The Blue Cross Blue Shield Association (BCBSA) is comprised of a group of 37 independent companies which license the Blue Cross Blue Shield trademark for branding and marketing purposes. The 37 companies cover more than 103 million Americans nationwide and offer a number of insurance products such as large employer group insurance, insurance for small businesses, Medicare insurance products, and coverage for individuals. Blue Cross and Blue Shield developed separately in the early to mid 1900s and merged in 1982. The largest managed healthcare company in the Blue Cross Blue Shield Association is WellPoint, formed when WellPoint Health Networks, Inc. merged with Anthem in 2004. WellPoint is currently seeking to change its name to Anthem, pending the approval of their shareholders in a November 2014 meeting. The change is based on consumer surveys as well as adapting to the post-reform environment. BCBS companies operating in different states as well as in different regions of the same state may have different names. For example, in Washington the company is called Premera Blue Shield but in Virginia there are two BCBS companies called Anthem Blue Cross Blue Shield and CareFirst BlueCross BlueShield which operate in the state.
Blue Cross Blue Shield companies have processed Medicare fee-for-service claims and payments since the beginning of the Medicare program in 1965. Over 158 million Part A (hospital services) claims and over 687 million Part B (physician services) claims were processed by BCBS Medicare contractors in 2011. Considering there were more than 190 million total Part A claims and more than 990 million total Part B claims filed during the entire year, BCBS processed more claims than any other single carrier in 2011.
BCBS offers various Medicare Advantage, Medicare Supplement, and Prescription Drug plans depending on your state of residence. The following include some examples of these products. The name and availability may differ depending on where you live:
Medicare Advantage with a Prescription Drug Component (MAPD):
The HMO plans provide coverage for Original Medicare (Part A & B) benefits as well as routine dental, vision, and hearing benefits. HMO plans also includes coverage for prescription drugs. Beneficiaries receive routine care from an in-network primary care physician who helps coordinate care with other providers in the network. The PPO plans also provide coverage for Original Medicare (Part A & B) benefits as well as routine dental, vision, and hearing benefits. PPO plans also include coverage for prescription drugs. Beneficiaries have access to in-network and out-of-network providers without referral requirements. Cost-sharing for in- and out-of-network covered services are the same for most services. However, for certain benefits you may have to pay higher out-of-pocket expenses if you receive out-of-network care. PlusRx plans have the highest premium costs whereas SaverRx or ValueRx have the lowest premium costs.
Medicare Supplement (Medigap):
Prescription Drug Plans (Part D):
About Blue Cross Blue Shield Association http://www.bcbs.com/about-the-association/
About the Blue Cross and Blue Shield Companies http://www.bcbs.com/about-the-companies/
WellPoint Changes Its Name to Anthem (August 12, 2014) http://online.wsj.com/articles/wellpoint-changes-its-name-to-anthem-1407877202
2014 Medicare Plans http://www.bluecrossma.com/medicare-options/2014/medicare-plans/
HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.