Nassau New York 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: Nassau
• 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. Nassau New York Plan Participation Agreement is a comprehensive contract between Blue Cross Blue Shield Association (BC BSA) and Blue Cross Blue Shield of MO (BCBS). This agreement outlines the specific provisions and healthcare benefits offered by the two entities in Nassau County, New York. Under this agreement, BC BSA and BCBS collaborate to provide a range of healthcare services to Nassau County residents. The agreement includes various types of plans tailored to meet different healthcare needs and preferences. These plans may vary in terms of coverage, cost-sharing, network providers, and additional benefits. One type of plan available under the Nassau New York Plan Participation Agreement is the Preferred Provider Organization (PPO) plan. This plan allows beneficiaries to seek care from both in-network and out-of-network providers, although utilizing in-network providers often results in lower out-of-pocket costs. Another type of plan is the Health Maintenance Organization (HMO) plan. HMO plans typically require individuals to select a primary care physician from a network of providers. All non-emergency specialist visits must be referred by the primary care physician for coverage. HMO plans usually offer comprehensive benefits at a lower cost by focusing on preventive care and wellness programs. Additionally, the Nassau New York Plan Participation Agreement may include High Deductible Health Plans (HDPS) coupled with Health Savings Accounts (Has). These plans come with higher deductibles but offer individuals the ability to save and invest money through a tax-advantaged HSA. The agreement ensures that these plans comply with the regulatory requirements set forth by state and federal governments. It outlines the process for claims submission, reimbursement, and the utilization review to ensure medical services provided are appropriate and necessary. Overall, the Nassau New York Plan Participation Agreement between Blue Cross Blue Shield Association (BC BSA) and Blue Cross Blue Shield of MO (BCBS) offers a variety of healthcare benefit provisions for Nassau County residents. Through different plan types like PPO's, HMO's, and HDPS, individuals can choose the plan that best suits their healthcare needs while receiving high-quality care from a network of providers.

Nassau New York Plan Participation Agreement is a comprehensive contract between Blue Cross Blue Shield Association (BC BSA) and Blue Cross Blue Shield of MO (BCBS). This agreement outlines the specific provisions and healthcare benefits offered by the two entities in Nassau County, New York. Under this agreement, BC BSA and BCBS collaborate to provide a range of healthcare services to Nassau County residents. The agreement includes various types of plans tailored to meet different healthcare needs and preferences. These plans may vary in terms of coverage, cost-sharing, network providers, and additional benefits. One type of plan available under the Nassau New York Plan Participation Agreement is the Preferred Provider Organization (PPO) plan. This plan allows beneficiaries to seek care from both in-network and out-of-network providers, although utilizing in-network providers often results in lower out-of-pocket costs. Another type of plan is the Health Maintenance Organization (HMO) plan. HMO plans typically require individuals to select a primary care physician from a network of providers. All non-emergency specialist visits must be referred by the primary care physician for coverage. HMO plans usually offer comprehensive benefits at a lower cost by focusing on preventive care and wellness programs. Additionally, the Nassau New York Plan Participation Agreement may include High Deductible Health Plans (HDPS) coupled with Health Savings Accounts (Has). These plans come with higher deductibles but offer individuals the ability to save and invest money through a tax-advantaged HSA. The agreement ensures that these plans comply with the regulatory requirements set forth by state and federal governments. It outlines the process for claims submission, reimbursement, and the utilization review to ensure medical services provided are appropriate and necessary. Overall, the Nassau New York Plan Participation Agreement between Blue Cross Blue Shield Association (BC BSA) and Blue Cross Blue Shield of MO (BCBS) offers a variety of healthcare benefit provisions for Nassau County residents. Through different plan types like PPO's, HMO's, and HDPS, individuals can choose the plan that best suits their healthcare needs while receiving high-quality care from a network of providers.