BlueCard® Program
Special Features for Blue Choice® Members
BlueCard offers you Level 1 benefits for emergency care performed in the emergency room. Level 3 benefits apply to services from a Blue Card provider that are performed at a participating practitioner's office or urgent care center. Emergency care is medical care for a serious or life threatening
illness or injury. If you are outside of your plan’s service area
and experience an unexpected emergency situation:
- Seek care at the nearest hospital emergency room, or
- If time permits, find a participating
hospital by calling the customer service number on your ID card.
When you receive care a by participating BlueCard hospital, show your
ID card to receive these advantages:
- The
physician or hospital verifies your membership and submits the claim
to Wellmark Blue Cross and Blue Shield.
- All participating doctors and
hospitals are paid directly.
- Participating providers agree to accept
the payment arrangements of the Blue Plan in their home state. You
are responsible only
for applicable
deductibles, copayments or coinsurance.
- The coinsurance you pay is based on
the lower of the billed charge for covered services and the negotiated
price for covered services that
the local Blue Cross and Blue Shield Plan passes onto Wellmark.
- Wellmark Blue Cross
and Blue Shield sends you an Explanation of Benefits (EOB).
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