(i) when required or permitted by law or government agencies. If you are not yet an enrolled member, indicate that you are not yet enrolled but are considering becoming a member. Members can access information about network providers, including directions to their location with the National Doctor and Hospital Finder. Outside the United States. You also explicitly consent to the automated decision making by us, which may include the processing of your health data, to the extent that it is necessary to process your health claim swiftly and efficiently. The BlueCard ® program links participating health care providers and independent Blue Cross plans through a single electronic network for claims processing and reimbursement. In the United States, Puerto Rico and U.S. Virgin Islands. (ii) when required valid requests by law enforcement. $10,000 per family . The BlueCard PPO program is the premier national Blue Cross and/or Blue Shield Preferred Provider Program that links together more than 600,000 network doctors and 6,000 network hospitals in 48 states. Horizon Blue Cross Blue Shield, and its subsidiary companies do not control these sites, and are not responsible for their content or the products and services offered therein. Our BlueCard PPO network links participating doctors and hospitals to Blue Cross and Blue Shield Plans throughout the United States, providing a nationwide network of doctors, hospitals, and other health care professionals. They are available 24 hours a day, seven days a week. Medical $2,000 per member / $5,000 per family . How Does the BlueCard Program Work? Starting January 1, 2021, you may see new ID cards with HPN in a suitcase logo. By using participating doctors, hospitals and other health care professionals, you will receive the highest level of benefits and minimize your out-of-pocket costs. Power 2020 award information, visit jdpower.com/awards. BlueMAX (All locations) BlueSaver (All locations) Blue Cross Blue Shield of Massachusetts. Prescription Drug $2,000 per member / $4,000 per family . As the provider, you have three responsibilities when participating in the BlueCard program: When you are traveling abroad and need medical care, you can call the BlueCard Worldwide Service Center any time. We will retain the information in our system in accordance with applicable law and our Data Protection Policy:https://www.highmark.com/hmk2/gdpr.shtml. Current members Call 1-877-832-2829 TTY users call 711 8 a.m. to 8 p.m. Monday through Friday . You have access to the BlueCard Traditional provider network (not the PPO network). For J.D. This information will be used for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. BlueCard ®. We are focused on making sure our members get the right care when you need it. The program links participating health care providers with the various Find a Family Physician who accepts BlueCard Traditional near you in Norcross, GA. See all Family Physician office locations in Norcross that accept BlueCard Traditional and doctor ratings. BlueCard Worldwide® provides Blue Cross and Blue Shield members with access to a network of traditional inpatient, outpatient and professional healthcare providers around the world. We give you more control of your health care and dependent care spending. Please make sure that you search the proper network for the most accurate results. Commercial HMO & POS, Women’s Health and Cancer Rights Act of 1998, Claims Payment Policies and Other Information. The BlueCard® PPO program links you directly to care anywhere in the country and in the world. As the provider, you have three responsibilities when participating in the BlueCard program: The BlueCard® Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. Your health care coverage goes with you. Traditional (All locations) Blue Cross Blue Shield of Kansas City. A national program that offers members traveling or living outside of their Blue Plan’s area the traditional/indemnity level of benefits when they obtain services from a physician or hospital outside of their Blue The BlueCard Preferred Provider Organization (PPO) medical plan gives you the freedom to select in-network or out-of-network health care providers to administer covered health care services. Go to the To learn more about the BlueCard Program, call a Customer Service representative at the phone number on your ID card, or visit bcbs.com. Notes: This consent is given voluntarily and can be revoked at any time in writing by sending an email to PrivacyInternational@HighmarkHealth.org If you want to exert your withdrawal right or your rights to access, rectify, block, transfer or delete your personal data pursuant to the GDPR, please contact us and provide us at least with your full name, address and the data processing you are inquiring about. With the BlueCard® Program, you can go to doctors and hospitals almost anywhere. 1. Providers should continue to verify eligibility and . BlueCard® Traditional BlueCard®Traditionalis a national program that offers members traveling or living outside of their Plan’s area a traditional or indemnity level of benefits when they obtain services from a physician or hospital outside of their Plan’s service area. 