Common use of BLUE CROSS AND BLUE SHIELD ASSOCIATION Clause in Contracts

BLUE CROSS AND BLUE SHIELD ASSOCIATION. 7.1. Blue Cross and Blue Shield Association. 7.2. Out-of-Area Services 7.2.1. BlueCard® Program Under the BlueCard® Program, when Enrolled Members access covered healthcare services within the geographic area served by a Host Blue, BCBSRI will remain responsible to GROUP for fulfilling BCBSRI contractual obligations. However, in accordance with applicable Inter-Plan Programs policies then in effect, the Host Blue will be responsible for providing such services as contracting and handling substantially all interactions with its participating healthcare providers including some managed care services, as applicable. The financial terms of the BlueCard Program are described generally below. Individual circumstances may arise that are not directly covered by this description; however, in those instances, BCBSRI’s action will be consistent with the spirit of this description. The BlueCard program does not apply to Group Plan 65 and dental coverage.

BLUE CROSS AND BLUE SHIELD ASSOCIATION. 7.1. Blue Cross and Blue Shield Association. 7.2. Out-of-Area Services 7.2.1. BlueCard® Program Under the BlueCard® Program, when Enrolled Members access covered healthcare services within the geographic area served by a Host Blue, BCBSRI will remain responsible to GROUP for fulfilling BCBSRI contractual obligations. However, in accordance with applicable Inter-Plan Programs policies then in effect, the Host Blue will be responsible for providing such services as contracting and handling substantially all interactions with its participating healthcare providers including some managed care services, as applicable. The financial terms of the BlueCard Program are described generally below. Individual circumstances may arise that are not directly covered by this description; however, in those instances, BCBSRI’s action will be consistent with the spirit of this description. The BlueCard program does not apply to Group Plan 65 65, dental, and dental vision coverage.

BLUE CROSS AND BLUE SHIELD ASSOCIATION. 7.1. Blue Cross and Blue Shield Association. 7.2. Out-of-Area Out-­‐of-­‐Area Services 7.2.1. BlueCard® Program Under the BlueCard® Program, when Enrolled Members access covered healthcare services within the geographic area served by a Host Blue, BCBSRI will remain responsible to GROUP for fulfilling BCBSRI contractual obligations. However, in accordance with applicable Inter-Plan Programs policies then in effect, the Host Blue will be responsible for providing such services as contracting and handling substantially all interactions with its participating healthcare providers including some managed care services, as applicable. The financial terms of the BlueCard Program are described generally below. Individual circumstances may arise that are not directly covered by this description; however, in those instances, BCBSRI’s action will be consistent with the spirit of this description. The BlueCard program does not apply to Group Plan 65 and dental coverage.