What is the BlueCard Program
The BlueCard Program enables members obtaining health care services while traveling or living in another plan’s service area to receive the benefits of the Blue Cross and Blue Shield plan listed on their insurance card and to access local plan’s provider networks and savings.
Variations in provider contractual arrangements may impact the delivery of benefits. Through a single electronic network for claims processing and reimbursement, the Blue Cross and Blue Shield plan listed on the member’s ID card handles eligibility and benefit determination and gains access to health care providers participating in the local Blue Cross and Blue Shield plan’s network.
More than 85 percent of all doctors and hospitals throughout the United States contract with Blue Cross and Blue Shield Plans. Outside of the United States, members have access to doctors and hospitals worldwide. Not only can members take advantage of savings that the local Blue plan has negotiated with providers, members do not have to complete a claim form or pay up front for health care services, except for out-of-pocket expenses, such as deductibles, co-payments and coinsurance.
BlueCard® Program Advantages
The BlueCard Program allows you to submit claims for members from other BCBS Plans including international BCBS Plans, directly to Anthem Blue Cross and Blue Shield. Anthem Blue Cross and Blue Shield will be your one point of contact for most of your claims-related questions.
Claims and Products Included in the BlueCard® Program
The BlueCard Program applies to all inpatient, outpatient, and professional claims. Traditional, PPO, POS, and HMO products are included in the BlueCard Program. The following products are optional under the BlueCard Program:
Stand-alone dental and prescription drugs
Stand-alone vision and hearing
Products Excluded from the BlueCard® Program
Medicare+Choice is excluded from the BlueCard Program. You must file Medicare+Choice claims with the member’s BCBS Plan.
Accounts Exempt from the BlueCard® Program
Claims for the Federal Employee Program (FEP) are exempt from the BlueCard Program. Please follow your FEP billing guidelines.
BlueCard Program Details:
| What is the BlueCard Program? |