BlueCard Program definition

BlueCard Program means the program in which all Blue Cross and Blue Shield Plans participate. This program benefits Blue Cross and Blue Shield members who receive Covered Services outside the geographic area that Blue Cross and Blue Shield of South Carolina serves. The Blue Cross and Blue Shield Plan where you are is treated is the “Host Plan”.

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BlueCard Program means the national program established by BCBSA under which Enrollee Claims are processed by BCBS Plans when Enrollees receive health care services outside of the geographic area that BCBSM serves. BCBSA mandates the policies, procedures and disclosures of the BlueCard Program and amends them from time to time. Schedule B sets forth BCBSA's required disclosures for the BlueCard Program and is incorporated into this Contract. If BCBSA amends the disclosures, such amendments shall automatically become a part of this Contract upon BCBSM giving 60 days prior written notice to Group.

BlueCard Program means the safety awareness program aligned to the Transport Industry National Competency Standard TDT F1 197B "Follow Occupational Health and Safety Procedures".

Examples of BlueCard Program in a sentence

The Blue Cross Blue Shield Global Core is unlike the BlueCard Program available in the BlueCard service area in certain ways.
With respect to one or more Host Blues, in certain instances, instead of using the BlueCard Program, we may process your claims for covered healthcare services through Negotiated Arrangements for National Accounts.
When you receive covered healthcare services outside our service area and the claim is processed through the BlueCard Program, the amount you pay for covered healthcare services is calculated based on the lower of: • the billed covered charges for your covered services; or • the negotiated price that the Host Blue makes available to BCBSRI.
When you receive Out-of-Area covered healthcare services outside our service area and the claim is processed through the BlueCard Program, the amount you pay for the Out-of-Area Covered healthcare services, if not a flat dollar copayment, is calculated based on the lower of: • the billed charges for your Out-of-Area covered healthcare services; or • the negotiated price that the Host Blue makes available to us.
The financial terms of the BlueCard Program are described generally below.

More Definitions of BlueCard Program

BlueCard Program means the program governed by BCBSA that requires Blue Cross and/or Blue Shield Plans to use certain policies, procedures and/or technology to service Blue Cross and/or Blue Shield members located outside of a Blue Cross and/or Blue Shield Plan’s service area.

BlueCard Program means the nationwide program coordinated by the Blue Cross and Blue Shield Association that enables Participants and Beneficiaries to reduce claims filing paperwork and take advantage of available local Provider networks, medical discounts, and cost-saving measures when they receive care outside of the state of Wyoming.

BlueCard Program means the national program established by BCBSA under which Member HRA Claims are processed by BCBS Plans when Members receive health care services outside of the geographic area that BCN serves. BCBSA mandates the policies, procedures and disclosures of the BlueCard Program and amends them from time to time. Exhibit B sets forth BCBSA’s required disclosures for the Blue Card Program and is incorporated into this Contract. If BCBSA amends the disclosures, such amendments shall automatically become a part of this Contract upon BCN giving 60 days prior written notice to Group.

BlueCard Program a program in which all members of the BCBSA participate. Details of the BlueCard Program are more fully set forth in Article XII. Brand Name Drug: a Prescription Drug that is manufactured under a registered trade name or trademark. Care Coordination: organized, information-driven patient care activities intended to facilitate the appropriate responses to a Member's healthcare needs across the continuum of care. Care Coordinator: an individual within a Provider organization who facilitates Care Coordination for patients. Care Coordinator Fee: a fixed amount paid by a Blue Cross and/or Blue Shield Licensee to Providers periodically for Care Coordination under a VBP. Child: an Employee's child, whether a natural child, adopted child, ▇▇▇▇▇▇ child, stepchild or child for whom an Employee has custody or legal guardianship. The term “Child” also includes an Incapacitated Dependent, and a child of a divorced or divorcing Employee who, under a Qualified Medical Child Support Order, has a right to enroll under the Employer’s Group Health Plan. The term “Child” does not include the Spouse of an eligible child.

BlueCard Program means a national provider program offered by the Service Organization and other participating Blue Cross and/or Blue Shield Plans across the country.

BlueCard Program. The BlueCard® Program is an Inter-Plan Arrangement. Under this Arrangement, when members access covered healthcare services within the geographic area served by a Host Blue, the Host Blue will be responsible for contracting and handling all interactions with its participating healthcare providers. The financial terms of the BlueCard Program are described generally below.

BlueCard Program means an agreement among participating Blue Cross and Blue Shield Association affiliated plans pursuant to which enrollees of one such plan may access the provider network and financial terms of other such plans when they are away from the service area of their home plan.