Things To Know About Blue Cross Blue Shield
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Blue Cross and Blue Shield is the oldest and largest payer group in the U.S., consisting of 36 independent, locally operated franchises that collectively make up the Blue Cross Blue Shield Association.
Here are 25 things to know about BCBS.
1. Blue Cross was founded in 1929 as a way to provide prepaid hospital care. A decade later, Blue Shield was founded to provide reimbursement for physician services. The Blue Cross Association and National Association of Blue Shield Plans merged in 1982 to form the Blue Cross and Blue Shield Association.
2. Scott Serota currently leads BCBSA as president and CEO. He has held this position since 2000, following terms as COO, a senior executive and executive vice president for system development. He previously served as president and CEO of Chicago-based Rush Prudential Health Plans, which was sold to WellPoint Health Networks in 2000.
3. The BCBS system offers a full spectrum of healthcare coverage, including coverage for large employer groups, small businesses and individuals, as well as Medicaid and Medicare plans.
5. BCBS companies operate in every U.S. state, the District of Columbia and Puerto Rico.
Finances
8. Anthem, the largest BCBS company, reported better-than-expected profits for the first quarter of 2015, posting a net income of $856.2 million, up from $701 million for the first quarter last year.
Value-based programs
13. BCBS has launched 450 ACOs across 32 states with more than 111,000 physicians.
Blue Cross Blue Shield Jobs Apply Now For Customer Service Advocate Careers Columbia South Carolina
Best Jobs in Blue Cross Blue Shield:- Blue Cross Blue Shield Careers site has published Blue Cross Blue Shield Jobs notification for Customer Service Advocate Position. Candidates who have High School Diploma can apply online through Blue Cross Blue Shield Recruitment site. The location of this Customer Service Advocate Position is South Carolina.
Blue Cross Blue Shield Jobs description related to this Customer Service Advocate Position like Job request number, Job Location, Educational background, required age, Salary and benefits provided in details below. You should check all details before apply.
The Healthy Endeavors Program
With Healthy Endeavors, you can talk with a trained nurse health coach and get helpful information about your health delivered right to your door, and there’s no extra cost to you. Plus, there’s no obligation you can leave the program at any time.
Call a Nurse Health Coach at: 1-888-392-3506 | Monday – Friday, 8:00 a.m. – 5:00 p.m. EST.
You could be eligible if you have any of these health concerns:
- Asthma
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Required Skills And Abilities:
- Excellent verbal and written communication skills.
- Proficient spelling, punctuation, and grammar.
- Strong human relations and organizational skills.
- Ability to handle high stress situations.
- Good judgment. Ability to handle confidential or sensitive information with discretion.
- Ability to learn and operate multiple computer systems effectively and efficiently.
Highlights Of What’s New For 2021
New Telemedicine Benefits
The COVID-19 pandemic has caused many members to turn to remote, virtual care services to manage their health as they attempt to socially distance and limit their exposure to the coronavirus. FEP was at the forefront expanding its benefits in 2020 during the pandemic to cover members having virtual visits with their primary and specialty doctors. Recognizing that virtual visits are becoming a permanent part of health care, in 2021 FEP will cover virtual consultations, and medical evaluation and management services with primary care providers and specialists as a regular benefit even after the pandemic is over. Members will pay the regular office visit copayments/coinsurance under Standard Option, Basic Option and FEP Blue Focus.
FEP Healthcare Cost Advisor
Available in 2021, FEP members will have access to the FEP Healthcare Cost Advisor application, which provides users with a complete view of their healthcare spending to make better financial planning and healthcare decisions. The tool can also help identify the FEP health plan option that offers the best value for each members specific needs.
Newly Redesigned Website
Dental and Vision Plan Updates
New Dental and Vision Digital Platforms
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Wellframe Mobile Health Checklist And Messaging*
Blue Cross NC is pleased to offer a free mobile application for your smartphone and tablet that connects you to a confidential and supportive health care team when it’s most convenient for you.
Want to know more?
Call the Federal Employee Customer Service line at 1-800-222-4739 and a representative will be happy to assist you.
*Wellframe is only available for certain health conditions.
Motivation, Advice and Support
When you need a little extra help managing your health, your Wellframe care team is ready:
- Connect to a licensed nurse, pharmacist or social worker
- Get personalized daily care plans
- Set up notifications to help you remember appointments and medications
- Learn about your health through clinically approved articles and videos
Health Checklist
Wellframe will send a short list of tasks, based on your particular condition, to your mobile device each day:
- See a summary of your progress and keep track of it over time
- Receive encouragement and support through secure in-app messaging
Your personal checklist is designed to help you stay on track with your condition care plan.
