Sunday, September 30, 2012

Insurance Austin

 

Consumer Protection


Finding the Best Value for Your Insurance Dollar

TDI's Auto Insurance Price Comparisons and Home Insurance Price Comparisons help people shop for insurance and show annual price estimates submitted to TDI by the companies listed. Both auto and homeowners price comparisons show estimates for the type of policy a company is "most likely" to sell to new customers.

Along with price estimates, the guides provide contact information for each company listed, an AM Best financial rating, a complaint index, and shopping tips. The online price comparisons also include information on discounts offered.

Note: The price comparisons show annual price estimates submitted to the Texas Department of Insurance (TDI) by the companies listed, and represent typical coverages for hypothetical profiles. The price information cannot be used to compare insurance rates between companies over time.

Consumer Tip of the Day

If you are on Medicare, Medicare supplement insurance will help pay for some of your out-of-pocket expenses that Medicare alone does not cover. Medicare supplement insurance is a good idea, but not everyone needs it. You may not need Medicare supplement insurance if you have group health insurance through an employer or former employer, your belong to a Medicare+Choice plan (such as a Medicare health maintenance organization or a private fee-for-service plan), or you receive Medicaid or are a Qualified Medicare Beneficiary (QMB). For more information, view our Medicare Supplement Insurance Handbook and Rate Guide.

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Various Resources


Company Resource Pages


Shopping for Insurance / File A Complaint


Consumer Alerts


Disaster-Related Resource Pages


Health Care-Related Resource Pages



Help For Toll-Free #
Consumers 800-252-3439
Injured Workers 800-252-7031
Reporting Arson 877-434-7345
Reporting Fraud 800-252-3439
Safety Violations 800-452-9595
[ tdi phone listings ]

Help For Link
Agents / Adjusters E-mail
Filing Complaints E-mail
Health Providers E-mail
Media / Others E-mail
Website Problems E-mail

Favorite Links
Agent Lookup Company Lookup
Enforcements DWC Home
DWC Forms All Other Forms
TDI Jobs TXCOMP Home
TDI StormLink Windstorm
[ popular links · more lookups ]


For more information contact: ConsumerProtection@tdi.state.tx.us
Last updated: 09/06/2012

Consumer Bills of Rights


Your insurance company is required to provide you with a summary of your rights under Texas insurance law when it issues you a policy. This summary is called the "Consumer Bill of Rights." The Bill of Rights is being revised to reflect the change in the state's minimum liability limits. Until the revised Bill of Rights is adopted, the copy you receive with your new policy will still include the old limits in place prior to April 1.

HTML Versions



PDF Versions




For more information contact:
Last updated: 02/22/2012

Auto Insurance

Highlights

UM / UIM - Permissible Offerings under Chapter 1952, Texas Insurance Code
Price Comparison Rate Guides
Related Publications


Information for Young Drivers
Industry Information - Filings (Form, Rate, & Rule)
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Complaint Information


Helping You With Your Insurance Complaint - Explains how the Texas Department of Insurance assists Texans with insurance complaints.

File a Complaint


TDI has a single complaint form for all types of insurance including auto, homeowners, life, health, title, and workers' compensation. Please follow the instructions on the form to provide additional information for certain types of complaints, for example, title, HMO, and workers' compensation claim complaints. Also health care providers should use Attachment A, accessed via a link within the form, to provide additional claim-specific information. To file a complaint in English or Spanish, use the online form at the link below. You may also use the "easy print" option to print out the form then fill in the information and mail or fax your complaint back to TDI.


Other Complaint Resources


  • Internet Complaint Information System (ICIS) - Provides summaries of complaint database files by quarter and by line of insurance.
  • NAIC Consumer Information Source - CIS allows consumers to view a variety information about insurance companies and to file insurance company complaints.
  • Insurance Company Profile - Provides company license information, history, financial data, and number of justified complaints filed against the company.
  • HMO Profiles - Provides company contacts, service areas, general complaint and financial data, and other company information about HMOs. Information sorted by HMO company name. Also provides definitions for commonly used HMO terminology.
  • HMO Complaint Summaries



Complaint Indexes by Calendar Year


Complaint Index 2011- Auto | Home | Accident/Health | Life/Annuity | Workers' Compensation
Complaint Index 2010 - Auto | Home | Accident/Health | Life/Annuity | Workers' Compensation
Complaint Index 2009 - Auto | Home | Accident/Health | Life/Annuity | Workers' Compensation
Complaint Index 2008 - Auto | Home | Accident/Health | Life/Annuity | Workers' Compensation
Complaint Index 2007 - Auto | Home | Accident/Health | Life/Annuity | Workers' Compensation


For more information contact:
ConsumerProtection@tdi.state.tx.us

Last updated: 03/01/2012

Consumer Resources / Issues


For more information contact:
ConsumerProtection@tdi.state.tx.us

Last updated: 06/09/2008

Publications for Consumers

Publications and Brochures

This is one of several pages linking to a central website of publications of interest to TDI customers. Use the links to publications by programs on the Publications Home Page or use the page links to scan through our publications listings.
General Information | Price Comparisons and Rate Guides | Auto | Business Owners | Life and Health | Homeowners | Seniors

