Getting to know Bridge Blue (2022)

Bridge Blue short-term medical point-of-service (POS) plans are a flexible, affordable and convenient way to bridge the gap in healthcare coverage. They provide you with medical and prescription drug benefits for up to 11 months.

*Bridge Blue POS plans are products of HMO Louisiana, Inc., a subsidiary of Blue Cross and Blue Shield of Louisiana. Both companies are independent licensees of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity Co.

Bridge Blue POS plan = HMO Louisiana HMO/POS network

Bridge Blue Connect POS plan = Blue Connect HMO/POS network

Bridge Community Blue POS plan = Community Blue HMO/POS network

Bridge Precision Blue POS plan = Precision Blue HMO/POS network

ID card
1

MEMBER NAME

- Your name will appear here.

2

MEMBER ID NUMBER

- Used to identify you so your provider knows how to bill your health plan.

3

PHARMACY COVERAGE

- This is where you will find Plan Description and ID Numbers relating to your Pharmacy Coverage.

4

PLAN TYPE

- What type of network your plan has and which providers you can see who are "in-network."


KNOW YOUR COVERAGE

Where Am I Covered?

Coverage map for Bridge Blue

 Bridge Blue POS

  • Available statewide

Bridge Blue Connect POS

  • Acadia, Bossier, Caddo, Evangeline, Iberia, Jefferson, Lafayette, Orleans, Plaquemines, St. John the Baptist, St. Bernard, St. Charles, St. Landry, St. Martin, St. Mary, St. Tammany, and Vermillion parishes

 Bridge Community Blue POS

  • Ascension, East Baton Rouge, Livingston, and West Baton Rouge parishes

 Bridge Precision Blue POS

  • Ascension, East Baton Rouge, Caldwell, Livingston, Morehouse, Ouachita, Richland, Pointe Coupee, and East Baton Rouge, Union and West Baton Rouge parishes

    •  

Visit bcbsla.com/findcare to find a doctor in your network.

Health Benefits

Certain preventive and wellness care services are covered and some of those services will be paid at 100% when you go to a provider in your network. These covered services include annual exams, colonoscopies, mammograms and more. For more information on coverage of preventive and wellness care services, refer to your contract book by visiting www.bcbsla.com/contract-booklet.

Office Visits

Lab tests, blood work, X-rays

Emergency services

Hospitalization

Hospice
(with an allowable policy term limit)

Maternity care
(with a separate high deductible)

Prescription drugs
( excluding contraceptive coverage)

Physical therapy
(with an allowable policy term limit)

Occupational therapy
(with an allowable policy term limit)

Speech therapy
(with an allowable policy term limit)

Home health
(with an allowable policy term limit)

Private duty nursing
(with an allowable policy term limit)

Mental healthcare and substance use disorder services, including behavioral health treatment

Preventative and wellness services and Chronic disease management
(excluding contraceptive drugs and devices)

 

Certain limitations and exclusions apply to Essential Health Benefits

Schedule of Benefits

Your Schedule of Benefits (SOB) includes information about what services are covered, what's not covered and how much it will cost.
Example of Schedule of Benefits document
1

IN-NETWORK

providers have agreed to accept a contracted (discounted) rate for your care. You'll save money by visiting a doctor or hospital in your network.
2

OUT-OF-NETWORK 

providers can charge more, which means you'll pay more when you visit an out-of-network doctor or hospital.
3

COMPARISON

Shows a breakdown of what you can expect to pay for specific services if you choose to visit a doctor that is in your network versus one that is outside your network.

Prescription Drug Coverage

You can manage your prescription drug coverage by logging in at bcbsla.com/myaccount and choosing "Pharmacy" on the dark blue bar near the top of the page. Once you log in, you can:
See your drug claims Price a drug See your drug benefits Learn about your medicine Find a pharmacy File a drug claim
You can also view covered drug lists, search for drugs and find out how to save on drugs at bcbsla.com/rx.


MANAGE YOUR COST

Stay in Your Network

Control costs by staying in your network. Your plan includes both in-network and out-of-network coverage, but you will pay more when you visit an out-of-network doctor or hospital.

Be proactive about staying in your network by visiting bcbsla.com/findcare to find a doctor or hospital in your network.

Bridge Blue POS plan = HMO Louisiana HMO/POS network

Bridge Blue Connect POS plan = Blue Connect HMO/POS network

Bridge Community Blue POS plan = Community Blue HMO/POS network

Bridge Precision Blue POS plan = Precision Blue HMO/POS network

Pick a Primary Care Doctor

With all Bridge Blue plans, you must pick a primary care provider (PCP) in your network to handle most of your medical needs when sick or injured.
General Practice, Family Practice, Internal Medicine, Geriatrics (for adults), Pediatrics (for children)
Pick a primary care doctor by logging into your account or by calling Blue Cross Customer Service at the number on the back of your ID card.

Quality Blue

We are committed to providing you with affordable access to quality healthcare through our Quality Blue program. If your doctor takes part in this program, you are a part of it, too. You can ask your provider if they are in the Quality Blue program or look them up in our directory at bcbsla.com/findcare. Quality Blue providers have an indicator as shown below:

Quality Blue Provider

Learn More About Quality Blue

Get Care in the Right Place

Save time and money by getting the right care in the right place. Don't go to the emergency room for a cold.

Primary Care

$$

BlueCare Telehealth

$$

Urgent Care

satchel with three dollar signs

$$$

Emergency Room

ambulance icon with three dollar signs

$$$$

Choose the Right Care


BENEFIT FROM CONVENIENCE

Your Online Account

Activate your Blue Cross online account quickly and easily. Once you're registered, you can manage your account, choose to go paperless, review your benefits, see your claims status, view your digital ID card, and more - 24 hours a day, seven days a week.
Image of laptop
Learn How to Set Up Your AccountActivate Your Account

BlueCare Telehealth: Get Care from Anywhere!

Medical and behavioral health visits available.

Have a BlueCare online medical visit 24/7 or behavioral health visit by appointment using a computer, smartphone, tablet or any device with internet and a camera. Before every visit, you will see what it will cost based on your plan type and benefits. You will not be charged until the visit is complete. All providers are U.S. trained and board certified.

BlueCare is

24/7

for medical visits
BlueCare is

Faster

than going to urgent care
BlueCare costs

Less

than the ER

Visit www.BlueCareLA.com or download the BlueCare (one word) mobile app on your Apple or Android device.
BlueCare logo
Download on the Apple StoreGet it on Google Play  

Explanation of Benefits

After each visit to a doctor or hospital, we will send you an Explanation of Benefits (EOB). It is a summary of the charges for the care or services you received. It shows what we cover and what the provider charged or what the service cost. It is not a bill. You may choose to go paperless and get your EOBs online by logging in at bcbsla.com/myaccount and choosing "Account Preferences."
Image of example Explanation of Benefits
1

AMOUNT CHARGED

What the doctor, clinic or hospital charged for care.
2

PLAN(S) DISCOUNTS & PAYMENTS

This is your discount on care costs or what your plan paid for care.
3

YOUR RESPONSIBILITY

This is what you must pay for care before your health coverage begins to pay for the parts of your care that are not covered by your plan.
4

AMOUNT YOU MAY OWE

This is the part of your claims you may have to pay out of pocket.
Go to EOB

What Should You Do After Enrollment?

Congratulations! You've got health insurance. But now what do you do? Don't worry, we've got answers!

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