What are the differences between the BCBS Traditional Plan and the BCBS Transition Plan?
If you, your spouse, or any dependents are enrolled in the BCBS Transition Plan please refer to the following chart for the differences between these two plans: BCBS Traditional Plan BCBS Transition Plan Facility Services (including hospital & skilled nursing facilities) 365 day maximum 60 day renewal No dollar maximum No day maximum Lifetime payment maximum of $5 million Professional Services Master Medical services* paid as percentage of charge Master Medical services* paid as percentage of UCR** *Master Medical services include office visits and consultations, allergy testing and treatment, chiropractic manipulations, outpatient mental health, prosthetics, orthotics, durable medical equipment, ambulance, and prenatal care. **UCR is a Blue Cross term for a payment level that providers of medical care have agreed to in exchange for participation in the Blue Cross network. Providers in the Blue Cross network have agreed to accept Blue Cross payments as payment in full after you have pa
Related Questions
- What are the key differences between the traditional state plan (comprehensive major medical or CMM) and the NC SmartChoiceSM Blue OptionsSM plan (PPO)?
- Could an individual currently on the BCBS traditional plan lose their doctor if they move to the BCBS PPO plan?
- What are the differences between the BCBS Traditional Plan and the BCBS Transition Plan?