General Information

Title TDI Number File Format File Size
Helping You With Your Insurance Complaint cb003 html 24 kb
If My Insurance Company Fails cb006 html 15 kb
Shopping Smart cb035 html 25 kb
TDI Working For You cb022 html 23 kb
Buying Insurance on the Internet - Shopping Tips and Dangers cb091 html 13 kb
Insurance Fraud cb044 html 25 kb
Prevent Insurance Fraud (PDF version) cb102 html 7 kb
Surplus Lines Insurance cb015 html 15 kb
What Military Servicemembers Should Know about Insurance cb076 html 19 kb
Insurance Decisions for Texas School Districts html 79 kb
Holocaust-Era Insurance Claims cb061 html 5 kb
Glossary of Common Insurance Terms html 50kb
Tedi Bear's Insurance Activity Book cb098 pdf 264kb
En Español
Ayudándolo con su queja de seguros cb003s html 30 kb
La Compra de Seguros en Internet cb091s html 18 kb
La compra inteligente: Sugerencias para los habitantes de Texas que andan en busca de seguro de automóvil, propietario de vivienda o inquilino cb035s html 35 kb
El Departamento de Seguros de Texas trabajando para usted cb022s html 32 kb
Fraude de seguro cb044s html 27 kb
Seguros de compañías de líneas extraterritoriales cb015s html 16 kb
Glosario de terminología de seguros html 56 kb
Libro de Actividades de Seguro del Osito Tedi cb098s pdf 999kb


Price Comparisons and Rate Guides

TDI Number File Format File Size
Automobile Insurance Sample Rate Comparisons html 0 kb
Homeowners Insurance Sample Rate Comparisons html 0 kb
Long-Term Care Insurance Rate Guide (Long-term care insurance company rate increase histories) lrg html 25 kb
Medicare Supplement Insurance Handbook and Rate Guide (PDF version) cb014 html and pdf 37 kb
Small Employer Health Benefit Plan Rate Guide srg html 39 kb
Workers' Compensation Rate Guide wrg html 8 kb
En Español
Comparaciones del precios de seguro de automóvil (Para ver esta información en Español, seleccione la lengüeta que indica "En Español.") html 0 kb
Comparaciones de precios de seguros para propietario de vivienda (Para ver esta información en Español, seleccione la lengüeta que indica "En Español.") html 0 kb
Manual y guía de precios de los seguros suplementarios a Medicare cb014s html 56 kb


Auto Insurance

TDI Number File Format File Size
Automobile Insurance Made Easy cb020 html 53 kb
Automobile Insurance Sample Rate Comparisons html 0 kb
Glossary of Common Auto Insurance Terms html 13 kb
You Could Save $100 in a Hour cb060 html 7 kb
Texas Financial Responsibility Law: Minimum Auto Liability Insurance Limits Have Increased cb088 html 11 kb
En Español
Haciendo fácil la compra del seguro de automóvil cb020s html 63 kb
Comparaciones del precios de seguro de automóvil (Para ver esta información en Español, seleccione la lengüeta que indica "En Español.") html 0 kb
Glosario de terminología de seguros de automóvil html 16 kb
Usted podría ahorrar 100 en una hora cb060s html 7 kb
Ley de responsabilidad financiera para los conductores de Texas cb088s html 15 kb


Homeowners Insurance

TDI Number File Format File Size
Homeowners Insurance cb025 html 50 kb
Homeowners Insurance Sample Rate Comparisons html 0 kb
Glossary of Common Homeowners Insurance Terms html 21 kb
Home Inventory Checklist cb086 pdf 117 kb
Storm Warnings cb042 html 11 kb
Disaster Insurance Tips cb065 pdf 112 kb
Protect Your House from a Wildfire (PDF version) cb100 html and PDF 7 kb
Protect Yourself from a Flood cb104 PDF 345 kb
Frozen Pipes cb011 html 7 kb
Handling Water-Damage Claims cb074 html 26 kb
Texas Coastal Outreach and Assistance Services Team (COAST) cb103ES pdf 231kb
Windstorm Insurance Inspections cb002 html 12 kb
Renters Insurance cb043 html 11 kb
Title Insurance cb058 html 15 kb
En Español
El seguro para propietario de vivienda cb025s html 58 kb
Comparaciones de precios de seguros para propietario de vivienda (Para ver esta información en Español, seleccione la lengüeta que indica "En Español.") html 0 kb
Glosario de términos comunes del seguro de propietario de vivienda html 45 kb
Lista de inventario de casa cb086s pdf 116 kb
Advertencias en caso de una tormenta cb042s html 11 kb
Consejos sobre seguros en caso de desastres cb065s pdf 112 kb
Cómo manejar las reclamaciones de daños por agua cb074s html 38 kb
Inspecciones de seguro para vientos y granizo cb002s html 7 kb
El Equipo de Alcance y Servicios de Asistencia en las Costas de Texas cb103ES pdf 231 kb
Seguro para inquilinos cb043s html 14 kb
El seguro de titulo cb058s html 18 kb


Life and Health Insurance

TDI Number File Format File Size
Your Health Care Coverage cb005 html 105 kb
Health Maintenance Organizations cb069 html 22 kb
Health Care Coverage for Texas Children cb071 html 14kb
Insurance for Texans with Disabilities cb039 html 19 kb
Texas Health Insurance Pool cb073 pdf 68 kb
A Shopper's Guide to Long-Term Care Insurance (PDF version) cb032 html and pdf 48 kb
Long-Term Care Insurance Rate Guide
(Long-term care insurance company rate increase histories)
LRG01 html 25 kb
Understanding Life Insurance cb018 html 47 kb
Understanding Annuities cb078 html 33 kb
Independent Review Organizations cb057 html 11 kb
Medicare Advantage Plans cb036 html 30 kb
Medicare Supplement Insurance Handbook and Rate Guide (PDF version) cb014 html and pdf 37 kb
En Español
Su cobertura de cuidado de salud cb005s html 101 kb
Organizaciones de mantenimiento de salud cb069s html 27 kb
Cobertura de servicios de salud para los niños de Texas cb071s html 19 kb
Seguros para los habitantes de Texas con incapacidades cb039s html 25 kb
Guía para la compra de seguro de cuidado a largo plazo cb032s html 82 kb
Cómo funcionan los seguros de vida cb018s html 75 kb
Los planes Medicare Advantage cb036s html 51kb
Manual y guía de precios de los seguros suplementarios a Medicare cb014s html 56 kb


