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What do blue cross shield cover?

Blue Cross Blue Shield is not a single company, but rather a network of independent, locally-owned insurance companies across the US. They are known for providing health insurance, but what they cover specifically varies greatly depending on the individual plan you choose.

Here are some general categories of coverage that might be included in a Blue Cross Blue Shield plan:

* Hospitalization: This covers costs related to inpatient stays, surgeries, and other hospital-based treatments.

* Physician Services: This covers office visits, consultations, and other services provided by doctors.

* Prescription Drugs: This covers the cost of medications prescribed by your doctor.

* Mental Health and Substance Abuse: This covers mental health counseling, therapy, and treatment for substance abuse.

* Emergency Services: This covers emergency room visits, ambulance transportation, and other emergency medical care.

* Preventive Care: This covers routine checkups, screenings, and vaccinations.

However, it is crucial to remember that these are just general examples. To know precisely what is covered by your specific Blue Cross Blue Shield plan, you need to review the following:

* Your policy documents: Your policy booklet will contain a detailed list of what is covered and what is not.

* The Summary of Benefits and Coverage (SBC): This document is required by law and provides a concise summary of your plan's coverage.

* The formulary: This is a list of prescription drugs covered by your plan, along with their co-pay amounts.

Remember, every plan is different, and the coverage will vary depending on the specific plan you choose, your location, and your individual needs.

For accurate information, always refer to your policy documents and contact your Blue Cross Blue Shield plan directly.

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