Chapter 13 BlueCross BlueShield Vocabulary and Additional Terms
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Course
Blue Cross Blue Shield
Institution
Blue Cross Blue Shield
Chapter 13 BlueCross BlueShield
Vocabulary and Additional Terms
Away From Home Care Program - answerprovides continous BCBS health care coverage for
subscribers who will be out of their service area for more than 90 consecutive days
BCBS Basic Coverage - answerBlueCross BlueShield (BCBS) covera...
Chapter 13 BlueCross BlueShield
Vocabulary and Additional Terms
Away From Home Care Program - answer✔✔provides continous BCBS health care coverage for
subscribers who will be out of their service area for more than 90 consecutive days
BCBS Basic Coverage - answer✔✔BlueCross BlueShield (BCBS) coverage for the following
services: hospitalization, diagnostic laboratory services, x-rays, surgical fees, assistant surgeon
fees, obstetric care, intensive care, newborn care, and chemotherapy for cancer.
BCBS Major Medical (MM) Coverage - answer✔✔BCBS coverage for the following services,
in addition to basic coverage: office visits, outpatient nonsurgical treatment, physical and
occupational therapy, purchase of durable medical equipment (DME), mental health visits,
allergy testing and injections, prescription drugs, private duty nursing (when medically
necessary), and dental care required as a result of a covered accidental injury.
BlueCard - answer✔✔program that allows BCBS subscribers to receive local Blue Plan health
care benefits while traveling or living outside of their plan's area
BlueCard Worldwide - answer✔✔program that allows BCBS subscribers to receive local Blue
Plan health care benefits while traveling or living outside of their plan's area.
BlueCross - answer✔✔insurance plan created in 1929 when Baylor University Hospital, in
Dallas, TX, approached teacers in the Dallas school district with a plan that guranteed up to 21
days of hospitalization per year for subcribers and each dependent for a $6 annual premium
BlueCross BlueShield (BCBS) - answer✔✔joint venture between BlueCross and BlueShield
where the corporations shared one building and computer services but maintianed seperate
corporate identities
BlueShield - answer✔✔began as a resolution passed by the House of Delegates at an American
Medical Association (AMA) meeting in 1938; incorporates a concept of voluntary health
insurance that encourages providers to cooperate with prepaid health plans.
Blue Worldwide Expat - answer✔✔provide global medical coverage for active employees and
their dependents who spend more than 6 months outside the US; any US corporation with news
or existing Blue coverage that sends members to work and reside outside the US for 6 months or
more is eligible for BlueWorldwide Expat
Coordinate Home Health and Hospice Care - answer✔✔allows patients with this opton to elect
an alternate to the acute care setting
Federal Employee Health Benefits Program (FEHBP) - answer✔✔an employer-sponsored health
benefitss program established by an act of Congress in 1959, which now provides benfits to more
than 5 million federal enrollees and dependents, through contracts with about 300 third-party
payers
Federal Employee Program (FEP) - answer✔✔began covering federal employees in 1960,
provides benefits to more than 5 million federal enrollees and dependents, and under written and
administered by participating BlueCross BlueShield plans.
For-profit Corporation - answer✔✔pay taxes on profits generated by the corporation's for-profit
enterprises and pays dividends to shareholders on after-tax profits
GeoBlue - answer✔✔provides global medical coverage for active employees and their depends
who spend more than 6 months outside the U.S.
Government-Wide Service Benefit Plan - answer✔✔phrase printed below the BCBS trademark
on federal employee plan (FEP) insurance cards, which indicates that the enrollee has federal
employer-sponsored health benefits
Healthcare Anywhere - answer✔✔BCBS program that allows members of independently owned
and operated plans to have access to health care benefits throughout the US and around the world
Indemnity Coverage - answer✔✔offers choice and flexibility to subscribers who want to receive
a full range of benefits along with the freedom to use any licensed health care provider
Medical Emergency Care Rider - answer✔✔covers immediate treatment sought and received for
sudden, severe, and unexpected conditions that, if not treated, would place the patient's health in
permanent jeopardy or cause permanent impairment or dysfunction of an organ or body part.
Medicare Supplemental Plans - answer✔✔augment the Medicare program by paying for
Medicare deductibles and copayments
Member - answer✔✔subscriber
Member Hospital - answer✔✔hospital that has signed a contract to provide services for special
rates
Nonprofit Corporation - answer✔✔charitable, educational, civic or humanitarian organizaion
whose profits are returned to the program of the corporation rather than distributed to
shareholders and officers of the corporation.
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