Insurance for Business Owners

TDI Number File Format File Size
Commercial Property Insurance cb021 html 39 kb
Small Employers Health Insurance cb040 html 26 kb
Small Employer Health Benefit Plan Rate Guide html 39 kb
Workers' Compensation Insurance cb030 html 28 kb
Workers' Compensation Rate Guide html 8 kb
Information for Workers' Compensation Nonsubscribers cb007 html
Healthy Texas cb092 pdf 2 kb


Insurance for Seniors

TDI Number File Format File Size
HICAP: Health Information Counseling & Advocacy Program cb045 html 27 kb
A Shopper's Guide to Long-Term Care Insurance (PDF version) cb032 html and pdf 48 kb
Long-Term Care Insurance Rate Guide
(Long-term care insurance company rate increase histories)
LRG01 html 25 kb
Medicare Advantage Plans cb036 html 30 kb
Medicare Supplement Insurance Handbook and Rate Guide (PDF version) cb014 html and pdf 37 kb
En Español
El HICAP ayuda a las personas en Medicare cb045s html 8 kb
Guía para la compra de seguro de cuidado a largo plazo cb032s html 82 kb
Los planes Medicare Advantage cb036s html 51kb
Manual y guía de precios de los seguros suplementarios a Medicare cb014s html 55 kb

For more information contact:

Disaster Preparedness Resource Pages (StormLink)

TDI's Disaster Preparedness Resource Pages combine information about current weather conditions, disaster-specific tips, and agency resources to help consumers prepare for various types of disasters. Planning ahead can help you protect yourself, your family, and your property during a disaster.


Help For Toll-Free #
Consumers 800-252-3439
Injured Workers 800-252-7031
Reporting Arson 877-434-7345
Reporting Fraud 800-252-3439
Safety Violations 800-452-9595
[ tdi phone listings ]
Help For Link
Agents / Adjusters E-mail
Filing Complaints E-mail
Health Providers E-mail
Media / Others E-mail
Website Problems E-mail
Favorite Links
Agent Lookup Company Lookup
Enforcements DWC Home
DWC Forms All Other Forms
TDI Jobs TXCOMP Home
TDI StormLink Windstorm
[ popular links · more lookups ]

For more information contact: ConsumerProtection@tdi.state.tx.us

TDI Insurance Complaint Form


TDI has a single complaint form for all types of insurance including auto, homeowners, life, health, title, and workers' compensation. Please follow the instructions on the form to provide additional information for certain types of complaints, for example, title, HMO, and workers' compensation claim complaints. Also health care providers should use Attachment A, accessed via a link within the form, to provide additional claim-specific information. To file a complaint in English or Spanish, use the online form at the link below. You may also use the "easy print" option to print out the form then fill in the information and mail or fax your complaint back to TDI. >For information on filing an insurance-related complaint, call the Consumer Help Line between 8 a.m. and 5 p.m., Central time, Monday-Friday.

1-800-252-3439
463-6515 in Austin


Internet Complaint Information System
Consumer Complaint Information | HMO Complaint Summaries

TDI Complaint Stakeholders Resource Page

Other Complaints



Customer Service Contact
We set high standards for customer service and hope our service meets your expectations. If it does not, we invite you to contact a supervisor or manager in the TDI program area providing that service. The TDI program has the expertise relating to your insurance issue, and it is likely that program staff and management are the ones who can best help you.

Customer Relations Representative
Should you have any comments or suggestions about TDI "Compact with Texans" services and standards, please contact TDI's Customer Relations Representative via e-mail at: CustomerRelations@tdi.state.tx.us


Insurance Resource Page for Texas Teens and Young Adults


See Also: How Insurance Works | General Insurance FAQ | Auto Insurance FAQ

Insurance provides financial protection from accidents and other unexpected events. Different kinds of policies insure against different "risks," which might include a traffic accident that damages your car, an apartment fire that destroys your personal property, or an illness or injury that requires expensive medical treatment.

In general, the insurance needs of people under age 25 are more limited than people who are older. For instance, you may already have some types of coverage through a parent's or guardian´s policy. However, one type of policy you are almost certain to need is auto insurance.

This page provides information about auto insurance, renters insurance, and health care coverage for younger Texans. In addition, the following Texas Department of Insurance (TDI) resources can help you understand key topics and issues relating to insurance coverage:


Auto Insurance


Texas law requires all drivers to have auto liability coverage to pay for any property damage and injury to others that results from any accidents they cause. A first offense for driving without insurance can result in a court fine of between $175 and $350. Subsequent offenses can result in court fines up to $1,000, license suspension, and impoundment of your vehicle. In addition, if you are convicted of driving without insurance, you will have to pay an annual surcharge of $250 to the Texas Department of Public Safety (DPS) in order to maintain your Texas drivers license. The surcharge remains in effect for three years, meaning a first offense could ultimately cost you more than $1,000.

Your insurance company will provide you with a card or certificate as "proof of insurance" at the beginning of each policy term. You will be required to show proof of insurance when you

  • Are asked for it by a police officer or other law enforcement official.
  • Have an accident.
  • Register the title to your car or renew its registration.
  • Obtain or renew your driver´s license.
  • Have your vehicle inspected during an annual required state safety inspection.

