BCBS Blue choice, Blue connect program comparison

BlueChoice 65

BlueChoice 65 is a series of Medicare supplement plans. It is designed to pay for many of the expenses Medicare doesn’t pay. Some of the options in this series include:

• Part A deductible coverage
• Part B deductible coverage, coinsurance and excess charges
• Skilled nursing coinsurance

BlueChoice 65 Select plans feature lower premiums and a select network of hospitals that have agreed to waive the Part A deductible and coinsurance.

Please note: BlueChoice 65 refers to certain contracts and is not connected with or endorsed by the U.S. government or the federal Medicare program.

BlueConnect

BlueConnect is an HMO Point of Service product available to groups and individuals in Jefferson, Orleans and St. Tamman  parishes. Members with BlueConnect may choose each time they need care—at the point of service— whether to use a network provider or go out-of-network. Members receive the highest level of benefits when using network providers and with proper authorization when required. Members receive a lower level of benefits when using providers who are not in the BlueConnect network. The BlueConnect logo on the ID card identifies a member participating in this network.

Please note: The BlueConnect product is offered in Jefferson, Orleans and St. Tammany parishes only; however, members may access BlueConnect network providers located in parishes other than Jefferson, Orleans and St. Tammany parishes.

Community Blue

Community Blue is an HMO Point of Service product available to groups and individuals in the Baton Rouge Area: Ascension, East Baton Rouge and West Baton Rouge parishes; and Shreveport Area: Bossier and Caddo parishes only. Members may choose each time they need care—at the point of service— whether to use a network provider or go out-of-network. Members receive the highest level of benefits when using network providers and with proper authorization when required. Members receive a lower level of benefits when using providers who  Are not in the Community Blue network. The Community Blue logo on the ID card identifies a member participating in this network.

BlueCard® Program

The BlueCard® Program links participating providers and the independent Blue Cross and Blue Shield (BCBS) Plans across the country and abroad with a single electronic network for professional, outpatient and inpatient claims processing and reimbursement. The program allows BCBS participating providers in every state to submit claims for members who are enrolled through another Blues Plan to their local

BCBS Plan.

You should submit claims for BCBS members (including Blue Cross only and Blue Shield only) visiting you from other areas directly to Blue Cross and Blue Shield of Louisiana. Blue Cross and Blue Shield of Louisiana is your sole contact for all BCBS claims submissions, payments, adjustments, services and inquiries.

Please note: Providers should follow the guidelines set forth in this manual and those that are included in the BlueCard Program Provider Manual, which is a supplement to this office manual and is located on our website at www.bcbsla.com/providers >Education on Demand.