TRAVELLING OUTSIDE THE UNITED STATES. There are advantages to being a member of a Blue Shield plan. If you need urgent care while out of the country, contact the Blue Cross Blue Shield Global Core services through the toll-free Blue- Card Access number at (000) 000-0000 or call collect at 0-000-000-0000 24 hours a day, seven days a week. In an emergency, go directly to the nearest hospital. You should also always call us at the Customer Service number on the back of your Plan ID card. As part of this service, for inpatient hospital care, you can contact the Blue Cross Blue Shield Global Core Services Center to arrange for cashless access. If cashless access is arranged, you are responsible for the usual out-of-pocket expenses (non-covered charges, deductibles, and copayments). If cashless access is not arranged, you will have to pay the entire xxxx for your medi- cal care and submit a claim. When you receive services from a physician, you will have to pay the doctor and then submit a claim. Before traveling abroad, you may want to call Customer Service for the most current listing of participating providers or you can go on-line at xxx.xxxx.xxx and select “Find a Doctor” “Out- side of the United States” or “Blue Cross Blue Shield Global Core.” Blue Shield may pay the benefits of this Agreement directly to the Physician, Hospital, or Subscriber. Providers do not receive financial incentives or bo- nuses from Blue Shield of California. Claims are submitted for payment after Services are received. Requests for payments must be sub- mitted to Blue Shield by the Physician, Hospital or the Subscriber within one (1) year after the month in which Services are rendered or the date of pro- cessing of Medicare Benefits. The claim must in- clude itemized evidence of the charges incurred together with the documentary evidence of the ac- tion taken relative to such charges by the Depart- ment of Health and Human Services under Medicare. Benefits for Services not covered by Medicare (Part II.B.5.) are payable upon receipt of properly completed claim forms for medically necessary emergency care in a foreign country. All requests for payments and claim forms are to be sent to Blue Shield of California, X.X. Xxx 000000, Xxxxx, Xxxxxxxxxx, 00000-0000. No sums payable hereunder may be assigned with- out the written consent of Blue Shield. This prohi- bition shall not apply to ambulance Services or certain Medicare providers as required by section 4081 of the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-203...
TRAVELLING OUTSIDE THE UNITED STATES. There are advantages to being a member of a Blue Shield plan. If you need urgent care while out of the country, contact the Blue Cross Blue Shield Global Core services through the toll-free Blue- Card Access number at (000) 000-0000 or call collect at 0-000-000-0000 24 hours a day, seven days a week. In an emergency, go directly to the nearest hospital. You should also always call us at the Member Services number on the back of your Plan ID card. As part of this service, for inpatient hospital care, you can contact the Blue Cross Blue Shield Global Core Services Center to arrange for cashless access. If cashless access is arranged, you are responsible for the usual out-of-pocket expenses (non-covered charges, deductibles, and copayments). If cashless access is not arranged, you will have to pay the entire xxxx for your medi- cal care and submit a claim. When you receive services from a physician, you will have to pay the doctor and then submit a claim. Before traveling abroad, you may want to call Member Services for the most current listing of participating providers or you can go on-line at xxx.xxxx.xxx and select “Find a Doctor” “Out- side of the United States” or “Blue Cross Blue Shield Global Core.”