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. Your Personal Data will be disclosed to appropriate personnel for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. PPO network. Below are State BlueCare Plans that have out of area privileges and CAN be seen by the y New York Empire BlueCross BlueShield (“Empire”) providers, that participate in Empire HMO and/or Traditional networks. Commercial PPO/EPO & The BlueCard program links participating health care providers with the various Blue Cross and Blue Shield … Members can also call the BlueCard Access Line at 1-800-810-BLUE (2583) to access PPO providers. Note: The PPC network is the default BlueCard Host network. We will be your point of contact for education, contracting, claims payment/adjustments and problem resolution. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. This program does not have Preferred Medical Doctor (PMD) benefits. More than likely, any doctor or hospital you choose will be in the network. Members can access BlueCard PPO network doctors and hospitals several ways. Plus 1 If the plan name is followed by “Plus 1” this indicates that the plan has out-of-network benefits. The BlueCard ® program links participating health care providers and independent Blue Cross plans through a single electronic network for claims processing and reimbursement. Blue High Performance Network, or HPN, is a new national network, similar to BlueCard. This is a seamless network that affords members the ability to use any network doctor or network hospital in any location. These service providers will be bound by sufficient guarantees to implement appropriate technical and organizational measures in such a matter that their processing will meet the requirements of applicable law. The toll free number is 800-810-2583. So do most of our Blue Dental plans. Deine BLUECARD Prepaid Mastercard® ist bis zum Ende der aufgedruckten Laufzeit gültig. The program includes a range of medical assistance and claim support services for members traveling or living in countries outside their Home Plan service area. BlueCard is a national program that enables members of one Blue plan to obtain health care services while traveling or living in another Blue plan’s service area. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. This is a seamless network that affords members the ability to use any network doctor or network hospital in any location. BlueCard® PPO Medical Plan. Or you can call them collect at 804-673-1177. Network” on the member card: Foundation Heritage Global Our National Account members will have a network name of BlueCard PPO or BlueCard Traditional. Please be aware when you travel from the Horizon Blue Cross Blue Shield site to another site, whether through links we provide or otherwise, you will be subject to the privacy policies (or lack thereof) of those sites. The purpose of this Data Protection Statement is to notify you of the practices that will govern the processing of your personal data and to obtain your explicit consent for the processing of your personal data consistent with it, in particular in accordance with the legal requirements of the European Union’s (“EU”) General Data Protection Regulation (“GDPR”): The personal data collected may include your address, city, postal code, country, phone number, email address, IP address, as well as any other personal information you choose to provide (“Personal Data”). Once enrolled, members simply carry our easily identifiable ID cards with a PPO in a suitcase logo, which lists a toll-free number to help reach a BlueCard PPO provider. member has access to the BlueCard Traditional Network for services received out-of-area that are . With BlueCard PPO, members do not need to select a Primary Care Physician, and referrals are not needed to access specialty care. In-Network: When you use a network doctor or hospital, there is very little to pay out-of-pocket. Regence BlueCross BlueShield of Oregon service area: Alpha Media (group #70000010) – All members (with the exception of Utah and Wyoming) will have access to the Preferred network. Horizon Blue Cross Blue Shield provides such links for your convenience and reference only. Wherever you go. She graduated from New York Medical College in 1993 and specializes in internal medicine. BlueCard links participating health care providers with the independent BCBS Plans across the country, and in more than 200 countries and territories worldwide, through a single electronic network for claims processing and … • Keystone Health Plan West (KHPW)*: The KHPW network supports the BlueCard PPO programs in the 29-county Western Region of Pennsylvania Important To find doctors and hospitals outside of the United States, go to the BlueCard Doctor and Hospital Finder at bcbs.com or call BlueCard … After that, all Personal Data will be deleted or the documents with such data will be anonymized. Members can also use any doctor or hospital not in the network and receive an out-of-network level of coverage. Covered California . This link simplifies the process for out-of-state Blue Cross members. in Utah; and nationwide coverage through the BlueCard Traditional Network. US Ecology (group #70000012) – BlueCard Traditional and BlueCard PPO networks . Always carry your current BCBSF member ID card. Click "I Agree" to continue to the third party site. The program includes a range of medical assistance and claim support services for members traveling or living in countries outside their Home Plan service area. ... Coverage would still be under Level 3 but any coinsurance would be applied to the Level 1 & 2 in-network out-of-pocket maximums (OPMs) of $1,700 individual and $3,400 family. Our large network gives you and your family access to thousands of doctors and hospitals. An empty/blank suitcase logo indicates the member is enrolled in a Traditional, POS or HMO product. This link simplifies the process for out-of-state Blue Cross members. In an emergency, go directly to the hospital. All reasonably appropriate measures will be taken to prevent disclosure of your Personal Data beyond the scope provided directly or indirectly herein or as may be reasonably inferred from the content contained in this notice or the website. Exclusive Provider Organization (EPO) In an Exclusive Provider Organization (EPO) insurance model, members must receive all care from in-network providers (BlueSelect Plus network in the Kansas City area or BlueCard network outside the 32-county service area) except for emergency services. BlueCard® is a national program through the Blue Cross and Blue Shield Association (BCBSA), an association of independent Blue Cross® and Blue Shield® plans, that enables enrollees of one commercial BCBSA plan to obtain health care service benefits while traveling or living in another BCBSA plan’s service area. These patients should be considered as BlueCard eligible members and claims submission should follow those rules. If your ID card displays an empty suitcase logo, you have BlueCard coverage called "Traditional BlueCard." Combined Out-of-Pocket Maximum: $5,000 per member . 3. 4. ... Coverage would still be under Level 3 but any coinsurance would be applied to the Level 1 & 2 in-network out-of-pocket maximums (OPMs) of $1,700 individual and $3,400 family. Traditional Care Network benefits for Chrysler and GM (PDF) Traditional Care Network benefits for Ford (PDF) Need help? Call us for pre-certification or prior authoriza- Kundencode: Mit dem 6-stelligen alphanumerischen KUNDENCODE kannst du deine Karte aktivieren. BlueCard Worldwide® provides Blue Cross and Blue Shield members with access to a network of traditional inpatient, outpatient and professional healthcare providers around the world. Health care coverage wherever you go When you’re an Anthem Blue Cross and Blue Shield member, you take your health care benefits with you – across the country and around the world. More than 600,000 physicians and over 6,000 hospitals … Additional advantages are no claim forms and no … If a member is accessing NetworkBlue, the NetworkBlue name will be on the front of the ID card in the “Blue Product” area. Notwithstanding the above disclosures, we will disclose the Personal Data we collect from you under the following circumstances: We use third-party service providers to process Personal Data, including, without limitation, for information storage and other similar purposes. Urgent or Emergency care only. The BlueCard Program links participating health care providers and the independent Blue Cross and Blue Shield (BCBS) Plans across the country and around the world through a single electronic network for claims processing and reimbursement. BLUECARD® QUICK REFERENCE GUIDE 2005 PLAN NAME BlueCard Traditional or HMO BlueCard PPO BlueCard POS AGZ Prefix Only SUITCASE LOGO on ID Card indicates a BlueCard Member Note: Some BlueCard Traditional/HMO ID cards may not include a suitcase logo. You can choose any doctor or dentist you want, both in- and out-of-network, and still be covered. Have no fear our plan works much like a traditional health plan with an annual deductible. In the United States, Puerto Rico and U.S. Virgin Islands. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. With BlueCard PPO, you can access in-network Blue Cross and/or Blue Shield doctors and hospitals across the country so you can get the care you need when you need it. The networks are the same and both can be searched by using the prefix ‘XQW’. All BlueCard PPO providers will handle all of the paperwork for them. Select BlueCard Traditional from the Choose Your Network Dropdown menu. Exchange POS/EPO, Applicable Products: If you do not wish to visit this site, click "Cancel" to close this window. A doctor, hospital or other healthcare entity enrolled in a network of designated PPO providers. BlueCard is a national program that allows Blue Cross and Blue Shield members to obtain health care services while traveling or living in another Blue Cross and Blue Shield service area. So, whether traveling or living in another state, members can take advantage of their benefits by presenting their ID cards to