Texas law requires you to have basic minimum liability coverage of $30,000 per injured person, up to a total of $60,000 for everyone hurt in an accident, and $25,000 for property damage. This coverage is typically called "30/60/25" coverage. Keep in mind that basic coverage might not be enough if you are held liable for an accident. For instance, if you cause an accident that results in $35,000 in damage to the other driver´s vehicle, and you have only the basic $30,000 property damage limit, you could be personally responsible for paying the additional $5,000 yourself. For this reason, many drivers increase their coverage limits. Ask your agent about higher liability limits, but remember that the higher your limits, the more your premium, which is the amount you pay for the insurance, will be.

It´s also important to understand that basic liability coverage pays only for the damages and injuries you cause to other people. It won´t pay to repair or replace your car. To have coverage for your vehicle in an accident regardless of who´s at fault, you will need to add "collision" coverage to your policy. You can buy "comprehensive" coverage to pay to repair or replace your car if it´s stolen or damaged by hail, fire, road debris, vandalism, or other similar covered risks. You might also wish to add "Personal Injury Protection," commonly called PIP. PIP will pay for your and your passenger's medical and medically related expenses and will replace some lost wages if you´re unable to work because of an accident. "Uninsured/Underinsured Motorist" (UM/UIM) coverage pays your expenses from an accident caused by an uninsured motorist or if the other driver did not have enough insurance to cover your bills, up to your policy´s dollar limits. UM/UIM also pays for accidents caused by a hit-and-run driver if you reported the accident promptly to the police.

The following TDI resources can help you better understand and shop for auto insurance:


Renters Insurance


If you live in a rented home or apartment, you may need to buy renter´s insurance to cover your personal property in the event of fire, theft, or other covered loss. Your landlord´s insurance won´t pay to repair or replace your property.

Typically, renters insurance costs $30 or less per month, although you should expect to pay more if you have a lot of expensive items. An "actual cash value" renters policy will pay for a property loss in the amount of the resale value of the item at the time the loss occurred. In other words, if your two-year-old computer is damaged by water from a broken pipe, the policy will only reimburse you for the value of a two-year-old computer -- not a new one. However a "replacement value policy" will reimburse you for the amount needed to purchase a new item of like kind and quality to the one that you need to replace. Replacement value policies cost more than actual cash value policies because they pay more for the losses you incur.

Renters insurance essentially covers everything a homeowners policy does, except for the value of the rented structure. Many renters policies will pay for the cost of a place for you to stay temporarily if the damage to your property makes your home uninhabitable. A renters policy also protects you from legal liability in the event that someone has an accident and is injured on your property. In addition, many renters policies even cover property losses that occur off the rented premises, up to a certain limit, such as lost luggage or a stolen camera on vacation.

If you´re away at school, your personal property may be covered by your parent's or guardian´s homeowners policy and you don´t need a separate renters policy. Make sure your parents review their policy carefully to determine whether your property is covered while you´re living away from home and what the limit of the coverage is. It´s a good idea for them to check with their insurance agent to verify the coverage.

The following TDI resources offer more in-depth information relating to renters insurance:


Health Care Coverage


Health care coverage pays for the cost of medical services as a result of illness or injury. Younger people often forgo health insurance because they´re in good health and expect to be so for a long time. However, although it is true that younger individuals are less likely to have a serious illness, it can occur. Moreover, a serious physical injury as a result of an accident can happen to anybody at any time.

If your parents have health care coverage and you still depend on them for financial support, more than likely you will also be covered under their policy. Dependent children may remain enrolled in a parent´s health plan up to age 25. If your parents are without health coverage, you should consider obtaining a policy of your own. Because younger people can generally be expected to remain in good health, health coverage generally costs significantly less for them than for people who are older. If you´re a college student, find out whether your institution offers a student health plan. The majority of larger colleges and universities offer some type of affordable health coverage.

In some cases, colleges may require you to have health care coverage as a condition of enrollment.

Health care coverage can be an extremely complex topic. In general, however, if you´re purchasing an individual policy directly from an insurer, shop around with multiple companies for the best available coverage at the best price. Always read a policy before purchase, and carefully consider whether it meets your health care needs.

The following TDI resources can help you better understand how health coverage works and help you find a policy that's right for you:

  • TexasHealthOptions.com is a web site administered by TDI that provides a step-by-step approach to finding health coverage. There´s a page devoted specifically for college students.
  • Your Health Care Coverage explains the many aspects of health care coverage in detail, including the differences between managed care and indemnity coverage and group and individual health plans.
  • Health Maintenance Organizations provides detailed information about Health Maintenance Organizations (HMOs), which utilize special networks of hospitals, physicians, and service providers.
www.austinhealthbrokers.com

courtesy of geico...
 

Saturday, September 29, 2012

Blue Cross Blue Shield / Health Insurance Austin

How Does the Program Work? Read our FAQ and Enjoy Happy Savings!

What is Blue365?

Blue365 is a program sponsored by participating local Blue Companies that helps you stay healthier, for less. Since 2007, Blue365 has offered discounts for members to save on products and services for a well balanced lifestyle. These “Blue365 Deals” can help you maintain a healthy lifestyle, while spending less at some of your favorite vendors nationwide.

Can anyone buy Blue365 deals?

Blue365 is currently available to members of participating Blue Companies, and we’re working to roll out the savings to even more Blue Companies’ members. Blue365 is also available to all members of the Federal Employee Program Service Benefit Plan across the USA. To find out if your BCBS Plan participates, go to www.Blue365Deals.com.

What kind of deals are available through Blue365?