Manny Lopes Joins Blue Cross Blue Shield Of Massachusetts As Executive Vice President Of Public Markets And Government Relations
BOSTON, Nov. 10, 2021 /PRNewswire/ — Manny Lopes has joined Blue Cross Blue Shield of Massachusetts as executive vice president of public markets and government relations. Prior to joining Blue Cross, Lopes served as president and chief executive officer of East Boston Neighborhood Health Center , the largest community health center in Massachusetts and one of the largest in the country. There he held a variety of positions including leadership roles in IT, human resources, and operations before becoming president and CEO. Lopes also served on the Blue Cross board of directors from 2017 until joining the company’s leadership team.
In his new role, Lopes has overall responsibility for Medicare as well as government and regulatory affairs.
“Manny is a seasoned leader who’s highly respected in our community,” said Blue Cross President and CEO Andrew Dreyfus. “His demonstrated leadership and decades-long commitment to bettering health outcomes for the most vulnerable will be an asset as we continue to push forward with our work to address health inequities.”
Lopes has a long history of developing innovative programs that improve health care quality, access and equity. Under his leadership, EBNHC grew dramatically, increasing the number of patients served by nearly 40% and adding two state-of-the-art facilities.
He received his Master of Business Administration from Northeastern University’s Graduate School of Business.
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Q: I Have Medicare Or Medicaid Am I Covered By Vermont’s Or The Federal Government’s Rule
A: No, neither rule covers at-home test kits for people who are on Medicare or Medicaid. About 56% of Americans have a private insurance plan while about 36% are insured through Medicare or Medicaid, according to the Kaiser Family Foundation. Nearly 57% of Vermonters have private insurance while nearly 40% are covered by Medicare or Medicaid.
Locate A Network Provider
As you make decisions about your healthcare, the Blue National Doctor and Hospital Finder is one source for important information about doctors, hospitals and other healthcare providers. Always seek the advice of a physician or other qualified healthcare provider for answers to any questions regarding the selection of a doctor, specialist or healthcare facility. Verify the doctor, hospital or other healthcare provider participates in your network before making an appointment..
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Are You A Provider
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Q: Am I Covered If I Have A Medicare Supplement Plan Through A Vermont Private Insurer
A: The short answer is no. Because it is still attached to your Medicare plan, it is governed by federal regulations. Because of this, your coverage for at-home tests will kick in when President Joe Biden’s federal rule requiring private insurers nationwide to cover at-home tests begins. Guidance on how the coverage will work is set to be issued Jan. 15. Meanwhile the Vermont rule does not cover your at-home test purchases.
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Hedis Measures & Reference Materials
Access a complete menu of member wellness resources and tools here.
We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex. You may access the Nondiscrimination and Accessibility notice.
Language assistance available:Español, Kreyol Ayisien, Ting Vit, Português, , français, Tagalog, , , italiano, Deutsche , , Polskie, Gujarati, , ,
Generally, the pronouns “our,” “we” and “us” used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. However, where appropriate, the content may identify a particular company there, any pronouns refer to that specific entity.
Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.
FB MFT 001 NF 092016
Wellness Resources & Tools
You get access to our easy-to-use health tools including the 24/7 Nurse Line, Online Symptom Checker and your Personal Health Record . Your PHR keeps track of your health data in one place – we update your information automatically with claims submitted by you or on your behalf.
MyBlue also helps you get the most out of the fepblue app. Log in with your username and password to access your personal healthcare information on the go, including your benefits, out-of-pocket costs, deductibles and physician visit limits.
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Blue Cross And Blue Shield
Blue Cross and Blue Shield merged in 1982, and since then the Blue Cross Blue Shield Association has worked to provide personalized health coverage in every state and federal territory. Now its coverage extends to nearly one-in-three Americans.
The association is composed of 36 U.S. health insurance companies and organizations. These franchises operate independently of the association and are community based.
As licensees, they provide health insurance plans under either associations brands and within specified regions. The forms of coverage may differ, but residents in each state can enjoy access to some kind of coverage.
In addition, Blue Cross and Blue Shield companies are among the U.S. governments major partners in administering Medicare, a health program designed for the countrys disabled and elderly population.
The partnership dates back to the 1960s, when the Medicare bill was signed into law by then-President Lyndon B. Johnson. The government relied on the established infrastructure of Blue Cross and Blue Shield organizations to keep the new program from being too cost prohibitive.
Successfully launched in 1966, Medicare began with over 19 million participants.At present, the services of Blue Cross and Blue Shield companies reach an estimated 42 million Medicare participants . The Blue system, in fact, processes the most number of Medicare claims throughout the country .
Blue Cross Coverage Available Across Canada
Blue Cross member plans operate on a not-for-profit basis in every region of Canada, making coverage available to eligible residents in each province. Offerings include group and individual health and dental benefits, as well as travel health insurance. As coverage varies by province, contact the Blue Cross plan in your region for more information.
All member plans operate independently but are associated with the Canadian Association of Blue Cross Plans . The Association maintains and monitors standards of performance ensuring the highest quality of service. The Association is also linked with the Blue Cross and Blue Shield Association in the United States and worldwide through the International Federation of Health Funds. Blue Cross also has a long history of managing health programs for provincial, territorial and federal governments.