any participating doctor or hospital. The BlueCard® Program Across the country and around the world …we’ve got you covered. Our Premier plans have a PPO network. You should contact the provider directly to confirm that they are in your plan network and that the desired service is covered by your plan. In addition, there are hospitals and doctors who are not included in every plan. Vor Ablauf erhältst du von uns automatisch eine neue Karte, wie in den "AGB - Karteninhaber" unter Punkt 8 beschrieben. BlueCard. If you have questions regarding how we process your Personal Data and what we store about you, please contact PrivacyInternational@HighmarkHealth.org or write us: By agreeing to the terms and conditions set out in this Data Protection Statement, and by providing us with your Personal Data, you consent to the collection, use and disclosure of any information you provide in accordance with the above purposes and this Data Protection Statement. The EPO (Exclusive Provider Organization) plan delivers in-network-only benefits through the national BlueCard® PPO network. Use our BlueCard tools for member eligibility and benefits information. You are now leaving the Braven Health website and will be taken to Horizonblue.com/Medicare where you can find Medicare Supplement and standalone Prescription Drug Plans offered by Horizon Blue Cross Blue Shield of New Jersey. So, for instance, a member that lives in Florida can use network providers in Georgia or any other state, just as if he or she was home. The network also includes hospitals and doctors abroad to make international travel more comforting. The BlueCard program lets you submit claims for other Blue Plan members directly to your local BlueCross BlueShield of South Carolina Plan. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Always carry your current BlueCross BlueShield ID card for easy reference and access to service. Participating Provider Network: Supports all BlueCard programs for members with traditional, POS, or HMO coverage who are traveling or living outside of their Blue Plan’s service area. the BlueCard Program: BlueCard Traditional, BlueCard PPO, BlueCard Managed Care/POS, and BlueCard Worldwide. Select BlueCard Traditional from the Choose Your Network Dropdown menu. National Coverage More than 85 percent of all hospitals and physicians throughout the United States contract with Blue Cross and Blue Shield Plans. Separate contracts for professional and institutional providers … Retiree Health Care Connect Call 1-866-637-7555 TTY users call 711 8:30 a.m. to 4:30 p.m. Monday through Friday . Members can access any network doctor or hospital at any time and enjoy the in-network level of benefits. Print BlueCard ® Program Claim Filing. Dr. Nadege Coupet, MD is an internal medicine specialist in New York, NY and has been practicing for 26 years. 2. BlueCard Traditional is a national program that offers members the Traditional or Indemnity level of benefits when they obtain services from a physician or … What is the BlueCard® Traditional Program? These services providers are located in the United States. When You Need Healthcare Outside The U.S. Our BlueCard PPO network links participating doctors and hospitals to Blue Cross and Blue Shield Plans throughout the United States, providing a nationwide network of doctors, hospitals, and other health care professionals. Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross and Blue Shield Association. Traditional BlueCard You may have in-network health plan benefits outside the state of Arkansas only for medical emergencies while you are travelling. logo is included on Anthem Blue Cross ID cards, as required by the California state exchange. Access Blue (All locations) Access Blue New England (All locations) These BlueCard members use the Traditional/PPS/PHS network while in Florida. 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. Horizon Blue Cross Blue Shield cautions you to use good judgment and to determine the privacy policy of such sites before you provide any personal information. BCBSKS provider network contracts are established by a base contract referred to as the Competitive Allowance Program (CAP). The BlueCard PPO program is the premier national Blue Cross and/or Blue Shield Preferred Provider Program that links together more than 600,000 network doctors and 6,000 network hospitals in 48 states. Within the U.S. electronic network for claims processing and reimbursement. BlueCard ® BlueCard is a national program offered through the Blue Cross and Blue Shield Association, an association of independent Blue Cross ® and Blue Shield ® plans, that enables members of one Blue Plan to obtain health care service benefits while traveling or living in another Blue Plan’s service area. 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Access PPO providers current BlueCross BlueShield ID card displays an empty suitcase logo indicates member... Kundencode kannst du deine Karte aktivieren services providers are located in the network hours a day, days... Yet an enrolled member, indicate that you are not yet enrolled but considering!