
Blue Shield California offers out-of-state healthcare solutions for individuals and families looking for coverage beyond California's borders. They have a network of providers across the United States, including major cities like New York, Chicago, and Los Angeles.
If you're planning to move out of state or already live outside of California, Blue Shield California's out-of-state healthcare solutions can provide you with the coverage you need. This includes access to a network of doctors, hospitals, and other healthcare providers.
With Blue Shield California, you can choose from a range of plan options that fit your needs and budget, including HMO and PPO plans. These plans often include coverage for essential health benefits like doctor visits, hospital stays, and prescription medications.
For more insights, see: Liability Coverage in California
Reimbursement for Out-of-State Care
If you receive medical care outside of California and it's out-of-network, you'll need to submit your claim online through Blue Shield of California's portal. This is the only way to ensure your claim is processed correctly, as mailing it to your local CareFirst office won't work.
Curious to learn more? Check out: What Are the Best Places to Elope in California?
You'll need to navigate to "Claims" > "View Claims" > "File a Claim" to submit your claim. Don't wait too long to follow up, or you may face a long delay in getting your reimbursement.
Fifteen days after filing your claim, call the Out-of-State Claims Department at (877)655-2583 to confirm that your claim is processing correctly. Give them the date of service and let them know if there are multiple dates on the claim.
If you don't call within 15 days, your claim may get processed eventually, but you'll likely have to wait a very long time – possibly even 5+ months. This is because the Out-of-State Claims Department is small and dealing with many system errors due to a known glitch.
Here are the steps to follow up with the Out-of-State Claims Department:
1. Call (877)655-2583
2. Confirm the date of service
3. Ask if the claim is processing correctly
4. Report any errors and request manual correction
For your interest: How Long Does Prior Authorization Take Blue Cross Blue Shield
Blue Shield of California Provider Services
Blue Shield of California has a dedicated provider services team that can assist with various needs. You can find phone and fax numbers for Blue Shield corporate offices by checking their provider services page.
Need to contact Blue Shield's provider and pharmacy services? They have a specific phone number listed.
Their medical management team is also available to answer questions and provide support.
Sources
- https://www.madelinemorcelle.com/blog/blue-sheild-of-ca-glitch-workaround
- https://www.blueshieldca.com/en/ifp/members/plan-resources/your-ppo-plan
- https://www.blueshieldca.com/en/provider/about-pc/contact-us/contacts-authorizations-ooap
- https://therathink.com/blue-cross-blue-shield-out-of-state-plans-how-to/
- https://www.dignityhealth.org/sacramento/open-enrollment-sacramento/accepted-insurance
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