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Disclosures

Notice regarding medical balance billing

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.

Notice regarding your rights and protections against surprise medical bills

*Wellmark healthcare.gov plans available to Iowa residents provide vision benefits to covered members under the age of 19 only. Wellmark healthcare.gov plans available to South Dakota residents provide vision and dental benefits to covered members under the age of 19 only.

Avesis Vision is an independent vision insurance company that does not provide Wellmark Blue Cross and Blue Shield products and services. Avesis Vision is underwritten by Fidelity Security Life Insurance Company.

Delta Dental^® is an independent company that provides dental insurance plans for individuals, employers and government programs. Delta Dental does not provide Wellmark Blue Cross and Blue Shield products or services.

Wellmark’s pharmacy network is managed by CVS Caremark^®. The pharmacy locator may show locations that are part of the CVS Caremark network but may not be in-network for some Wellmark policies. Active Wellmark members should log in to myWellmark to ensure the accuracy of the results.

Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers’ need for affordable healthcare. Each provider’s cost of care is evaluated using data from its Local Blue Plan. Providers in CA, ID, NY, PA, and WA may lie in two Local Blue Plans’ areas, resulting in two evaluations for cost of care; and their own Local Blue Plans decide whether one or both cost of care evaluation(s) must meet BDC+ national criteria. National criteria for BDC and BDC+ are displayed on www.bcbs.com. Individual outcomes may vary. For details on a provider’s in-network status or your own policy’s coverage, contact your Local Blue Plan and ask your provider before making an appointment. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers.