A Better Blue for You
Blue Cross and Blue Shield of Louisiana is committed to improving the health and lives of Louisianians.
And to making Blue even better for you.
A hospital-based physician performs medical services only in that hospital. They give care in specialties such as:
Surprise or balance billing is when an out-of-network provider bills you for more than what your plan pays a network provider for the same care.
When you get emergency care or get treated by an out-of-network provider at a network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
If you’re having surgery at a hospital or surgery center that accepts ambulance patients, and those places are in our network, make sure that physician is in our network.
If the physician is not in network, you should ask your surgeon if you can have the surgery done at another hospital in our network.
If you can't have the surgery done at a network hospital and you get billed for the difference between Blue Cross' payment and the provider's allowable charge, call the provider's office and ask if they will accept Blue Cross' allowable charge as full payment.
Read more about out-of-network hospital-based doctors.
If you have any questions, call Customer Service at the number on your member ID card, or use our secure online inquiry form to send us your question.