Insurance Basics
Understanding how health insurance works can be challenging. We want to help you demystify your health coverage so we‘ve assembled some useful information based on common questions we hear from people looking to purchase coverage and from our plan members every day.
To determine eligibility for sleep apnea devices, members must complete a pre-determination form to assess eligibility.
Our plans contain an exclusion that prohibits us from paying automobile-related illnesses or injuries
Our plans contain an exclusion that prohibits us from paying workplace-related illnesses or injuries
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Certain drugs require prior authorization to confirm intended use and to ensure full or partial reimbursement...
For your treatments to be covered, your practitioner has to be registered with the appropriate college or association…
Many dental offices can bill Pacific Blue Cross directly so you only pay your dentist for the amount not covered by your plan
If you’ve been prescribed foot orthotics or orthopaedic shoes there are a few things you’ll need to know before you make your purchase and file your claim
Benefits fraud and insurance abuse are not victimless – they are real crimes with real consequences.
Learn how to submit a claim with Pacific Blue Cross. Access step-by-step instructions and helpful tips to ensure a smooth and hassle-free claims process.
Get your claims processed faster by using our online claiming system