Table of Contents

  • Welcome 
  • Preface 
  • About BCBSNE 
  • Advertising Policy 
  • Section 1 - Network Blue 
  • Section 2 - What is the BlueCard® Program? 
  • Section 3 - Federal Employee Health Benefits Program
  • Section 4 - Member ID Card Information
  • Section 5 - Member Cost-Share Information
  • Section 6 - Preventive Care Benefits
  • Section 7 - Routine Vision Services
  • Section 8 - Pharmacy Benefits Overview
  • Section 9 - Provider Responsibilities
  • Section 10 - Claims Submission and Provider Reimbursement
  • Section 11 - General Billing Guidelines – Professional
  • Section 12 - General Billing Guidelines – Hospital and Facility
  • Section 13 - Home Medical Equipment, Home Infusion, Home Health, and Hospice
  • Section 14 - Mental Health
  • Section 15 - Quality Management
  • Section 16 - Member Benefit Appeal, Network Termination and Appeal, and Provider Corrective Actions
  • Section 17 - Non-Covered Services
  • Section 18 - Definitions, Terms, and Abbreviations
  • Section 19 - How to Contact Us