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What is the Usual, Customary, and Reasonable (UCR) charge and how does it affect me?

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What is the Usual, Customary, and Reasonable (UCR) charge and how does it affect me?

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A. The UCR is established by Blue Cross Blue Shield of Florida using the average medical fees charged within a given zip code area. If you are using in-network services, all eligible charges will be covered. However, if you elect to access medical services out of the network, all charges that exceed the UCR rates are your responsibility and you will be balance billed by the medical provider. This will significantly increase your out-of-pocket costs.

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