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Blue Cross And Blue Shield Federal Employee Program Expands Financial Incentives For Federal Workers To Live Healthier
WASHINGTON– Today the Blue Cross and Blue Shield Government-wide Service Benefit Plan, also known as the Federal Employee Program , announced 2016 benefits for federal workers and retirees in the Federal Employees Health Benefits Program. The benefits feature a 50 percent increase in the incentives available to members who use FEPs state-of-the-art wellness tools to promote healthier lifestyles as well as a new incentive program for expectant mothers that focuses on prenatal care.
In 2016, FEP will continue to offer workers the ability to choose Blue Cross and Blue Shield plans for a full range of comprehensive benefits including medical, dental and vision.
This year also marks the federal governments introduction of the new Self Plus One enrollment in the FEHB Program, providing an additional choice to Self- Only and Self and Family enrollment types available under both Standard and Basic Option. Enrollees in two-person families can save money by opting for a Self Plus One premium instead of a Family premium while continuing to benefit from the comprehensive plan design and broad network access they have come to expect from FEP.
Promoting Healthier Lifestyles
To earn the $170, FEP members can:
- Earn a $50 wellness incentive upon completion of the BHA
- Earn $40 each for achieving up to three personalized health goals
The personalized health goals currently eligible for the incentive are:
- Increased exercise
- Better emotional health
Standard and Basic Options Premiums
Welcome To Bcbs Fep Vision
Welcome to BCBS FEP Vision. Blue Cross Blue Shield is a nationally-known carrier in the Federal Employees Dental and Vision Insurance Program and is proud to offer Blue Cross Blue Shield FEP Vision to federal employees, federal retirees, retired uniformed service members and their families, plus families of active duty service members. Our supplemental vision plans provide comprehensive, worldwide vision coverage, including no copays for vision care exams, a generous frame allowance and discounts on popular lens options.
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Blue Cross And Blue Shield Federal Employee Program Introduces Enhanced Hypertension And Pregnancy Programs Dental And Vision Benefits And New International Travel Insurance
WASHINGTON, Sep. 30, 2021 Today the Blue Cross® and Blue Shield® Government-wide Service Benefit Plan, also known as the Federal Employee Program® , announced 2022 benefits available to eligible participants in the Federal Employees Health Benefits Program and the Federal Employees Dental and Vision Insurance Program . Among the changes include enhanced hypertension management and pregnancy care incentive programs, dental and vision benefits for children and the addition of a discounted supplemental international travel insurance through GeoBlue®.
FEP offers a comprehensive suite of resources to help current and prospective members choose the best medical, dental and vision plan for them and their families, including the AskBlue medical, dental and vision plan finder tools, prescription drug cost tool and health cost advisor tool.
As we continue to navigate an unprecedented health crisis, Blue Cross Blue Shield FEP health, dental and vision members know they can count on us to make sure affordable and comprehensive health care is accessible no matter where they are, said William A. Breskin, senior vice president of government programs for the Blue Cross Blue Shield Association . With enhanced benefits in all products in 2022, FEP continues its mission to provide unparalleled products and services to our members and their families.
FEP 2022 Highlights
2022 Approved Rates:
ABOUT THE BLUE CROSS AND BLUE SHIELD SERVICE BENEFIT PLAN
Blue Cross And Blue Shield Federal Employee Program Announces New Telemedicine Benefits And Cost Transparency Tool For Members In 2021
WASHINGTON, Oct. 15, 2020 /PRNewswire/ — Today, the Blue Cross® and Blue Shield® Federal Employee Program® announced 2021 benefits, including newly expanded telemedicine benefits, along with a new tool to help provide greater cost transparency for members. Additionally, FEP will keep the rates the same in 2021 for its newest product, FEP Blue Focus®, as well as for Blue Cross Blue Shield FEP Vision. Rates for Blue Cross Blue Shield FEP Dental products will remain at 2020 levels.
FEPs medical, dental and vision plans are available to eligible participants in the Federal Employees Health Benefits Program and the Federal Employees Dental and Vision Insurance Program . FEP provides quality and affordable healthcare to approximately 66 percent of federal employees, retirees and their families across the nation. FEP members enjoy access to a robust provider network with 95 percent of professional providers and over 96 percent of hospitals in the United States alone.
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Can You Guarantee Repatriation In Case Of A Medical Emergency
Emergency Medical Care insurance can cover emergency repatriation if this service is considered necessary and safe by the travel assistance medical team and the attending physician at the destination. Decisions are based on several factors, including the medical condition of the insured. At all times, the assistance service is dependent on the availability of care and services needed to return home. Inability to access health care or lack of access due to overcrowded medical centres alone does not constitute grounds for emergency repatriation.
Anyone planning to travel abroad should take the time to properly assess the essential nature of their trip before making plans. Québec Blue Cross encourage their clients to contact them to clarify the applicable conditions, if necessary.
