Is Blue Shield a commercial insurance?

Asked by: Treva Rempel  |  Last update: February 11, 2022
Score: 4.3/5 (69 votes)

Blue Shield is a tax-paying, nonprofit health plan that serves the state's commercial, individual, and government markets. The company has more than 4.3 million members and, in 2018, generated more than $20 billion in annual revenue.

Is BCBS considered commercial insurance?

Most commercial health insurers are publicly traded companies that operate to generate a profit for shareholders. ... The Blue Cross Blue Shield Association, for instance, has member organizations that operate for profit, while in some states the local Blue Cross Blue Shield plan is a non-profit entity.

What is considered a commercial health insurance company?

Commercial health insurance policies are primarily sold by for-profit public and private carriers. ... In broad terms, any type of health insurance coverage that isn't provided or maintained by a government-run program can be considered a type of commercial insurance.

What is Blue Cross Blue Shield classified as?

1,253. Website. www.bcbs.com. Blue Cross Blue Shield Association (BCBSA) is a federation of 35 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people.

Is Blue Shield a private insurance?

It is private insurance.

Blue Cross Blue Shield

27 related questions found

Is Blue Shield a non-profit organization?

Blue Shield of California is a non-profit mutual benefit corporation and health plan founded in 1939 by the California Medical Association. It is based in Oakland, California, and serves 4.5 million health plan members and more than 65,000 physicians across the state.

Is Blue Shield the same as Anthem?

“In California, Anthem Blue Cross and Blue Shield are actually different companies and are competitors. In most other states, they are the same company and formed an association, the Blue Cross Blue Shield Association. Anthem Blue Cross is a for profit company in California, and Blue Shield is a non-profit.

Is BCBS a corporation?

Blue Shield of California Life & Health Insurance Company (Blue Shield Life) is a California corporation founded in 1954 and is licensed as a life and disability insurer.

Is Blue Cross Blue Shield the same in every state?

Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists.

What is PPO insurance?

A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.

Is commercial health insurance the same as private?

Commercial health insurance is run by private companies instead of the government. You can get group commercial health insurance plans through your employer, or you can purchase non-group coverage on your own.

What is a commercially insured person?

Commercial insurance is a type of health insurance that is offered and managed by non-government, private organizations. ... A commercial health insurance provides coverage for any health related expenses and disability cost for the person who is insured.

Is private insurance the same as commercial insurance?

Private companies or nongovernmental organizations issue commercial health insurance. ... Their premiums and coverage amounts are designed to create a profit for the insurance company. If your healthcare policy is not part of one of the aforementioned government programs, it is a commercial health insurance policy.

What are commercial payers?

“Commercial payer” refers to publicly traded insurance companies like UnitedHealth, Aetna, or Humana while “private payer” refers to private insurance companies like Blue Cross Blue Shield.

What type of insurance is generic commercial?

General liability insurance (GLI) is sometimes called business liability insurance or commercial general liability insurance. This type of liability insurance coverage helps protect your business from claims of bodily injury or property damage that can come up during normal business operations.

What is a commercial auto insurance policy?

Commercial auto insurance is a business insurance policy that applies to autos owned by or used in your business that protects your business against liability for damages caused by accidents involving your business autos and provides certain compensation to occupants of your business autos injured in accidents.

What's the difference between Blue Cross and Blue Shield?

The main difference between the blue cross and the blue shield is that the blue cross is a for-profit carrier, while the blue shield is a non-profit organization that works without any personal profit. ... As stated before, the blue cross was for coverage of hospital services, the blue shield was for physician's services.

What states does Blue Shield Cover?

Headquartered in Indianapolis, Indiana, Anthem, Inc. is an independent licensee of the Blue Cross and Blue Shield Association serving members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin; and specialty plan members in ...

Does Blue Cross Blue Shield of Texas work out of state?

You can find a doctor or other provider while traveling by calling a BCBSTX Personal Health Assistant or using the Provider Finder. ... If you are traveling out-of-state but within the United States, you have access to the same level of benefits you receive in-network as long as you visit in-network providers.

Who owns Horizon Blue Cross Blue Shield?

It is a not-for-profit health service corporation with a 17-member Board of Directors which governs the company for its members. There are no shareholders. Horizon Blue Cross Blue Shield of New Jersey is best known for their managed care and traditional indemnity plans for individuals and employers.

What are the 14 Anthem States?

The fourteen U.S. states served by Anthem health insurance plans include: California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin.

Are EPO and PPO the same?

A PPO offers more flexibility with limited coverage or reimbursement for out-of-network providers. An EPO is more restrictive, with less coverage or reimbursement for out-of-network providers. For budget-friendly members, the cost of an EPO is typically lower than a PPO.

Is anthem a PPO or HMO?

Anthem Blue Cross PPO is the first and continues to be the only PPO in California to have earned a Full Accreditation from the NCQA5. Full Accreditation is the highest level obtainable for a PPO.

What is Blue Shields official company name?

Corporate Name: California Physicians' Service. Blue Shield of California Foundation: Since 2005, Blue Shield has contributed more than $325 million to the Blue Shield of California Foundation to fund nonprofit organizations that help strengthen the health safety net and address and prevent domestic violence.