Blue365 offers access to a wide range of savings from top health and wellness brands around the country plus some of your favorite local companies. You’ll see weekly “Featured Deals” and long term “Ongoing Deals” on healthy products, along with discounts on health and fitness clubs, weight-loss programs, healthy travel experiences and so much more.

How do I join Blue365?

It is very simple. Just go to www.Blue365Deals.com, enter your email and member number and register on the website. Now you are all set to enjoy our great health and wellness deals!

Does joining Blue365 cost money?

Blue365 is free to members of participating Blue Companies.

How do I find out about deals?

Blue365 makes it easy for you to find out about weekly Featured Deals by sending the news right to your email.
Here are a few general guidelines for enjoying Blue365 Deals: They’re not valid for cash back. They can’t be combined with other promotions. They must be used in one transaction. They don’t cover tax or gratuity.
For more details, please check the Terms of Use on Blue365’s website.

How do I buy a Blue365 Deal?

In one of two easy ways:
  • If you see a “Buy Now” button that means you’ll be able to purchase your deal directly on the Blue365 website. We’ll email a voucher right to your inbox, as soon as you purchase it.
  • If you see a “Redeem Now” button, you’ll be directed to a Blue365 vendor’s website, where you’ll find special savings offered only to Blue365 members. There, you’ll be able to get either a coupon code to use on that website or a printable coupon to redeem at a specified retail location.
Either way, you’ll get some of the best healthy savings around.

Which Blue Cross and/or Blue Shield Companies offer Blue365?

Twenty-three companies are currently participating in Blue365, with more coming aboard soon. Those in the program are:
  • Blue Cross and Blue Shield of Arizona
  • Florida Blue
  • Blue Cross and Blue Shield of Kansas
  • Blue Cross and Blue Shield of Kansas City
  • Blue Cross and Blue Shield of Louisiana
  • Blue Cross and Blue Shield of Massachusetts
  • Blue Cross Blue Shield of Michigan
  • Blue Cross and Blue Shield of Montana
  • Blue Cross and Blue Shield of Nebraska
  • Blue Cross and Blue Shield of North Carolina
  • Blue Cross & Blue Shield of Rhode Island
  • Blue Cross and Blue Shield of South Carolina
  • Blue Cross and Blue Shield of Vermont
  • Blue Cross of Northweastern Pennsylvania
  • Capital BlueCross
  • CareFirst BlueCross BlueShield
  • Excellus BlueCross BlueShield
  • Federal Employee Program
  • Highmark, Inc.
  • Highmark Blue Cross Blue Shield of Delaware
  • Horizon Blue Cross and Blue Shield of New Jersey
  • Independence Blue Cross
  • Wellmark Blue Cross and Blue Shield
Don’t worry if you don’t see your BCBS Plan isn’t participating yet. You can go to www.Blue365Deals.com to enter your email address and we will be sure to let you know when your BCBS Plan signs up!

Have More Questions?

Get in touch! You can email Blue365 at support@blue365deals.com or call us at (855) 511-BLUE. We’ll gladly answer any further questions you might have – and until then, here’s to your health!
©2000-2012 Blue Cross and Blue Shield Association – All Rights Reserved. The Blue365 program is brought to you by the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield Association is an association of independent, locally operated Blue Cross and/or Blue Shield Companies. Your local Blue Cross and/or Blue Shield Company is an independent licensee of the Blue Cross and Blue Shield Association.

Blue365 offers access to savings on items that Members may purchase directly from independent vendors, Vouchers and Coupons which can be used to obtain products and services from independent vendors, and other options to encourage healthy living, all of which are different from items that are covered under your policies with your independent, local Blue Company, its contracts with Medicare, or any other applicable federal healthcare program.

To find out what is covered under your personal Blue Company insurance policies, call your Blue Company. The products and services described on the Site are neither offered nor guaranteed under your Blue Company’s contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding your health insurance products and services may be subject to your Blue Company’s grievance process. BCBSA may receive payments from vendors providing products and services on or accessible through the Site. Neither BCBSA nor any Blue Company recommends, endorses, warrants, or guarantees any specific vendor, product or service available under or through the Blue365 Program or Site.


The Blues® Commitment in Fighting Childhood Obesity

Childhood obesity is a critical public health issue. As the prevalence of childhood obesity has tripled over the past 30 years, its impact on children's health risks has increased. Cases of type 2 diabetes has risen among children and adolescents who are obese. Although diabetes and glucose intolerance, a precursor of diabetes, are common health effects of adult obesity, only in recent years has type 2 diabetes begun to emerge as a health-related problem among children and adolescents.
Combating this troubling trend and improving the health of our children require concerted efforts by local neighborhoods, schools, families and physicians. The Blue Cross and Blue Shield Association (BCBSA) and the 38 independent, locally operated Blue Cross and Blue Shield companies recognize the urgent need to support these efforts and have established numerous programs to educate and empower children, as well as their families, teachers and physicians, toward healthy lifestyles. To read more about the Blues' support in fighting obesity and educating communities towards healthier lifestyles are the Blue Cross and Blue Shield Association program The Good Health Club and local programs outlined in Commitment to the Next Generation of Healthy Americans report.

