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How the BlueCard® Program Works
When you are a Health Advantage member, your benefits travel with you wherever you go, both
in the United States and around the world.
When members travel or live out-of-state, they can take advantage of the Blue Plan provider
relationships in other states because he or she is a Blue Plan member. By using BlueCard
participating providers, you will reduce your out-of-pocket expenses and will not receive
“balance billing” from participating providers for covered services.
To use the BlueCard program, members should:
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Always carry your most current Health Advantage ID card.
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When you’re outside Arkansas, pull out your ID card and call BlueCard access
at 1-800-810-BLUE (2583) for information on the nearest Blue Cross and Blue Shield
doctors and hospitals in the area where you are traveling or living. For other questions,
call Arkansas Blue Cross Customer Service.
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When you arrive at the doctor’s office or hospital, present your Health Advantage ID
card, and the doctor’s office or your hospital will verify your membership and coverage.
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After you receive medical attention, your claims will be routed to Health Advantage
by the Blue Plan in that area.
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All participating providers are paid directly, relieving you of any hassle or worry
for covered benefits claims submission and processing. You usually will need to pay only
for out-of-pocket expenses (non-covered services, deductibles, copayments or coinsurance).
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Health Advantage will send you a detailed Explanation of Benefits report. Your EOB
also is available under
My Blueprint.
After a member has received care, in most cases, the member should:
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Not have to file any claim forms.
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Not have to pay upfront for medical services except for the usual out-of-pocket
expenses (non-covered services, deductible, copayment and coinsurance).
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Receive an Explanation of Benefits (EOB) from Health Advantage. Your EOB also i
s available under
My Blueprint.
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