Hennepin Minnesota Plan Participation Agreement between Blue Cross Blue Shield Assoc. and Blue Cross Blue Shield of MO regarding healthcare benefit provisions

• Category: Corporations - Public - Participation
• State: Multi-State
• County: Hennepin
• Control #: US-EG-9383
• Format: Word; Rich Text

Description

Plan Participation Agreement between Blue Cross and Blue Shield Association and Blue Cross and Blue Shield of Missouri regarding health care benefit provisions (Federal Employee Program) dated January 1, 1995. 13 pages. The Hennepin Minnesota Plan Participation Agreement is a comprehensive agreement between Blue Cross Blue Shield Association (BC BSA) and Blue Cross Blue Shield of MO (BCBS) that outlines the healthcare benefit provisions for individuals in Hennepin, Minnesota. This agreement ensures that residents of Hennepin have access to quality healthcare services through the network of healthcare providers associated with BCBS. Some relevant keywords that can be used to describe the Hennepin Minnesota Plan Participation Agreement include: 1. Health insurance: The agreement focuses on providing health insurance coverage to individuals in Hennepin, Minnesota, ensuring they have access to necessary medical services and treatments. 2. Benefits provision: The agreement outlines the specific benefits that policyholders in Hennepin can avail, including coverage for hospitalization, doctor visits, prescription medications, preventive care, and more. 3. Network of providers: BCBS has a network of healthcare providers in Hennepin, and the agreement includes information about the participating doctors, hospitals, clinics, and specialists available to plan members. 4. Co-payment and deductibles: The agreement specifies the co-payment amounts and deductibles that policyholders in Hennepin would be responsible for when receiving medical services. This helps individuals understand their financial obligations when seeking healthcare. 5. In-network and out-of-network services: The agreement provides information about the difference in coverage and cost-sharing between in-network and out-of-network healthcare providers. It encourages policyholders in Hennepin to utilize in-network providers to maximize their benefits. 6. Medical necessity: The agreement includes guidelines on medical necessity, ensuring that healthcare services and treatments covered under the plan are deemed necessary and beneficial for the policyholder's health. 7. Appeals and grievance procedures: The agreement outlines the process for policyholders in Hennepin to file appeals or grievances if they believe their healthcare benefits have been denied or mishandled. Different types of Hennepin Minnesota Plan Participation Agreements may exist based on various factors, such as the type of healthcare plan (e.g., individual, family, employer-sponsored) or specific benefits tailored for different population groups (e.g., seniors, low-income individuals). These variations in agreement types enable BCBS to cater to the diverse needs of individuals residing in Hennepin, Minnesota.

The Hennepin Minnesota Plan Participation Agreement is a comprehensive agreement between Blue Cross Blue Shield Association (BC BSA) and Blue Cross Blue Shield of MO (BCBS) that outlines the healthcare benefit provisions for individuals in Hennepin, Minnesota. This agreement ensures that residents of Hennepin have access to quality healthcare services through the network of healthcare providers associated with BCBS. Some relevant keywords that can be used to describe the Hennepin Minnesota Plan Participation Agreement include: 1. Health insurance: The agreement focuses on providing health insurance coverage to individuals in Hennepin, Minnesota, ensuring they have access to necessary medical services and treatments. 2. Benefits provision: The agreement outlines the specific benefits that policyholders in Hennepin can avail, including coverage for hospitalization, doctor visits, prescription medications, preventive care, and more. 3. Network of providers: BCBS has a network of healthcare providers in Hennepin, and the agreement includes information about the participating doctors, hospitals, clinics, and specialists available to plan members. 4. Co-payment and deductibles: The agreement specifies the co-payment amounts and deductibles that policyholders in Hennepin would be responsible for when receiving medical services. This helps individuals understand their financial obligations when seeking healthcare. 5. In-network and out-of-network services: The agreement provides information about the difference in coverage and cost-sharing between in-network and out-of-network healthcare providers. It encourages policyholders in Hennepin to utilize in-network providers to maximize their benefits. 6. Medical necessity: The agreement includes guidelines on medical necessity, ensuring that healthcare services and treatments covered under the plan are deemed necessary and beneficial for the policyholder's health. 7. Appeals and grievance procedures: The agreement outlines the process for policyholders in Hennepin to file appeals or grievances if they believe their healthcare benefits have been denied or mishandled. Different types of Hennepin Minnesota Plan Participation Agreements may exist based on various factors, such as the type of healthcare plan (e.g., individual, family, employer-sponsored) or specific benefits tailored for different population groups (e.g., seniors, low-income individuals). These variations in agreement types enable BCBS to cater to the diverse needs of individuals residing in Hennepin, Minnesota.