Each health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association Regence is part of a family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care.
Is there another name for Blue Cross Blue Shield?
Blue Cross Blue Shield Association (BCBSA) The Blue Cross Blue Shield Association is a national association of 34 independent, community-based and locally operated Blue Cross Blue Shield companies.
Is BlueShield and Blue Cross the same?
Blue Cross and Blue Shield developed separately , with Blue Cross providing coverage for hospital services and Blue Shield covering physicians’ services. Blue Cross is a name used by an association of health insurance plans throughout the United States.
Is Blue Cross MassHealth?
This means Blue Cross Blue Shield pays your bills first and although still covered by MassHealth , you will no longer be in the MassHealth managed care plan.
Is Anthem Blue Cross different from Blue Cross?
Anthem Blue Cross is the trade name of Blue Cross of California Independent licensee of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.
What is alpha prefix Blue Cross?
BCBS Alpha Prefix List is a three letter alpha prefix, which is used to look up and reach the correct Anthem Blue Cross Blue Shield department for Provider/Patient to direct the medical claims to the correct BCBS address and also this BCBS prefixes helps to reach the correct claims department to inquire regarding any.
Is Highmark and Anthem the same?
Anthem, which unlike Highmark is publicly-traded , is the nation’s largest Blue Cross and Blue Shield company operating health plans in 14 states.
Is Capital Blue Cross the same as Highmark?
The change, which won’t take effect until April 1, 2002, will end a long-standing partnership between Capital Blue Cross, which provides coverage for hospital services in central Pennsylvania, and Highmark, which provides coverage of physician services in central Pennsylvania under the name Pennsylvania Blue Shield.
Are EPO and PPO the same?
EPO or Exclusive Provider Organization Usually, the EPO network is the same as the PPO in terms of doctors and hospitals but you should still double-check your doctors/hospitals with the new Covered California plans since all bets are off when it comes to networks in the new world of health insurance.
Is health connector the same as MassHealth?
In Massachusetts, the state Marketplace is known as the Massachusetts Health Connector Your employer is required by law (§ 1512 of the ACA, which creates 29 U.S.C. 218b) to provide you the information contained in this notice. You may or may not qualify for subsidized health insurance through the Health Connector.
Is Blue Cross Blue Shield of Massachusetts part of Anthem?
Blue Cross Blue Shield is a subsidiary of Anthem , but the two entities each sell health insurance in different areas of the country, and each company provides Medicare health benefits and prescription drug coverage to beneficiaries in those areas.
What is Massachusetts Medicaid called?
Massachusetts Medicaid ( MassHealth ) pays for health care for certain low and medium income people living in Massachusetts. MassHealth offers health-care benefits directly or by paying part or all of your health-insurance premiums.
What is Anthem’s mission statement?
Anthem mission statement is “ Improving Lives and Communities. Simplifying Healthcare. Expecting More” All the components in this mission reveal the primary objectives of Anthem Inc.
Is Anthem the same as Anthem Blue Cross?
In New York Anthem Blue Cross is the trade name of Anthem Insurance Companies Inc. , providing administrative services to businesses in the following New York counties: Albany, Clinton, Essex, Fulton, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington.
Is UnitedHealthcare the same as Anthem?
UnitedHealthcare offers the same plans as Anthem in all states , plus they also have GAP, indemnity, and short-term health insurance.
Is Blue Cross Blue Shield the same in every state?
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. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.
What does alpha prefix mean?
The alpha prefix can easily be identified as it is the first three characters. The alpha prefix is very important to the identification number. The prefix acts as a key element in confirming the members’ eligibility and coverage information.
What does EPO and PPO mean?
Exclusive Provider Organizations (EPOs), and Preferred Provider Organizations (PPOs) share many similarities, but also have distinct, separate characteristics. If your healthcare coverage provider offers both options, deciding which plan works best for you is vital and will depend on your family’s unique situation.
Is Florida Blue the same as BCBS?
Florida Blue is a sub-division of Blue Cross , a well-known national health care provider.
Can I have MassHealth and private insurance?
MassHealth members can have both MassHealth and private health insurance at the same time If you have both types of insurance, the private health insurance is considered a liable third party or “TPL”. This means the private health insurance is billed as the primary insurer and MassHealth is the secondary coverage.
Is Blue Cross Blue Shield of Massachusetts private insurance?
Blue Cross Blue Shield of Massachusetts (BCBSMA) is a state licensed nonprofit private health insurance company under the Blue Cross Blue Shield Association with headquarters in Boston.
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.
What is the alpha prefix for BCBS Medicare Advantage?
Membership for this product can be nationwide for employer groups that offer the Blue Cross Medicare Advantage PPO to retirees. These members can be identified by alpha prefix ZZT on their ID Cards.
What is the alpha prefix for BCBS of Texas?
Identification of BlueCard Members The alpha prefix will identify the patient’s BCBS Plan (for example: ZGP for Texas), the National Account to which the member belongs (for example: HBT for Halliburton) or the patient’s international BCBS Plan (for example: ZZC for Italy).
Who owns Highmark?
Description: The integrated delivery network and its parent company Allegheny Health Network includes 8 hospitals; more than 2,100 affiliated physicians; 6 ambulatory surgery centers; a research institute; home and community based health services; a group purchasing organization; and three Health + Wellness Pavilions.
Does UPMC accept Highmark PPO Blue?
Health Care You Can Count On accept most major insurances, including Geisinger Health Plan, Highmark Blue Cross Blue Shield, and UPMC Health Plan.
Is Independence Blue Cross the same as Highmark?
Independence Blue Cross offers products through its subsidiaries Independence Hospital Indemnity Plan, Keystone Health Plan East, and QCC Insurance Company, and with Highmark Blue Shield, independent licensees of the Blue Cross and Blue Shield Association.
How do I contact Paul Markovich?
Paul Markovich ( paul [email protected] ) is president and chief operating officer of Blue Shield of California, in San Francisco.
What is Paul Markovich salary?
CEO Paul Markovich made a base salary of $1.07 million last year, which was supplemented with more than $2.4 million in performance-based incentives. Markovich’s $3.5 million in annual earnings were far less than CEOs at the nation’s largest insurance companies, which range from $10.3 million to $17.3 million.
Who owns Blue Shield of California?
Blue Shield of California is a non-profit mutual benefit corporation and health plan founded in 1939 by the California Medical Association It is based in Oakland, California, and serves 4.5 million health plan members and more than 65,000 physicians across the state.
What type of insurance is Highmark?
Highmark Inc. and its affiliates operate health insurance plans in Pennsylvania, Delaware, and West Virginia that serve more than 4.4 million members and hundreds of thousands of additional individuals through the BlueCard ® program.
Is Capital Blue the same as BCBS?
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association.
What is Capital Blue Cross CAIC?
Capital Advantage Insurance Company (“CAIC”) is a wholly owned subsidiary of Capital Blue Cross that is a licensed insurer with accident and health authority.
What does EPO stand for?
A managed care plan where services are covered only if you go to doctors, specialists, or hospitals in the plan’s network (except in an emergency).
Why would a person choose a PPO over an HMO?
Advantages of PPO plans A PPO plan can be a better choice compared with an HMO if you need flexibility in which health care providers you see More flexibility to use providers both in-network and out-of-network. You can usually visit specialists without a referral, including out-of-network specialists.
What are the pros and cons of an EPO?
Pros and Cons of an EPO Low monthly premiums : EPOs tend to have lower premiums than Preferred Provider Organizations (PPOs), though they’re higher than Health Maintenance Organization (HMO) premiums. Large networks: They generally offer a wider selection of care providers than HMOs.
Who is eligible for MassHealth connector?
To qualify for ConnectorCare: You must live in Massachusetts. You must be a U.S. citizen or a “lawfully present” non-citizen. Your income must be 3 times the federal poverty level for your family size or lower.
Who runs the Massachusetts Health Connector?
The Massachusetts Health Connector is the Commonwealth’s health insurance exchange , and currently serves 318,000 individuals and small-employer members with health and dental insurance. Massachusetts residents who do not have health insurance from an employer or other entity can use the exchange to gain coverage.
What type of health insurance is MassHealth?
MassHealth is a Medicaid plan available to qualifying Massachusetts residents. MassHealth members don’t pay monthly fees or deductibles. Plus, depending on your age, income and health, you may not have to pay anything—or just a small fee—for your prescriptions.