For more than 80 years, the 38 independent Blue Cross and Blue Shield companies have made a difference in the lives of the communities they serve.
As community leaders, Blue Cross and Blue Shield companies provide knowledgeable leadership, funding and enthusiastic volunteers to local programs that improve the public’s health and wellness. The Blues invest and work in partnerships with schools, healthcare providers and charitable organizations to produce a wide range of programs that address issues with healthcare accessibility and affordability — such as dental health clinics, child and adult fitness programs, chronic disease management, maternal and infant care and more.
In 2010, the Blues collectively contributed more than $200 million in direct charitable giving to support such community investment programs nationwide. Through this work, and our service to more than 100 million the Blues are committed to better health and better healthcare value for our communities and for all Americans.
Learn more about our efforts by clicking on the reports below.
2010 Investing in America's Health report
2009 Investing in America's Health report
















You can access all seven seasons of Second Opinion, the award-winning health education series which features panels of doctors, patients and related experts tackling real-life complex medical cases.
The ground-breaking program lets viewers see first-hand, how doctors navigate their way through tough medical decisions. Sponsored by the Blue Cross and Blue Shield Association, the series aims to improve doctor-patient communication and empower viewers to take charge of their own healthcare.

Second Opinion Season Seven

In the new season, Dr. Peter Salgo leads the discussion on a range of new topics, including: celiac disease, bipolar disorder, multiple sclerosis, racial disparities in cardiac care, mammography, fecal incontinence, the HPV vaccine and cervical cancer, spinal cord injury, breast reconstruction, late effects of cancer treatment, heart replacement, vitamin D deficiency and dizziness.
To see a preview of season seven, click on the YouTube video below.

You can also click on any of the links below to access full-length episodes of Second Opinion. For more information about Second Opinion, go to its official website.
You must have Flash version 8 or higher to view the videos.
View All Episodes
View Episodes On:
Aging
Cancer
Chronic Diseases
Emotional/Behavioral
Heart Disease
Hypertension
Medication/Nutrition
Men's Health
Mental Health
Knee/Hip/Spine
Weight Issues/Obesity
Women's Health
Sponsored by: BlueCross BlueShield Association
Second Opinion is produced by:



Walking works — in a lot of ways. A brisk-paced walk can help you and your family look and feel better, increase energy and pick up your spirits.

Walking can work to improve your health, too. A regular routine of brisk-paced walking daily can help you lose weight, lower cholesterol, strengthen your heart and reduce the likelihood of serious health problems down the road. And with America spending more than ever on preventable health problems like heart disease, osteoporosis, type 2 diabetes, and conditions associated with obesity such as arthritis, every step counts.
While any increase in walking will help promote good health, the President's Council on Physical Fitness and Sports recommends 30 minutes a day, on five or more days a week, or 10,000 steps daily, to produce the best, long-term health benefits for most individuals. That is why Blue Cross and Blue Shield Plans have launched WalkingWorks.

WalkingWorks Basics

Before you start your walking program, the President's Council on Physical Fitness and Sports recommends following a few basic principles that will help keep you safe and comfortable:
  • If you have a health condition or have not done any regular physical activity for a long time (men over 40, women over 50), talk with your doctor before starting any new exercise program.
  • Choose comfortable, supportive shoes, such as running, walking, or cross training shoes, or light hiking boots.
  • If you're going for a longer walk, warm up with stretching exercises and include a cool-down period to reduce stress on your heart and muscles.
  • Maintain a brisk pace. You should work hard to keep up your pace but still be able to talk while walking.
  • Practice correct posture — head upright, arms bent at the elbow and swinging as you stride. Drink plenty of water before, during and after walking to cool working muscles and keep your body hydrated.

Starting the WalkingWorks Program

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Blue Distinction

Blue Distinction® is a designation awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare.
The designation is based on rigorous, evidence-based, objective selection criteria established with input from expert physicians and medical organizations. Its goal is to help consumers find quality specialty care on a consistent basis, while enabling and encouraging healthcare professionals to improve the overall quality and delivery of care nationwide.
The criteria we use to select Blue Distinction Centers® are made available to the public. This allows both consumers and providers to understand what's behind this quality designation. Our goals are:
  • to encourage providers to improve the overall quality and delivery of healthcare, resulting in better overall outcomes for patients
  • to support consumers as they identify medical facilities that best meet their needs.
Learn more by viewing a short video clip on Blue Distinction.

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Blue Distinction Centers

At the core of the Blue Distinction program are the six Blue Distinction Centers for Specialty Care®, facilities that we recognize for their distinguished clinical care and processes.

Bariatric Surgery

Morbid obesity is widely recognized as a contributor to serious health risks. According to the Agency for Healthcare Research and Quality (AHRQ), between 1998 and 2004, the total number of bariatric weight-loss surgeries increased nine times, from 13,386 to 121,055. Blue Distinction® provides objective information to help patients make informed decisions when choosing a provider.
Blue Distinction Centers for Bariatric Surgery® have demonstrated their commitment to quality care, resulting in better overall outcomes for bariatric patients. Each facility meets stringent clinical criteria, developed in collaboration with expert physicians and medical organizations*, including the American Society for Metabolic and Bariatric Surgery (ASMBS), the Surgical Review Corporation (SRC) and the American College of Surgeons (ACS), and is subject to periodic re-evaluation as criteria continue to evolve.
Blue Distinction Centers for Bariatric Surgery provide a full range of bariatric surgery care services, including inpatient care, post-operative care, outpatient follow-up care and patient education. To date, The Blues' have designated approximately 350 Blue Distinction Centers for Bariatric Surgery across the country.
To view the list of Blue Distinction Centers for Bariatric Surgery, please click on the link to launch a PDF. You will need Adobe Acrobat Reader® to view the document. If you do not have Acrobat, please click here to download it for free.

