How to File a Claim with Aetna and Blue Cross Blue Shield Insurance

Aetna

If you use a network doctor or hospital, your claims will be submitted by that provider. If you see an out-of-network provider, you need to submit the claim yourself. You must submit a completed claim form or alternative documentation via fax or mailing address. As an alternative to sending a claim form, supply a description of services, a bill of charges from the provider and any medical documents you received from your provider.

Blue Cross Blue Shield

If you use a network doctor or hospital, your claims will be submitted by that provider. If you see an out-of-network provider, you need to submit the claim yourself. You must submit a completed claim form or alternative documentation via fax or mailing address. As an alternative to sending a claim form, supply a description of services, a bill of charges from the provider and any medical documents you received from your provider.

For medical and/or dental services in the U.S. Puerto Rico or the U.S Virgin Islands, Use these claim forms. For anywhere else or on a cruise ship outside the U.S. use the Blue Cross Blue Shield Global Core international claim forms. For prescriptions inside or outside the U.S. or U.S. territories: Use these claim forms.

Read more about how Blue Cross of Idaho is dedicated to being the best choice for healthcare coverage at competitive prices. GeoBlue Medical Insurance for Travel Short-term and long-term international health plans are available for your urgent travel needs. Blue Cross Blue Shield of Massachusetts provides a Summary of Benefits and Coverage (SBC) with online access to the corresponding coverage policy to all of our fully insured members and accounts. To view your coverage policy document, select the size of your employer group, then the plan name listed at the top of your SBC. You may also have a copay after you pay your deductible, and when you owe coinsurance. Your Blue Cross ID card may list copays for some visits. You can also log in to your account, or register for one, on our website or using the mobile app to see your plan’s copays.

Blue Cross Blue Shield Dental Payer Id

Groups with 1-100 Employees

Fully-Insured Small Group Summary of Dental Benefits

Groups with 101-150 Employees

Our BlueCare Dental^SM program offers two network-based dental products. Both products have multiple plan options. Your clients can choose the best dental plan(s) that meets the needs of their employees.

BlueCare Dental PPO^SM has one of the largest dental PPO networks of general and specialty dentists in both Illinois and nationally, which offers members flexibility in choosing a provider. Dental PPO plans are available to both insured and administrative services only (ASO) accounts. Dental PPO can be purchased as a stand-alone dental product or in conjunction with dental HMO.

BlueCare Dental HMO^SM is a Chicago metropolitan based program that emphasizes preventive and diagnostic care. It is only available under an insured funding arrangement for groups sized 51 or more lives. The group must also offer an alternate dental option to HMO.

BlueCare Dental Connection^SM is a program benefit that provides members with education and intervention through support tools and educational mailings. BlueCare Dental Connection integrates dental care management and health care management with a focus on preventive care and individual involvement.

Groups with 151+ Employees

Our BlueCare Dental^SM program offers two network-based dental products. Both products have multiple plan options. Your clients can choose the best dental plan(s) that meets the needs of their employees.

BlueCare Dental PPO^SM has one of the largest dental PPO networks of general and specialty dentists in both Illinois and nationally, which offers members flexibility in choosing a provider. Dental PPO plans are available to both insured and administrative services only (ASO) accounts. Dental PPO can be purchased as a stand-alone dental product or in conjunction with dental HMO.

Blue Cross Blue Shield Dental Coverage

BlueCare Dental HMO^SM is a Chicago metropolitan based program that emphasizes preventive and diagnostic care. It is only available under an insured funding arrangement for groups sized 51 or more lives. The group must also offer an alternate dental option to HMO.

BlueCare Dental HMO^SM Voluntary Plan is a PPO that requires no employer contribution while still offering the employees the benefit of dental coverage in one of the largest dental PPO networks. The Voluntary Plan is available for groups of 151+ employees.

BlueCare Dental Connection^SMis a program benefit that provides members with education and intervention through support tools and educational mailings. BlueCare Dental Connection integrates dental care management and health care management with a focus on preventive care and individual involvement.

Blue Cross Blue Shield Dental Copay Plans

Dental Wellness Center

An important component of BlueCare Dental Connection is the Dental Wellness Center^TM*, which will be available to members and offers online resources and support tools that allow members to:

• Ask licensed dentist dental-related questions through Ask A Dentist
• Locate a network general dentist or specialist with Provider Finder^®
• Determine approximate dental fees in the marketplace with the Dental Cost Advisor^TM
• Access educational information on a wide range of dental topics including pediatric care, prevention and dental treatments.

Blue Cross Blue Shield Dental Coverage Braces

Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. For personal medical guidance, please consult your dentist and/or physician. Coverage for treatments varies depending on the member's benefit plan. If you are a BCBSIL member and have questions about your health care plan benefits, check with your group benefits administrator or contact Customer Service at the number on the back of your member ID card.

* Blue Cross and Blue Shield of Illinois (BCBSIL) is providing access to the Dental Wellness Center Web site as a courtesy, as part of its BlueCare Dental Connection program. The content on the Dental Wellness Center Web site is provided by go2dental.com, Inc. (go2dental.com). BCBSIL and go2dental.com are separate companies. BCBSIL assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center Web site; go2dental.com is solely responsible for the content and any advice given on its Web site. If you have any questions or comments regarding the Dental Wellness Center Web site, you should direct them to go2dental.com