2021 Blue Cross Blue Shield Coverage

Blue Cross Shield Association provides health insurance to more than 100 million people across the United States. Blue Cross provides hospital services coverage, while Blue Shield covers doctors’ services. 

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BCBS Operating States

Blue Cross Blue Shield operates in all states, including the District of Columbia and Puerto Rico. It has two offices: in Chicago and Washington, D.C.

BCBS Health Insurance Overview

Does Blue Cross Blue Shield Cover Acupuncture

In some cases, Blue Cross health plans cover acupuncture, if it is prescribed by your doctor and deemed medically necessary. This may be due to chronic pain that has lasted at least six months and has not responded to other treatment, such as medication or physical therapy, or for nausea resulting from surgery or chemotherapy. (Source)

Does Blue Cross Blue Shield Cover Chiropractic

Yes, Blue Cross Blue Shield covers chiropractic services, when they are determined medically necessary by a doctor. In addition, the individual must have clinical symptoms of a condition that may be improved or resolved by standard chiropractic therapy, a treatment plan must be clearly documented, the chiropractic procedures must be clearly related to the patient’s condition, and the chiropractic care must be performed by a licensed chiropractor. (Source)

Does Blue Cross Blue Shield Cover Allergy Testing

Blue Cross Blue Shield will cover allergy testing, when it is determined to be medically necessary. Certain allergy testing procedures, such as routine re-testing, may not be covered. (Source)

Does Blue Cross Blue Shield PPO Cover Abortions

Blue Cross Blue Shield PPO plans cover this elective procedure, but not in every state. The Hyde Amendment, which bans federal funding from going to abortion clinics in 32 states, prevents coverage — in those states, it may be extremely difficult to access an abortion unless the mother or fetus is in mortal danger. (Source)

Does Blue Cross Blue Shield Cover Gender Reassignment Surgery

In some states, Blue Cross Blue Shield covers gender reassignment surgery, when such surgery is considered medically necessary for the treatment of gender dysphoria. (Source)

Does Blue Cross Blue Shield Cover Birth Control

Yes, Blue Cross Blue Shield covers birth control, including oral contraceptives, intrauterine devices, injections, and emergency contraception. Coverage may depend on the type of plan you are enrolled in. (Source)

Does Blue Cross Blue Shield Cover Breast Reduction

Breast reduction surgery, also known as reduction mammoplasty, is covered by Blue Cross Blue Shield if considered medically necessary. Several criteria must be met, including a diagnosis of macromastia, the diagnosis of two or more symptoms of hypertrophy (backache, posture change, hygiene problems, or other), and the failure to relieve symptoms using nonsurgical treatment (including exercise, hot/cold treatment, and an appropriate support bra) for at least six weeks. Patients must also be at least 18 years of age, or must have reached breast maturity. It is important to note that breast reduction surgery is different from mastectomy, which removes all or part of the breast to treat cancer or another breast disease. (Source)

Does Blue Cross Blue Shield Cover Infertility

Blue Cross Blue Shield covers infertility when it is diagnosed as medically necessary. Diagnostic tests, including tests to rule out endocrine causes of infertility and semen analysis, among other tests, must be performed to determine that infertility treatments are necessary. Treatments may include infertility drugs and operative procedures, but coverage frequently excludes artificial means of conception, such as artificial insemination and in vitro fertilization. (Source)

Does Blue Cross Blue Shield Cover STI Testing

Some STI testing, including screening for HIV, syphilis, gonorrhea, and Hepatitis A and B, are covered by Blue Shield Blue Cross for both sexually active men and women when it is deemed medically necessary. This may include testing as part of a pregnancy screening, testing for individuals who are deemed high-risk, testing for victims of sexual assault, or routine testing for men who have sex with men, among other scenarios. (Source)

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BCBS Mental Health Insurance Overview

Does Blue Cross Blue Shield Cover Mental Health

Blue Cross Blue Shield covers a variety of mental health services, treatments, and medications. The three main areas covered by Blue Cross Blue Shield are harm reduction, medication management, and therapy. (Source)

Does Blue Cross Blue Shield Cover therapy

Many Blue Cross Blue Shield plans cover therapy, however, plans started before 2014, which is when the Affordable Care Act was enacted, may not cover therapy. Blue Cross Blue Shield covers evidence-based therapeutic services, such as psychoanalysis.  (Source)

BCBS Dental Insurance Overview

Does Blue Cross Blue Shield Cover Dental

Most Blue Cross Blue Shield insurance providers offer add-on plans to cover dental care. These plans can include preventive packages, which cover procedures such as routine cleanings, and more comprehensive packages that cover minor and major services and procedures, such as fillings and dental surgeries. These plans must be purchased separately.  (Source)

Does Blue Cross Blue Shield Cover Braces

Some Blue Cross Blue Shield dental plans offer coverage for orthodontic needs, such as braces. These plans must be purchased separately. (Source)

Does Blue Cross Blue Shield Cover Braces For Adults

Some Blue Cross Blue Shield dental plans offer coverage for orthodontic needs, including braces for adults. These plans must be purchased separately. (Source)

Does Blue Cross Blue Shield Cover Dental Surgery

Blue Cross Blue Shield dental plans provide some coverage for dental surgery. Depending on the plan, the amount of coverage offered can vary. (Source)

Does Blue Cross Blue Shield Cover Wisdom Teeth Removal

Wisdom tooth removal is covered by Blue Cross Blue Shield dental plans. (Source)

Does Blue Cross Blue Shield Cover Dental Implants

Some Blue Cross Blue Shield dental plans provide coverage for dental implants. (Source)

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BCBS Vision Insurance Overview

Does Blue Cross Blue Shield Cover Lasik

Some Blue Cross Blue Shield vision plans, which can be purchased separately, offer a discount on LASIK eye surgery. The LASIK discount is usually between 15-25%, depending on the state. (Source)

Does Blue Cross Blue Shield Cover Cataract Surgery

Cataract surgery using the monofocal intraocular lens is covered by Blue Cross Blue Shield. (Source)

BCBS Prescription Drug Insurance Overview

Does Blue Cross Blue Shield Cover Hearing Aids

Coverage for hearing aids can be purchased through a Blue Cross Medicare Supplement or Legacy Medigap plan. (Source)

Does Blue Cross Blue Shield Cover Blood Pressure Monitors

Some Blue Cross Blue Shield plans may cover blood pressure monitors when they are considered medically necessary (for instance, when a patient has received a diagnosis of hypertension). (Source) Blood pressure monitors are covered by the Blue Cross and Blue Shield Federal Employee Program. (Source)

Does Blue Cross Blue Shield Cover Cialis

Blue Cross Blue Shield covers Cialis if it is determined medically necessary. A patient must have a diagnosis of erectile dysfunction or benign prostatic hyperplasia, among other criteria, in order for coverage to apply. (Source)

Does Blue Cross Blue Shield Cover Chantix

Chantix is covered by Blue Cross Blue Shield. (Source)

Does Blue Cross Blue Shield Cover the Shingles Vaccine

Most Blue Cross Blue Shield plans cover Zoster or Shingrix, both of which are shingles vaccines, for individuals aged 60 and over. (Source) (Source)

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