Is Premera Blue Cross The Same As BCBS?

Premera Blue Cross is an independent licensee of the Blue Cross Blue Shield Association Premera Blue Cross is a member of a family of companies based in Mountlake Terrace, Washington, that provide health, life, vision, dental, stop-loss, disability, and other related products and services.

Is Premera Blue Cross only in Washington?

Premera Blue Cross Group Plans are available throughout Washington State under the Blue Cross brand (except Clark County) Premera Blue Cross Individual Plans are available in the following counties: Franklin, Grays Harbor, King, Kitsap, Pacific, Skamania and Wahkiakum.

Is BCBS Regence or Premera?

The History of Premera Blue Cross and Regence Blue Shield of Washington. Premera’s service in Washington began back in 1945, and in 1969, it changed its name to Blue Cross of Washington and Alaska. Regence was founded in 1917 and would eventually take the name of Blue Shield.

What is Premera Blue Card?

Introduction: BlueCard Program Makes Filing Claims Easy. As a participating Premera provider, you may provide services to patients who are National Account members of other Blue Cross and Blue Shield (BCBS) plans, and who travel or live in Washington or Alaska.

Is Blue Cross Blue Shield of Illinois the same as Premera?

Blue Cross and Blue Shield of Illinois (“BCBSIL”) is neither owned nor operated by Premera Premera is a separate company that operates in Washington and Alaska.

Can I use Premera out of state?

Premera Blue Cross employer-based group plans offer coverage for travel in and out of the area You can download the Premera app to easily access your digital member ID card and Find a Doctor on the go.

Is Premera nationwide?

Premera Standard PPO Premera’s Standard PPO Plan comes with in-network access to over 1.7 million unique providers nationwide.

Is Premera Blue Cross Good?

Medicare rating: 3.5 to 4 stars Premera’s Medicare Advantage Plans have an overall rating range of 3.5 to 4 stars for quality and performance from the Centers for Medicare & Medicaid Services.

Is Blue Shield the same as Blue Cross?

The main difference between the blue cross and the blue shield is that the blue cross is a for-profit carrier, while the blue shield is a non-profit organization that works without any personal profit In the year 1982, both the organization decided to merge and formed a single association.

What are the 14 Anthem States?

The fourteen U.S. states served by Anthem health insurance plans include: California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.

Is Blue Shield of California the same as Blue Cross?

Blue Cross and Blue Shield may be merged under the Blue Cross and Blue Shield Association in the majority of states. In California, however, Anthem Blue Cross and Blue Shield of California are two separate —and competing—health insurance companies with large networks.

What is shared administration?

Shared administration is a business arrangement between multiple parties in the delivery and administration of healthcare benefits.

Is Blue Cross Blue Shield of Illinois Medicaid?

The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Managed Care Organizations (MCO) to implement Medicaid to all counties in Illinois.

Is Blue Cross Blue Shield different in each state?

In every state and every community, BCBS companies are making a difference not just for our members, but For the Health of America Information current and approximate as of December 31, 2018.

What is premera heritage?

The Heritage Prime network is ideal if you want to offer your employees a high-benefit, low- cost plan with easy access to providers within Washington state Your employees can even get care when they work or travel outside of Washington through the benefits of having a Premera Blue Cross health plan.

Does Premera use availity?

Transitioning to Availity Premera will use Availity as its primary secure provider portal for checking eligibility and benefits, submitting claims, and getting claims status You’ll still need to use Premera’s secure provider site for prior authorization, claims editor, and payment policies.

What is Premera standard PPO?

The PPO Plan offers 100 percent covered in-network preventive benefits, prescription drug coverage, and access to our nationwide network of doctors Additionally, this plan offers an optional Healthcare Flexible Spending Account (FSA) to use pre-tax dollars to pay for eligible medical expenses.

What is out of pocket maximum?

The most you have to pay for covered services in a plan year After you spend this amount on deductibles, copayments, and coinsurance for in-network care and services, your health plan pays 100% of the costs of covered benefits. The out-of-pocket limit doesn’t include: Your monthly premiums.

How do I submit a claim to Premera?

You can reach Customer Service by calling 877-342-5258, option 2, or by calling the Customer Service phone number on the back of the member’s ID card Before discussing member claim information, the Customer Service representative must verify the identity of the caller.

Is Anthem the same as Blue Cross Blue Shield Massachusetts?

As a subsidiary of Anthem Inc BCBS is one of the most prominent health insurers. Blue Cross Blue Shield offers global coverage and a global coverage app on itunes and GooglePlay.

Is Blue Cross Blue Shield publicly traded?

As the only major publicly traded company with permission to sell Blue Cross Blue Shield insurance (it licenses the name from the nonprofit Blue Cross Blue Shield Association for use in 14 states) it has the most trusted brand in the nation.

How do I file a BCBS claim in Illinois?

If you need more information on how to submit claims electronically call (312) 653-7954 or log on to