Common use of BlueCard® Program Clause in Contracts

BlueCard® Program. Under the BlueCard Program, when Members obtain Out-of-Area Covered Healthcare Services within the geographic area served by a Host Blue, Keystone will remain responsible for fulfilling Keystone’s contractual obligations. However the Host Blue is responsible for contracting with and generally handling all interactions with its participating healthcare providers. The BlueCard Program enables Members to obtain Out-of-Area Covered Healthcare Services, as defined above, from a healthcare provider participating with a Host Blue, where available. The participating healthcare provider will automatically file a claim for the Out-of-Area Covered Healthcare Services provided to the Member, so there are no claim forms for a Member to fill out. The Member will be responsible for any applicable Cost-Sharing Amounts, as outlined in the Schedule of Cost Sharing section of this Agreement.

BlueCard® Program. Under the BlueCard Program, when Members obtain receive Out-of-Area Covered Healthcare Services within the geographic area served by a Host Blue, Keystone will remain responsible for fulfilling Keystone’s contractual obligationsdoing what Keystone agreed to in the contract. However the Host Blue is responsible for contracting with and generally handling all interactions with its participating healthcare providers. The BlueCard Program enables Members to obtain Out-of-Area Covered Healthcare Services, as defined above, from a healthcare provider participating with a Host Blue, where available. The participating healthcare provider will automatically file a claim for the Out-of-Area Covered Healthcare Services provided to the Member, so there are no claim forms for a Member to fill out. The Member will be responsible for any applicable Cost-Sharing Amounts, as outlined in the Schedule Summary of Cost Sharing and Benefits section of this Agreement.