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2023-098B
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2023-098B
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Last modified
3/18/2024 12:03:39 PM
Creation date
3/18/2024 11:53:00 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/16/2023
Control Number
2023-098B
Agenda Item Number
12.D.2.
Entity Name
Blue Cross and Blue Shield
Subject
Shield Transition Health Plan Administrative Services from
Blue Cross Shield of Florida Inc.(Florida Blue)
to Blue Cross Blue Shield National Alliance effective 10/01/2023 thru 9/30/2026
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month period following such termination and upon receipt by BCBSF of payment in full of <br />all statements as specified above, BCBSF will refund the advanced deposit, if any. <br />XII. A. Inter -Plan Arrangements <br />BCBSF and its Designated Agent have a variety of relationships with other Blue Cross and/or <br />Blue Shield Licensees referred to generally as "Inter -Plan Arrangements." These Inter -Plan <br />Arrangements operate under rules and procedures issued by the Blue Cross Blue Shield <br />Association ("Association"). Whenever members access healthcare services outside the <br />geographic area BCBSF's Designated Agent serves (i.e. South Carolina), the claim for those <br />services may be processed through one of these Inter -Plan Arrangements. The Inter -Plan <br />Arrangements are described generally below. <br />Typically, when accessing care outside the geographic area BCBSF's Designated Agent <br />serves (i.e. South Carolina), members obtain care from healthcare providers that have a <br />contractual agreement ("participating providers") with the local Blue Cross and/or Blue <br />Shield Licensee in that other geographic area ("Host Blue"). In some instances, members <br />may obtain care from healthcare providers in the Host Blue geographic area that do not have <br />a contractual agreement ("nonparticipating providers") with the Host Blue. BCBSF remains <br />responsible for fulfilling our contractual obligations to Employer. BCBSF's and/or its <br />Designated Agent's payment practices in both instances are described below. For purposes <br />of Inter -Plan Arrangements, BCBSF is a Host Blue for services provided within Florida. <br />This disclosure describes how claims are administered for Inter -Plan Arrangements and the <br />fees that are charged in connection with Inter -Plan Arrangements. (Note that Dental Care <br />Benefits, except when not paid as medical claimsibenefits, and those Prescription Drug <br />Benefits or Vision Care Benefits that may be administered by a third party contracted by <br />BCBSF and/or its Designated Agent to provide the specific service or services are not <br />processed through Inter -Plan Arrangements.) <br />B. B1ueCard® Program <br />The B1ueCard® Program is an Inter -Plan Arrangement. Under this Arrangement, when <br />members access covered healthcare services within the geographic area served by a Host Blue, <br />the Host Blue will be responsible for contracting and handling all interactions with its <br />participating healthcare providers. The financial terms of the B1ueCard Program are described <br />generally below. <br />1. Liability Calculation Method Per Claim — In General <br />a. Member Liability Calculation <br />Unless subject to a fixed dollar copayment, the calculation of the member liability on <br />claims for covered healthcare services will be based on the lower of the participating <br />provider's billed covered charges or the negotiated price made available to BCBSF <br />and/or its Designated Agent by the Host Blue. <br />b. Employer Liability Calculation <br />The calculation of Employer liability on claims for covered healthcare services <br />processed through the B1ueCard Program will be based on the negotiated price made <br />29 <br />
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