Cardiac Care

Complex and Rare Cancers

Knee and Hip Replacement

Spine Surgery

Transplants

For Hospitals or Physicians
If you are a physician or hospital administrator interested in learning more or applying for the Blue Distinction designation for your medical facility, please click here.
Note: Designation as Blue Distinction Centers means these facilities' overall experience and aggregate data met objective criteria established in collaboration with expert clinicians' and leading professional organizations' recommendations. Individual outcomes may vary. To find out which services are covered under your policy at any facilities, please call your local Blue Cross and/or Blue Shield Plan; and call your provider before making an appointment, to verify the most current information on its Network participation and Blue Distinction status. Neither Blue Cross and Blue Shield Association nor any of its Licensees are responsible for any damages, losses, or non-covered charges that may result from using this website or receiving care from a provider listed in this website.


Health Equity - Closing the Gap

The Blue Cross and Blue Shield Association (BCBSA) and the 38 Blue Cross and Blue Shield (BCBS) companies, encourage care delivery that is safe, effective and equitable. To reach this goal, it is important to identify and address issues that prevent consumers from receiving the best care possible.
However, research shows that disparities do exist among minority groups within the population. These gaps in quality of care or health outcomes observed when comparing different populations are referred to as healthcare disparities.
According to the Agency for Healthcare Research and Quality (AHRQ) 2011 National Healthcare Disparities Report, data indicate that racial and ethnic minorities populations, on average, receive poorer healthcare and suffer higher rates of avoidable complications (e.g., late stage cancers, amputations, healthcare-associated infections) compared to non-minorities populations. According to the report:
  • Black women are more likely to die in childbirth or be diagnosed with advanced stage breast cancer compared to White women.
  • Asians are less likely than Whites to have a primary care doctor and those age 65 and over are also less likely to receive recommended pneumococcal vaccinations.
  • Hispanics are less likely to receive recommended diabetes care, heart failure inpatient care and timely emergency care compared to non-Hispanics.
  • American Indians and Alaskan Natives are less likely than Whites to receive recommended colorectal cancer screenings.
Collectively, Blue Cross and Blue Shield companies provide coverage for 100 million individuals and are working to meet the needs of the nation’s increasingly diverse population. Additionally, the Blue System supports the goals of the Department of Health and Human Services (HHS) National Stakeholder Strategy for Achieving Health Equity, which promotes raising awareness, strengthening leadership, focusing on outcomes, promoting cultural competency and utilizing data to help reduce healthcare disparities.
See what the Blues are doing to address healthcare disparities in their local communities.

The Blue Cross and Blue Shield Association and its 38 independent, locally based companies envision a transformed healthcare system that provides people with the best, most affordable care possible.

Building Tomorrow's Healthcare System

The Blue Cross and Blue Shield System is working to help our customers stay healthy and ensure that, when they do get sick, healthcare is safe, coordinated, evidence-based and affordable. To achieve these goals on a larger scale, we propose a comprehensive action plan with specific recommendations that the government should take to:
  1. Reward Safety: National and local leadership along with new provider incentives are needed to eliminate preventable medical errors, infections and complications that cause tens of thousands of people to die each year.
  2. Do What Works: The incentives in our system must be changed to advance the best possible care and reward quality outcomes, instead of paying for more services that are ineffective or redundant and add unnecessary costs to the system.
  3. Reinforce Front-Line Care: A higher value must be placed on primary care and on ensuring there is an adequate workforce of professionals to deliver necessary, timely and coordinated care that results in better outcomes and lower costs.
  4. Inspire Healthy Living: With 75 percent of today’s healthcare dollar spent on the treatment of chronic illnesses — many of which are preventable — consumers must be empowered and encouraged to make better choices, live healthier lives and better manage their health.

Healthcare Reform Timeline

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This document provides representative examples, but is not exhaustive of what the 38 independent Blue Cross and Blue Shield companies are doing to help transform the U.S. healthcare system. As leaders in the healthcare community for more than 80 years, serving all 50 states and federal territories and offering coverage in every market and every ZIP code, we are committed to collaborating with all stakeholders — consumers, hospitals, physicians, payers and policymakers — to build tomorrow’s healthcare system today.
Blue Cross and Blue Shield companies are committed to working with the Administration and all other parties to implement this new law. As we have done throughout our 80-year history, we will continue to work in our local communities in every ZIP code to serve the more than 100 million Blue Cross and Blue Shield members worldwide.

Common Questions and Answers for Individuals

As we continue to analyze the new healthcare law, we have prepared these frequently asked questions to help Blue Cross and Blue Shield members better understand what healthcare reform will mean to them. These answers are meant to provide guidance. You should consult legal and tax experts to understand how the law will affect your individual or business circumstances.

I currently have health insurance coverage through a Blue Cross and Blue Shield Plan, do I need to do anything now?

No. The new law will be implemented over the next several years. Blue Cross and Blue Shield companies will continue to provide excellent service and will work to implement the new healthcare laws to best serve their members.
The 38 independent Blue Cross and Blue Shield companies are reviewing the legislation and any potential impact on our members. We will also be working to ensure a smooth transition with state and federal regulators who will be drafting the required regulations.

When will these new reforms become effective?

In 2014 - Individuals and small businesses will be able to purchase coverage through state-based exchanges. Consumers will be able to purchase health insurance regardless of health status and premiums cannot vary because of health status. Individuals will be required to purchase health insurance or pay a penalty. Subsidies will be available on a sliding scale to help individuals or families with incomes up to 400 percent of the federal poverty level to purchase insurance through new state-based exchanges.

Will insurers have to cover everyone regardless of their health status?

Yes. Blue Cross and Blue Shield companies have long supported guaranteeing that everyone could purchase health insurance coverage regardless of their health condition coupled with a requirement for everyone to obtain and maintain coverage. Beginning in 2014, the new law requires that all individuals have coverage and insurers must offer coverage to anyone regardless of health status and cannot vary premiums based on health status.

