BCBS Prefix Lookup (2023) | Blue cross blue shield Ins guide

Health insurance has become an important part of a common man’s life due to the increasing health emergency in the recent years. If one member of a middle class family or a lower luxury family falls ill, all their savings go towards the treatment expenses of that particular ill person. The result of this is that the family is never able to get out of poverty and their pockets become empty by taking high health benefits. That is why in all the developed nations, almost all the people keep their health insurance, so that they do not have to spend out of pocket on health there. In such a situation, you should also get such a health insurance which without emptying your pocket, during health emergency, you will get quality Can provide treatment. BCBS Insurance is one of the biggest private insurance company in United States and provide protection millions of citizens since several decades. BCBS prefix lookup is very important for finding the correct BCBS plan as per your state.

A conscious and idealistic person should get health insurance by comparing all the complications and information while getting health insurance. That’s why today we are going to tell you about one of the best health insurance organization which is completely reliable. Public welfare organization called BCBS (Blue Cross Blue Shield) Insurance provides you a great health insurance.

Table of Contents

BCBS Prefix Look Up

What is BCBS insurance?

BlueCross Blue Shield is an American health insurance company. Which was established in 1982 by the merger of two similar organizations, the names of these two companies are Bluecross and Blueshield respectively. Bluecross was founded in 1929 and became the Blue Cross Association in 1960, while Blue Shield emerged in 1939 and the Blue Shield Association was created in 1948.

Today in 2022, 34 independent and locally operated companies work together in the Blue Cross Blue Shield Association. Blue Cross Blue Shield is the industry’s largest healthcare data capability, powering analytics and insights that improve healthcare quality and affordability for all.

BCBS has covered over 106 million health insurance in the US and as of 2021 reports BCBS Insurance has $489M invested in community health initiatives.

Who is eligible for BCBS insurance?

To know whether you are eligible for BCBS insurance or not, consider some of the information given below. You are generally entitled to Medicare if you following any of the following criteria:

  • You are maximum 65 or older.
  • The health insurance elegibility for children is minimum  90 days or from 90 days to 18 years.
  • Generally, family members qualify for coverage if they meet specific criteria and definitions in the health plan contract. These family members include:
  • Legal spouse
  • Biological children and step children
  • Legally adopted children and children of you or your covered spouse up for adoption may be entitled to your insurance.
  •  The children for whom you or your spouse has been appointed as the legal guardian will be entitled to the entitlement of your BCBS insurance.
  • Children placed with you or your insured spouse may be covered.
  • Financially dependent grandchildren who have lived continuously with you or your covered spouse since birth are eligible.
  • Qualified Medical Child Support Orders allow children to receive health insurance coverage.
  • Disabled dependent children over the age of 26 .
  • Meet specific criteria or standards.
  • Domestic partner of an unmarried contract holder
  • Domestic partner’s children

Patient/Subscriber Information

Group number

Group name

Scheme / Product

Current effective dates


Deductible (principal and balance)

Out-of-pocket (principal and balance)



Pre-authorization Indicators and Contacts

In today’s uncertain times, it is important to protect your family with health insurance. Get answers to all these questions about who your health plan will cover in your family, for how long and what is eligibility.

Blue Cross Blue Shield Travel Insurance?

BCBS also gives you the option of taking out travel insurance. So that if something goes wrong while traveling within the United States, you will be provided with many benefits from BCBS insurance. If you do not know what benefits you are entitled to in such a situation, you can call your Blue Cross Blue Shield company to find out.

Most Blue Cross Blue Shield members are covered under the BlueCard program, which links all 36 individual Blue Cross Blue Shield companies to allow members access to savings negotiated with the local Blue Cross Blue Shield plan. And the beneficiary should not have to face any kind of problem.

Travel in the United States.

Some things to keep in mind if you are traveling within the country;-

  • Call your BCBS insurance company to find out what benefits are covered when you travel.
  • Always carry your current BCBS Insurance ID card with you while traveling, you may need it anytime.
  • To find nearby doctors and hospitals should a travel accident happen, call BlueCard Access at 1-800-810-BLUE (2583) or visit the BLUE National Doctor & Hospital Provider Finder for help.
  • Call your Blue Plan for precertification or prior authorization, if necessary. You can see the phone number on your Blue ID card.

Blue Cross Blue Shield Chiropractor :

If you often complain of pain in your back, shoulders or joints, then a Chiropractor treats you without any medicine, only with the help of your hands. In such a situation, it is necessary for you to know whether the insurance company from which you have got your health insurance, has given you the facility of chiropractor or not. Talking about BCBS insurance company, it also provides you the facility of chiropractor. Most of the BCBC health plans Blue Cross and Blue Shield cover chiropractic care. If you need to, you can find a chiropractor in the Blue Cross or Blue Plus health plan network.

Blue Cross Blue Shield Employee Benefits :

BCBS Insurance wishes its employees good health.Blue Cross Blue Shield Association’s (BCBSA) comprehensive benefits are designed to enhance all aspects of its employees’ lives. BCBS Insurance helps its employees in many ways, some of which are mentioned below.

Takes care of physical health, ensures financial security, helps in general well-being and professional growth. From creating a supportive working environment to allowing time away from work to rest, BCBSA, as part of its benefits package, makes itself an active advocate of its employee’s health, well-being and quality of life.

