Quality Blue

Your health is important to us. That's why we are committed to working with your provider to help you get better health outcomes and affordable access to quality health care through our Quality Blue program.

Blue Cross ID card

How do I join the Quality Blue program?

If you are a Blue Cross member and your provider takes part in this program, you are a part of it, too. You do not need to do anything special or pay anything extra.

Quality Blue logo

How can I make sure my provider is in Quality Blue?

General practice, family practice, internal medicine, pediatric medicine or geriatrics providers can be in Quality Blue. You can ask your provider if he/she is in Quality Blue. Look up your provider's name in our online directory at bcbsla.com/FindCare. If a provider is in Quality Blue, the designation will be listed next to the provider's name. As more providers join Quality Blue, the directory will be updated.

Blue Cross claims document

How does Quality Blue work?

Blue Cross makes your health claims information available securely to your provider’s office so your provider knows more about your health care history. For example, you might have filled a prescription or had a school or workplace health screening since your last visit. Your provider can treat you better if he or she knows things like this.

We believe that when we communicate more with your provider before you go in for an appointment, you will save time and get the most out of your office visits.

Ribbon with a star

What do I get from being in Quality Blue?

Keeping Up With Care: Getting most of your care with your provider can help you stay healthy and catch any problems early, when they’re easier to treat. We’ll work with your provider to help you stay on top of appointments and other preventive care you need. Everyone should have at least one checkup a year. If you have a long-term health condition, your provider may recommend you have visits more often. 

Quality, not Quantity: We pay your provider for taking extra steps to make it easy for you to get the care you need.

Reminders: Your provider will now have more information about your health history and may send you notices about screenings, tests or shots you should have.

Lower copays: If you are on a Blue Cross health plan that has copayments for primary care office visits, you may get lower copayments for office visits with a Quality Blue provider. This depends on your plan’s benefits, and it is only for the office visit. You will still pay your regular copayment for any other services, like X-rays or bloodwork, you have during an office visit.

What if I have questions?

If you have any questions about Quality Blue, what your health insurance covers or other services we offer to support your health, please call Blue Cross Customer Service at the toll-free number indicated on your member ID card.

If you have questions about how your claims information is shared with your provider’s office, please call the Blue Cross Information Governance Office at (225) 298-1751.

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