Provisions contained in each health benefits plan that specify who qualifies for coverage under that plan.
As you explore our site, you may come across an unfamiliar word or term. We've developed a glossary that we hope will help you.
An illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe harm.
Ambulance services for an emergency medical condition.
Emergency services you get in an emergency room.
Evaluation of an emergency medical condition and treatment to keep the condition from getting worse.
Federal legislation that establishes certain rights and protections to participants of most employer welfare (e.g., health, dental, life) and pension (e.g., 401(k), retirement) benefit plans.
Healthcare services that your health insurance or plan doesn't pay for or cover.
A summary sent to the member showing how much BCBSKS paid, what the member's financial responsibility may be, and any provider write-offs.
See Medicare Summary Notice.