BCBSNE Webinars

Previous Webinars

November 2015

A New Opportunity - Medicare Advantage

  • Webinar Recording (Coming soon!)  
  • Presentation PDF
  • Return signed contract by December 18, 2015!

The Basics of Dental Claims 

September 2015

The ABCs of FEP

August 2015

Risk Adjustment

June 2015

ICD-10: The Final Stretch

May 2015

The Appeal and Reconsideration Process

July 2014

BlueCard® Basics

June 2014

NeHii: Offering Benefits to Providers

May 2014

Credentialing Basics

April 2014

Health Care Reform Update

March 2014

Going Green with Blue 

December 2013

Affordable Care Act

Pediatric Dental Services

September 2013

Provider Service Changes

APR-DRG Webinar

July 2013

Provider Resource Webinar

  • Webinar Recording
  • Please follow the instructions below to view a recorded webinar.
    • Please download the recorded webinar (zip) file below (by right clicking and saving) to your local computer. By saving the file to your local computer, it will allow you to start and stop the video at your convenience.
    • Once you have saved the zip file to your local computer, open the folder location and double-click the zip file. The file will run through an extraction process which may take several minutes.
    • After the extraction process, double-click on the video (.wmv) file and open.
    • Download Windows Media Player to view the video.



HEALTH INSURANCE TERMS



Affordable Care act

The Affordable Care Act (ACA), sometimes called Obamacare, is a federal law designed to make health care more affordable, accessible and of higher quality.

COINSURANCE

The percentage of the bill you pay after your deductible has been met.

COPAY

A fixed amount you pay when you get a covered health service.

DEDUCTIBLE

The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.

health insurance marketplace (exchange)

The government Website (healthcare.gov) where you can purchase health insurance and see if you qualify for a tax credit (subsidy) to help pay premiums and out-of-pocket costs. 

in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)

out-of-pocket

Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.

penalty

If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.

premium

The amount you pay to your health insurance company each month. 


Preventive services

Health care services that focus on the prevention of disease and health maintenance.

rehab SERVICES

Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).

specialist

A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.

SUBSTANCE ABUSE DISORDER SERVICES

Includes behavioral health treatment, counseling, and psychotherapy.

tax credit

Financial assistance from the government that helps those who are eligible pay for health insurance. Eligibility is generally determined by household income and family size.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider.