Physician control of Blue Shield plans
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Physician control of Blue Shield plans

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Published by Federal Trade Commission, Bureau of Economics : for sale by the Supt. of Docs., U.S. Govt. Print. Off. in Washington .
Written in English


  • Blue Shield Association

Book details:

Edition Notes

Other titlesStaff report on physician control of Blue Shield plans
StatementDavid I. Kass and Paul A. Pautler
ContributionsPautler, Paul A., joint author, United States. Federal Trade Commission. Bureau of Economics
The Physical Object
Paginationv, 139 p. ;
Number of Pages139
ID Numbers
Open LibraryOL13603098M

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between you and Blue Cross and Blue Shield of North Carolina (BCBSNC) the terms of such agreement(s) shall govern. Also, please note that BCBSNC, and other Blue Cross and/or Blue Shield Plans, may provide available information concerning an individual’s status, eligibility for benefits, and/or level of benefits. The receipt of such. Get this from a library! Physician control of Blue Shield plans: staff report of the Bureau of Economics to the Federal Trade Commission. [David I Kass; Paul A Pautler; United States. Federal Trade Commission. Bureau of Economics.]. Welcome to Blue Shield. Get started with the basics of your Trio Health Maintenance Organization (HMO) plan. Your primary care physician (PCP), who is your first point of contact for your health care, will treat your common illnesses and injuries and refer you to specialists. Blue Cross (hospital insurance) and Blue Shield (physician/medical insurance) plans were created as non-profit prepayment insurance plans with the intention of providing affordable health care coverage for the communities each plan served. Blue Shield came first in the logging camps of the Pacific Northwest at the turn of the 20th century.

Brown & Toland Physicians in Oakland, Calif., will join Blue Shield of California subsidiary Altais, the organizations said April Under a definitive agreement, Brown & Toland's 2, The Blue Shield program is adopted for participating prepaid physician plans. At the request of Henry Kaiser, Dr. Garfield expands the Grand Coulee program to . With Horizon HMO, a Primary Care Physician (PCP) guides and coordinates health care, which includes providing referrals to in-network specialists, hospitals and other health care professionals, when needed. Members have access to many health care services and programs, including preventive care benefits, an easy-to-use referral system, emergency medical care, access to in-network Ob/Gyn for. Notice of Addendum to Blue Book SM Provider e-Manual – Blue Medicare HMO SM and Blue Medicare PPO SM Supplemental Guide and Adoption of Medicare Advantage Sequestration Alignment Policy and Medicare Advantage Multiple Radiology Policy. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is committed to continuing to serve Medicare beneficiaries in North Carolina with competitive.

PPO plans give you flexibility. You don’t need a primary care physician. You can go to any health care professional you want without a referral—inside or outside of your network. Staying inside your network means smaller copays and full coverage. If you choose to go outside your network, you'll have higher out-of-pocket costs, and not all. ©Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We provide health insurance in Michigan. Important Information About Medicare Plans. Monthly premiums, copays and deductibles are often lower than other types of plans. Access to certain doctors and hospitals, called your HMO provider network, which helps control how much you pay for health care. A primary care physician (PCP) who you see for routine check-ups, physicals, colds and flu. Blue Cross ®, Blue Shield ® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. 4 Visiting a Retail Clinic may not be covered with all plans. Check your benefits booklet for details.