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Get the free BlueCard Worldwide International Claim Form - ohr psu

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This form is used to submit claims for benefits for covered services received outside of the United States, Puerto Rico, and the U.S. Virgin Islands.
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How to fill out bluecard worldwide international claim

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How to fill out BlueCard Worldwide International Claim Form

01
Obtain the BlueCard Worldwide International Claim Form from the official website or your insurance provider.
02
Fill out the patient's personal details accurately, including name, policy number, and contact information.
03
Provide information regarding the healthcare provider, including their name, address, and contact information.
04
Detail the treatment received, including the date, type of treatment, and any necessary diagnoses.
05
Itemize any expenses incurred, including receipts or invoices for services provided.
06
Sign and date the form, confirming that all provided information is accurate and complete.
07
Submit the completed form along with any required documentation to the appropriate claims address provided by your insurer.

Who needs BlueCard Worldwide International Claim Form?

01
Individuals who have received medical treatment while traveling abroad.
02
Policyholders who need to claim reimbursement for international medical expenses.
03
Travelers who have BlueCard Worldwide insurance coverage.
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BlueCard is a national program that enables members of one Blue Plan to obtain healthcare service benefits while traveling or living in another Blue Plan's service area.
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Advantages of the EU Blue Card Blue Card holders are entitled to enter, re-enter and remain in the EU country where the card was issued. The period of stay ranges between one and four years. However, this varies depending on the employment contract, and this period can be extended in most countries.
As an Anthem Blue Cross and Blue Shield member, you take your health benefits with you when you. travel outside the U.S. Through the BlueCard. Worldwide® program, you can get help finding. doctors and hospitals in more than 200 countries.
Blue Cross Blue Shield Global™ provides a full range of health care coverage solutions for people who live, work and travel internationally.
The presence of another Blue Cross and/or Blue Shield's Plan logo on the member's ID card is the first visual indicator that a member may be eligible for BlueCard benefits.

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The BlueCard Worldwide International Claim Form is a standardized document that members of Blue Cross Blue Shield plans can use to submit claims for healthcare services received outside of their home country.
Members of Blue Cross Blue Shield plans who receive medical care while traveling or residing outside their home country are required to file the BlueCard Worldwide International Claim Form to seek reimbursement for eligible expenses.
To fill out the BlueCard Worldwide International Claim Form, individuals should provide their personal and insurance information, details of the medical services received, including dates and costs, and any supporting documents or receipts.
The purpose of the BlueCard Worldwide International Claim Form is to facilitate the claim submission process for members seeking reimbursement for medical services received abroad, ensuring a standardized approach to gathering necessary information.
The information that must be reported on the BlueCard Worldwide International Claim Form includes the member's name, policy number, details of the healthcare provider, date of service, description of the service provided, and total charges incurred.
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