How will health reform affect my premiums?

There are a number of factors that are driving health insurance premiums. Increasing utilization attributable to an aging population, obesity and chronic illnesses; new treatments; prescription drugs and expensive new technologies are the biggest causes of increasing healthcare premiums. The new law establishes a few pilot programs, but does not aggressively attempt to control rising healthcare costs.
We believe that premiums will increase as a result of provisions in the reform legislation that will guarantee richer levels of benefits than most consumers who obtain their own insurance purchase today. Insufficient discounts for the young and healthy will encourage many of them to forgo coverage. New fees and taxes mandated by the new law will also likely increase the cost of premiums as they are phased in.
Blue Cross and Blue Shield companies will continue to work with doctors, hospitals, employers and consumers to rein-in costs and insurance premiums while improving access to quality healthcare. In doing this, many of the Blue Cross and Blue Shield companies have initiatives to reduce unnecessary hospital readmissions, eliminate infections acquired during hospital visits and promote paying doctors and hospitals for quality outcomes to help achieve this goal.

I am currently uninsured. How will I obtain coverage in the future?

Many Blue Cross and Blue Shield companies already offer low-cost health insurance options that you may be able to enroll in today. You can find coverage options through your local Blue Cross and Blue Shield company.
Beginning in 2014, state health insurance exchanges will enable consumers to compare benefits, prices and networks of providers and purchase coverage.
Prior to the establishment of state exchanges in 2014, a temporary high risk pool program will be created by the federal government to provide coverage to high-risk individuals who have not been covered during the prior 6-month period or do not have access to coverage, to purchase coverage. A majority of states already have high-risk pools for their residents.

I am graduating from college this year. Will I be able to obtain coverage under my parents’ health plan?

As of Sept. 23, 2010, the law allows dependents up to age 26 to obtain coverage under their parents’ plans that offer dependent coverage. In April 2010, the 38 independent Blue Cross and Blue Shield companies offered to voluntarily extend coverage in their group and individually insured health plans to allow young adults to remain on their parents’ policies.

What if I can't afford to purchase coverage?

Blue Cross and Blue Shield companies offer many different options, including many that are much more affordable than many people realize. Talk with your local Blue Cross and Blue Shield company about options that could fit your needs. AskBlue or use our guide to find health care coverage options near you. Consumers who purchase coverage on their own may qualify for federal subsidies to help offset higher premiums beginning in 2014. Federal agencies must work out how subsidies would be paid. The Congressional Budget Office estimates that about 20 million American households will be eligible for subsidies. In addition, eligibility in Medicaid, the federal-state program that provides health coverage to millions of Americans, will expand to cover families with incomes up to 133 percent of the federal poverty level.
If you are looking to purchase individual health insurance coverage, enter your ZIP code here: AskBlue.

Common Questions and Answers for Employers

 
 
Looking to find answers to your billing, claim forms, and other questions? Use our frequently asked questions to find answers.

My Coverage

I am a member but I do not see where I can log in on this website. Where do I find access to my member benefits, coverage, etc?

Bcbs.com is the Blue Cross and Blue Shield Association website. The Blue Cross and Blue Shield Association does not have access to member information. We regulate the brand and licenses to all 38 Blue Cross and Blue Shield local companies.
To access specific information about your coverage, EOBs, prescriptions, paying a bill, or any other questions related to your individual or group health insurance, please contact the customer service number on the back of your member card. Otherwise you may enter your 3-letter member ID number here on our Company Finder.

I was denied coverage, a claim, or received erroneous charged on my EOB, whom do I contact?

To access specific information about your coverage and claims related to your individual or group health insurance, please contact the customer service number on the back of your member card. Otherwise you may enter your 3-letter member ID number here on our Company Finder. Bcbs.com does not maintain member information.

How can I get maximum coverage for my claims or benefits?

To receive maximum coverage for your claims and benefits, there are steps you can take prior to seeing your healthcare provider.
  1. Check with your provider to ensure they are accepting Blue Cross Blue Shield insurance.
  2. If possible, call your local Blue Cross and Blue Shield company customer service prior to seeing your provider and ask if the service and/or provider is covered under your benefit plan.
  3. Ask what your coverage benefits are. For example, your PPO in-network provider benefits may be 80% compared to 20% of out-of-network provider benefits.
  4. For HMO coverage, please see your primary care provider before seeing a specialist.
  5. Call customer service or log on to your local Blue Cross and Blue Shield company website and see what your out of pocket limit is as well as your remaining out-of-pocket balance. You will not receive maximum benefits until your deductible, out-of-pocket maximum, and any other benefit plan restrictions are met.
  6. If admitted to a hospital, call your local Blue Cross and Blue Shield company at the customer service number on the back of your card to register for hospital admittance. If it is an emergency, go to the emergency room first to get treated, then contact your local Blue Cross and Blue Shield company to see what procedures and/or stays are allowed for the illness/treatment.
  7. If possible, request generic prescriptions to save on costs.
  8. If you have Medicare and/or a Blue Cross and Blue Shield Medicare suppliment product, make sure your provider accepts Medicare patients. If so make sure your provider contacts Medicare and your Blue Cross Blue Shield company first to verify if the service, device, or admittance to a hospital/care facility are covered. For further information on Medicare, please go to the Medicare.gov website, use our AskBlue Medicare tool, or see a listing of participating Medicare Advantage and Prescription Blue Cross and Blue Shield companies

Claims and Billing

Purchasing Insurance

Doctors, Hospitals and Specialties

General Questions


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