What makes Blue Cross Blue Shield different?
Asked by: Dr. Carson Lesch MD | Last update: September 20, 2025Score: 4.6/5 (1 votes)
What is the difference between standard and basic Blue Cross Blue Shield?
With FEP Blue Basic, you can enjoy no deductible with care from in-network providers. FEP Blue Standard gives you the flexibility to receive care both in and out-of-network. For more information about the differences between the three plans, you can: Visit the Compare Our Plans page.
Why is Blue Cross Blue Shield so good?
In every ZIP Code, Blue Cross and Blue Shield companies offer a personalized approach to health care based on the needs of the communities where their members live and work. They work closely with hospitals and doctors in the communities they serve to provide quality, affordable health care.
How is Blue Cross Blue Shield different?
Blue Cross and Blue Shield developed separately, with Blue Cross providing coverage for hospital services and Blue Shield covering physicians' services. Blue Cross is a name used by an association of health insurance plans throughout the United States.
What is the difference between a PPO and a HMO?
HMOs (health maintenance organizations) are typically cheaper than PPOs, but they tend to have smaller networks. You need to see your primary care physician before getting a referral to a specialist. PPOs (preferred provider organizations) are usually more expensive.
Health Insurance 101: How Insurance Works In 90 Seconds | BCBSND
Why is Blue Shield so expensive?
That said, the brief statement released by Blue Shield of California explains the reasons for the increases: higher provider prices, increased utilization, and a decline in enrollment in a bad economy resulting in spiraling premiums due to adverse selection.
Who is the best health insurance provider?
Investopedia's analysis ranks Kaiser Permanente as the best health insurance company for 2025 because of its blend of affordability and low customer complaints. UnitedHealthcare and Aetna also earned top marks. We evaluated nine insurers using dozens of criteria, such as customer satisfaction, plan types, and costs.
Is Blue Cross Blue Shield good in all states?
Every Blue Cross Blue Shield plan participates in the BlueCard program that allows you to use your plan benefits to access care anywhere inside the United States.
Is Blue Cross cheaper than Blue Shield?
Depending on your region, the cheapest California health plan might be offered by Anthem Blue Cross or by Blue Shield of California. However, the rates tend to be about the same. The big difference is network. Which plan offers the most doctors, hospitals and medical provider networks?
Is Blue Cross Blue Shield good for dental?
We can help you and your family smile with confidence. That's the Benefit of Blue®. Both our high-option and standard-option plans offer the comprehensive dental benefits you and your family need, including: in-network covered preventive care paid in full, including up to three cleanings a year.
Is Blue Cross Blue Shield an advantage plan?
Medicare Advantage plans, including the BCBS options, have a broad network of physicians and hospitals where you can receive care.
Is Blue Cross Federal PPO or HMO?
We have a Preferred Provider Organization (PPO)
Our fee-for-service Plan offers services through a PPO. This means that certain hospitals and other healthcare providers are “Preferred providers.” When you use our PPO (Preferred) providers, you will receive covered services at a reduced cost.
Is Anthem Blue Cross the same as regular Blue Cross?
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.
Which health insurance denies the most claims?
According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.
What is the most expensive health insurance?
Platinum health insurance is the most expensive type of health care coverage you can purchase. You pay low out-of-pocket expenses for appointments and services, but high monthly premiums. Plans typically feature a small deductible or no deductible and cheap copays or coinsurance.
Who is the most trusted insurance company?
- Best for customer satisfaction: Erie Insurance.
- Best for seniors: Nationwide.
- Best for liability insurance: Auto-Owners.
- Best for claims filing : State Farm.
- Best for bundling: American Family.
- Best for accident forgiveness: Progressive.
- Best for military members and veterans: USAA.
Why is Blue Cross Blue Shield being sued?
The lawsuit alleged a range of antitrust violations by BCBS, including price fixing and allocating markets using exclusive service areas.
Who is buying out Blue Cross Blue Shield?
Elevance Health's $2.5 billion acquisition of Blue Cross and Blue Shield of Louisiana (BCBSLA) is on pause yet again amid concerns about the impact on competition.
How much does a CT scan cost with Blue Cross Blue Shield?
How much does a CT scan cost with Blue Cross Blue Shield? Insurers can decide to cover a CT scan based on a patient's condition, where the scan takes place and how many scans are needed. You can expect Blue Cross Blue Shield to pick up some of the cost, leaving you to pay between $400 and $700.
Why do doctors prefer PPO?
HMO plans might involve more bureaucracy and can limit doctors' ability to practice medicine as they see fit due to stricter guidelines on treatment protocols. So just as with patients, providers who prefer a greater degree of flexibility tend to prefer PPO plans.
Is Blue Shield PPO or HMO better?
HMO plans are generally less expensive than PPO plans, with lower monthly payments, making them ideal if your favorite doctors are already in the network, or if you receive most of your care close to home.
What is a disadvantage of a PPO plan?
In general, PPO plans tend to be more expensive than an HMO plan. Your monthly premium will be higher and you will have to meet your deductible before your health insurer starts paying. You will also have to pay more out-of-pocket if you visit a provider who is not part of your PPO network.