Railroad Retirement Board (RRB) benefits. You have been diagnosed with end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS, “Lou Gehrig’s disease”).
What is the difference between Blue Cross and Blue Shield of California?
“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.
Is Blue Shield of California part of BCBS?
About Blue Shield of California We are a not for profit, independent member of the Blue Cross Blue Shield Association with care for four million members, 6,800 employees and more than $17 billion in annual revenue.
Can I use BCBS California in another state?
Access to coverage – nearly everywhere As a Blue Shield member, you have access to coverage through the BlueCard® Program, no matter where you live or travel.
What is eligibility and benefits verification?
What is Eligibility and Benefits Verification? To receive payments for the services rendered, healthcare providers need to verify each patient’s eligibility and benefits before the patient’s visit.
When BCBS payers for the primary and secondary policies are different?
If the payers for the primary and secondary or supplemental policies are different, submit a CMS-1500 claim to the primary payer.
What is Blue Cross Blue Shield called in California?
In California Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.
What type of insurance is Iehp?
IEHP stands for Inland Empire Health Plan. IEHP is a not-for-profit health plan that serves over 1,000,000 Members in public-sponsored health coverage programs including Medi-Cal and Medicare Special Needs Plan.
What type of insurance is Blue Shield of California?
Blue Shield of California is an HMO and PDP plan with a Medicare contract. Enrollment in Blue Shield of California depends on contract renewal.
Can you use Blue Cross Blue Shield California?
Provider access for Blue Shield* members doesn’t end at the California state border. 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 living in another Blue plan service area.
Can I use my insurance out of 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.
What is an eligibility check?
Eligibility verification is the process of checking a patient’s active coverage with the insurance company and verifying the authenticity of his or her claims.
Is blue shield of California part of the Blue Shield Association?
Blue Shield of California is an independent member of the Blue Shield Association. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company.
Does Blue Shield of California discriminate on the basis of race?
Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.
What is select eligibility and benefits inquiry?
Select Eligibility and Benefits Inquiry. Providers can use the Panel Listing tool to research and download a complete list of past and current members assigned to a specific primary care provider, group or IPA.