FAQs
CareFirst, Inc. and its operating affiliates, CareFirst of Maryland, Inc.; CareFirst BlueChoice; and Group Hospitalization and Medical Services, Inc. are independent licensees of the Blue Cross Blue Shield Association.
What can I use my CareFirst Blue Rewards card for? ›
Your incentive card can be used toward your annual deductible or other out-of-pocket expenses related to eyeglasses, contact lenses and dental procedures covered by your CareFirst health plan. Make sure to always save your receipts as proof of your expense.
What is CareFirst Blue Fund debit card? ›
You'll receive a CareFirst BlueFund Visa® Debit Card in the mail. This debit card is accepted by all health care merchants who accept Visa. It can be used whenever you're paying for care or after you receive care.
How long does it take for CareFirst to process a claim? ›
Submitting Claims
- Visit your PCP.
- Up to 1 year. PCP submits claim. Every time you receive care from an in-network provider, they fill out a claim form and submit it to CareFirst. ...
- 30 days. CareFirst processes claim. ...
- EOB is sent. We will then send you an EOB by mail or electronically, so you know how your benefits were applied.
What is the difference between BCBS and Blue Shield? ›
In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS). Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans.
What is the difference between a PPO and HMO? ›
HMOs are more budget-friendly than PPOs. HMOs usually have lower monthly premiums. Both may require you to meet a deductible before services are covered, but it's less common with an HMO. With a PPO, your monthly premiums may be higher, but you will have some coverage if you go out-of-network.
How to check CareFirst Blue Rewards balance? ›
Please note: You can order a replacement card and check your incentive card balance by calling Further (our incentive administrator) at 866-758-6119. services to CareFirst members. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc.
What can I get with blue rewards? ›
The incentive card can be used toward your annual deductible or other out-of-pocket costs like copays or coinsurance related to eligible expenses (medical, prescription drug, dental and vision) under your CareFirst BlueCross BlueShield (CareFirst) health plan.
How do I redeem my blue rewards? ›
How do I redeem my Wallet Balance in-store?
- Download the Blue App & register your details in order to start earning.
- Start spending at participating brands in store.
- Notify the cashier that you have the Blue App & the amount you want to redeem.
- The cashier will scan your Blue App barcode during checkout.
How does blue card work? ›
BlueCard links participating health care providers with the independent BCBS Plans across the country, and in more than 200 countries and territories worldwide, through a single electronic network for claims processing and reimbursem*nt.
This visa card gives you access to funds in your current and savings accounts and is equipped with the latest in chip and PIN technology to help guard against unauthorised transactions. It is issued to customers with an Everyday account.
How does a health insurance debit card work? ›
An HRA, FSA, or HSA card works like a regular debit card, but it can be used only for specific qualified medical expenses. Eligible expenses are defined by federal legislation and IRS regulations. Cardholders can use the debit card at approved merchants that accept standard VISA or Mastercard.
Is BCBS of Maryland the same as CareFirst? ›
(Blue Cross) and Maryland Medical Service (Blue Shield) changed their names to Maryland Blue Cross and Maryland Blue Shield. In 1998, the Maryland and District of Columbia companies merged to form CareFirst BlueCross BlueShield.
Does CareFirst allow incidents to billing? ›
If services are determined by CareFirst to be incidental, mutually exclusive, integral to or included in other services rendered or part of a global allowance, they are not eligible for separate reimbursem*nt.
What is the first step in processing a medical insurance claim? ›
What Are the Steps in Processing a Claim?
- 1.) Patient Registration. ...
- 2.) Eligibility Verification for Health Insurance Companies. ...
- 3.) Medical Coding. ...
- 4.) Claims Transmission. ...
- 5.) Adjudication. ...
- 6.) Patient Statement Generation. ...
- Optimizing Your Claims Management Software in Healthcare. ...
- Examine Your Overall Claim Processing Cycle.
What is the relationship between CareFirst and Blue Cross Blue Shield? ›
It has dual headquarters in Baltimore, Maryland and Washington, D.C. It is a nonprofit organization and an independent licensee of the Blue Cross Blue Shield Association.
Is CareFirst BlueCross BlueShield the same as Anthem? ›
Anthem is part of the Blue Cross Blue Shield group. Blue Cross Blue Shield is made up of independent companies. Anthem is one of these companies. Other Blue Cross Blue Shield brands include Highmark, Regence and CareFirst.
What is the group name for CareFirst BlueChoice? ›
Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc.
What is Blue Cross Blue Shield called in Virginia? ›
If you would like to learn more refer to the Companion Guide located on our Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Anthem Blue Cross ...