Apart from this, BCBS provides disability insurance, life insurance, business travel insurance, employee assistance program to its employees and rewards them from time to time for their work.

Blue Cross Blue Shield Internships

Working as a health insurance executive is far less stressful than most other jobs. So if you want to work together with BCBS Insurance and want to make your future in Blue cross Blue Sheild then without stopping keep reading further, here we will tell you how you can start it through internship.

BCBS is hiring freshers in its company under summer internship from 17 February. You can apply for internship by visiting the official website of BCBS. BCBS offers you a variety of internships-

  • Marketing and Sales Summer Internships
  • Pharmacy Summer Internship
  • Financial Analyst Summer Internships
  • Business Strategy Summer Intern
  • Business Operations Summer Internships
  • Public Relations Summer Internship
  • Legal Department Summer Internship
  • Employee Relations Summer Internship

Apart from this, BCBS Association also provides many other types of internships, you can visit its official website and see in the internship column and start your work as a fresher according to your mind.

BCBS Insurance Telehealth Coverage :

  • Antepertum care
  • Physical therapy (PT)
  • Intensive outpatient program (IOP) services
  • Partial hospitalization programs (PHP)
  • Occupational therapy (OT)
  • Speech therapy (ST)

What is BCBS home and BCBS Host Plan ?

BCBS Home Plan

BCBS home insurance plan is a plan in which if a person buys an insurance policy in any one state and avails the medical services of that state when needed, then it is called BCBS home plan. For example, if you buy an insurance policy in Texas and avail medical services in Texas itself, then it is called home plan insurance, if you get treatment in any other state instead of Texas, it is not counted under home plan.

BCBS Host Plan

BCBS Host Plan is a plan under which medical services are provided to an individual outside his/her home plan area. For example, if the same person as mentioned above has a home plan in Texas and goes on vacation to California with the home plan and avails medical services there, then it is called a host plan.

BCBS Insurance Urgent Care

BCBS emergency room (ER) ERs are open 24/7 and there are always physicians on hand to provide care, and they are the most expensive places out there. These are only used in serious or life-threatening situations.

  • Severe injuries, including extreme pain, excessive bleeding, burns, or broken bones You can also take advantage of emergency services for other serious health conditions:
  • You can visit here if you have shortness of breath, symptoms of a heart attack, such as chest pain, shortness of breath or pain in the arms, back or jaw.
  • Stroke symptoms, such as sudden changes in vision, weakness or trouble talking

How can BCBS members file an international claim?

You will find Blue Cross and Blue Shield service in almost all countries around the world. If you are a member of BCBS insurance company, your home plan is of US but you want to take advantage of it in any other corner of the world, then you can take it.

International claim forms are readily available at BCBS service centers or online at bcbsglobalcore.com. Also call 800-810-2583 or 804-673-1177 to locate service centers doctors and hospitals contracted with BCBS. You can avail BCBS services outside your home plan by following the methods mentioned above.

The BCBS prefix is ​​a list that enables staff to accurately file health care claims at the correct BCBS address in less time and without confusion and to verify member’s eligibility, health insurance coverage information. And also the BCBS prefix list plays an important role in reaching the right BCBS department to check the claim status or claim disputes.


Keeping in view the importance of life and increasing outbreak of diseases, good health has become a big challenge today. Generally, the government of that country is responsible for the health of the citizens of any country, but it is unable to handle it and puts its responsibility on the private hospitals. It happens outside, in such a situation, we need a good health insurance which BCBS insurance company provides us.

BCBS provides you more facilities as compared to other insurance companies and is in the role of a well authorized company. It gives you the facility of Chiropractor, Teleservices. BCBS is a highly rated insurance company which is valid almost everywhere, you can take advantage of it even outside the country.With taking insurance of bcbs, you can join it as an intern, to take care of the health related things of your employees, BCBS gives them the option of various types of insurance facilities.

FAQ- Frequently Asked Questions

Q1. What is the BlueCard Program?

Ans. The BlueCard program is a national program that enables its members living outside the Blue Plan’s service area to receive services such as health care while traveling. The BCBSIL plan works to ensure that Blue Cross and Blue Shield of Illinois (BCBSIL) members have the same access to these services when they travel or live outside the service area of ​​their home plan.In the United States, more than 90 percent of hospitals and 80 percent of physicians hold contracts with Blue Cross and Blue Shield (BCBS) plans. Through Bluecard Worldwide, which operates under the BCBS Bluecard program, members have access to doctors and hospitals in more than 200 countries and territories around the world outside the United States.

List of BCBS plan
Choosing the wrong health care plan can cost you dearly. Hence choosing the right plan is very important. Below you have been told the 5 best BCBS insurance plans-
Bluesheild of California
Excellus Blue cross Blue shield
Independent Blue cross
Healthcare service corporation

Q2. What type of Insurance is Blue Cross Blue Shield PPO ?

Ans. PPO is a type of health plan offered by BCBS health insurance. With the help of this plan, you can choose the place where you want to get your treatment done, for this no referral from a primary care doctor is required. But as this facility is so beneficial, its cost is also high, there is a possibility that it may be outside your budget as well.