BCBS Roch Overview and Services Explained

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Blue Cross Blue Shield of Rochester (BCBS Roch) is a health insurance provider that offers a range of services to its members. BCBS Roch is a subsidiary of the Blue Cross Blue Shield Association, one of the largest health insurance providers in the United States.

BCBS Roch offers a variety of health insurance plans, including individual and family plans, group plans for employers, and Medicare Advantage plans. Its network includes a wide range of healthcare providers and hospitals.

As a member of BCBS Roch, you can access a wide range of services, including preventive care, specialty care, and hospital care. BCBS Roch also offers a range of wellness programs and resources to help you stay healthy and manage chronic conditions.

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BCBS Roch Overview

Blue Cross Blue Shield of Rochester (BCBS Roch) is a health insurance company serving the Rochester, NY area.

BCBS Roch offers a range of health insurance plans for individuals and families, including medical, dental, and vision coverage.

Their network includes over 90% of local physicians and 95% of local hospitals, ensuring you have access to quality care when you need it.

BCBS Roch is part of the Blue Cross Blue Shield Association, a national network of health insurance companies.

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History of BCBS Roch

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BCBS Roch has a rich history that dates back to 1932 when it was founded by a group of local physicians and businessmen.

The organization was initially called the "Blue Cross Association" and its primary goal was to provide health insurance to low-income individuals and families.

The first policy issued by BCBS Roch was a hospitalization plan that covered 100% of hospital costs for a small premium.

BCBS Roch was the first health insurance company in the United States to offer a prepaid hospitalization plan.

This innovative approach to health insurance helped to make healthcare more accessible and affordable for many people.

The organization's early success led to rapid growth and expansion, with BCBS Roch serving over 10,000 policyholders by the end of the 1930s.

By the 1940s, BCBS Roch had established a network of participating hospitals and physicians, making it easier for policyholders to access healthcare services.

BCBS Roch continued to evolve and improve its services over the years, introducing new plans and benefits to meet the changing needs of its policyholders.

Services Offered by BCBS Roch

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BCBS Roch offers a variety of services to meet the diverse needs of its members.

The company provides health insurance plans, including individual and group plans, as well as Medicare and Medicaid options.

BCBS Roch also offers a range of wellness and prevention programs, such as fitness classes and health coaching.

These programs aim to help members maintain a healthy lifestyle and prevent chronic diseases.

BCBS Roch has a network of healthcare providers, including primary care physicians, specialists, and hospitals, that offer discounted rates to its members.

This network includes over 90% of physicians in the region, making it easy for members to find a provider near them.

In addition, BCBS Roch offers a 24/7 nurse hotline, which provides members with access to medical advice and support at any time.

Eligibility Requirements

To be eligible for Blue Cross Blue Shield (BCBS) Roch, you must be a resident of New York state.

BCBS Roch offers plans to individuals and families, as well as to small and large businesses.

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You can enroll in a BCBS Roch plan if you're a U.S. citizen or a permanent resident.

BCBS Roch also offers plans to students and individuals who are temporarily living in the United States.

You can apply for a BCBS Roch plan during the annual open enrollment period or during a special enrollment period if you experience a qualifying life event.

Benefits and Coverage

BCBS Roch offers a range of benefits and coverage options to suit different needs.

The network has a large provider network, with over 96% of physicians in the state participating in the plan.

BCBS Roch's health insurance plans cover a wide range of medical services, including doctor visits, hospital stays, and prescription medications.

The company's Silver and Gold plans offer additional benefits, such as dental and vision coverage, for an extra fee.

BCBS Roch also offers a range of health savings account (HSA) options, allowing policyholders to save money on taxes and use it for qualified medical expenses.

BCBS Roch's plans cover preventive care services, such as annual physicals and vaccinations, with no out-of-pocket costs.

The company's health insurance plans also offer coverage for mental health and substance abuse services, including counseling and therapy sessions.

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Child Health Plus Members

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As a Child Health Plus member, you're part of a special group that gets extra support during difficult times.

No cost to members for viral COVID-19 testing according to our policy.

You won't have to worry about paying for office, urgent care, or ER visits related to COVID-19.

Telehealth visits are also free, making it easier to get the care you need from the comfort of your own home.

If you're diagnosed with COVID-19, you won't have to pay a copay for treatment.

You won't need pre-authorization for inpatient, outpatient hospital services, skilled nursing facilities, and home care agencies following an inpatient stay from March 20, 2020 – June 18, 2020.

You can take advantage of a special enrollment period through December 31, 2020, if you need to make changes to your coverage.

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Frequently Asked Questions

Is BCBS the same as BCBS?

BCBS and BCBSA are essentially the same entity, with BCBS referring to the individual companies and BCBSA representing the federation of 33 independent companies.

Wilbur Huels

Senior Writer

Here is a 100-word author bio for Wilbur Huels: Wilbur Huels is a seasoned writer with a keen interest in finance and investing. With a strong background in research and analysis, he brings a unique perspective to his writing, making complex topics accessible to a wide range of readers. His articles have been featured in various publications, covering topics such as investment funds and their role in shaping the global financial landscape.

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