A prepaid health plan or insurance program in which members coordinate their care through a primary care physician (PCP). The primary goal is to deliver cost-effective healthcare without sacrificing quality or access.
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.
Health care services or supplies needed to prevent, diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine.
A summary sent to the member showing how much Medicare paid, what the member's financial responsibility may be, and any provider write-offs.
A health plan for people with Medicare coverage, also known as a Medigap plan. Medicare doesn't cover everything, so many people buy a Medicare supplement policy to help cover their health care bills. There are 12 standardized plans to choose from. This means that all companies can only offer the same policies, “A” through “L.” “A” is the most basic plan, while “L” covers more services. BCBSKS offers Plans A, C, F and K.
A term used in all BCBSKS internal and external communications to broadly define any person who is enrolled with benefits. For purposes of internal and external communications, a member may include an insured, a policyholder, a subscriber, or a dependent. A member must be a policyholder to vote in person or by proxy at BCBSKS policyholder meetings.