In 1939 the term Blue Cross was used to include other plans as well.
Blue Cross is a name used by an association of health insurance plans throughout the United States.
It was developed in 1929, by Justin Ford Kimball, at Baylor University in Dallas, Texas. The first plan guaranteed teachers The plan was extended to other employee groups in Dallas, and then nationally. The American Hospital Association (AHA) adopted the Blue Cross symbol in 1939 as the emblem for plans meeting certain standards.
So as it stands today Blue Cross is an independent membership association working on a service basis and providing protection against the costs mainly of hospital care. Benefit payments are made directly to the hospital. Benefits vary among various Blue Cross associations.
And then there is Blue Shield which, rather than covering hospital care, provides protection on a service basis against the cost of surgical and medical care in a limited geographical area.
The actual Blue Cross, which was a blue Greek Cross, was created by the artist Joseph Binder under the auspices of E A van Steenwijk who was the Company secretary of Blue Cross and Blue Shield of Minnesota.
The Blue Cross began now to be used in other parts of the country as well.
At present it is a national trade organization linking 40 health insurance companies in the US, Canada and Puerto Rico together.
Supposedly, Blue Cross operations are considered to happen as franchises in specifically designated regions. At present these services are available in every state wihin the United States and every Canadian province
Blue Cross is very prevalent in providing coverage to State as well as Federal government employees and they are also very important in the administration of Social Security.
There is a problem with health insurance in the United States.
There is a conflict between the need for the insurance company to make money versus the need of their clients to remain healthy.
This need to make money has become so uncontrolled that one third of the population in the US can not afford medical insurance and medical bills today are the major cause for bankruptcies.
This is why state and federal regulation of health insurance companies is necessary.
On the other hand medical insurance companies could hypothetically face unforeseen events such as the chicken flu where a large percentage of their clients all of a sudden face horrendous hospital bills.
Theoretically this could bankrupt the insurance company within a very short timeframe.
So to prevent this situation medical insurance companies use a variety of checks and balances to limit payments to beneficiaries.
And of course it is a well-known fact that those seeking health insurance are also those most likely to have medical problems being present or future ones.
It is also known that if the cost of healthcare to the beneficiary is very low than the use of medical benefits will be much greater than if the cost is substantial.
So to find the balance where medical services are available when needed but not abused to the extend that for every paper cut you will make a visit to the doctor proper safeguards should be in place.
So in theory, if people would exercise, would eat healthy food, would avoid addictive substances, this would lower health insurance prices because the insurance companies would pay fewer doctor bills.
However, you could then also say that too much of the insurance premiums would be paid out in executive salaries or kept as profits by the company.
Only Words I Know Blue
Blue Cross of California is part of largest health insurance provider in the nation. It has been serving the health insurance needs of California residents since 1937. Blue Cross of California, together with its branded affiliates, provides health care services to more than 6.8 million members. There is a reason why Blue Cross is the largest in California. What you will find is coverage options that are easy to understand, health plans to fit everyone's budget, customer service that is always there to answer your questions and one of the largest networks of doctors and hospitals. Blue Cross of California offers four group of health plans, your standard PPO plans, HMO health plans, Lumenos Plans and Short Term Health Plans.
Preferred Provider Organization plans ? PPO plans for short ? save you money when you use healthcare providers within a selected network. Blue Cross has one of the largest PPO networks in California, with over 48,500 doctors and 465 hospitals.
By putting together this network of healthcare professionals, Blue Cross is able to ensure the quality of healthcare services its members receive. It's also able to negotiate the price those services will be given at ? enabling it to pass savings on to its members.
These plans are ideal for people with a family ? or people about to start one. They offer coverage for you and your school-age children. They also offer maternity benefits.
Best of all, most of the services you and your family need immediately are covered before you have to start paying the deductible. This includes preventive care, doctor visits, and generic prescription drugs.
Some of the features of Blue Cross PPO plans include:
?$10 copay on prescription drugs
?Maternity coverage
?Flexible deductible options ? as low as $500
?Coverage for physical therapy and acupuncture
?Coverage for ?Well Baby? and ?Well Child? care
The flexible deductible helps you budget for your medical needs. The higher the deductible you choose, the lower your monthly premiums.
Like most PPO plans, the Blue Cross plans let you use a healthcare provider outside of the network, and still enjoy some coverage. For most services, Blue Cross will still pay up to 50% of the cost of healthcare you receive outside the network. But to get full coverage, you should choose a provider within the network. Blue Cross has a provider finder to help you find a professional in your area.
Health Maintenance Organization plans ? HMO plans for short ? offer affordable coverage with predictable expenses.
HMO plans are able to offer affordable healthcare by controlling the costs of elective care. In an HMO plan, your healthcare is organized by a primary care physician. This physician is responsible for your routine care and exams, and refers you to specialists when needed. HMO plans are cheaper than PPO plans, but have a smaller network of healthcare providers.
To take advantage of the coverage, you have to use providers within the plan's network. This can be an inconvenience if your current doctor isn't part of the network. But since Blue Cross has one of the largest networks in California, finding a healthcare provider is easy. Blue Cross even has a Provider Finder to help you locate a healthcare professional near you.
Blue Cross HMO plans have low deductibles. And some of the plans have no deductible. Doctor visits have copayments as low as $10. And generic drugs only cost $10 a prescription, too.
Other HMO benefits:
?80% coverage of inpatient hospital fees
?Maternity coverage ? only a $10 copay for doctor visits
?Coverage for physical therapy and chiropractic services
?No charge for x-rays and anesthesia when related to a doctor's visit
Because of the controlled costs, budgeting for your healthcare needs is easy. And if you choose an HMO plan with no deductible, you don't have to pay out for your coverage to kick in.
While HMO plans aren't as flexible as PPO plans, the savings and the predictability of expenses are worth it for most people and families. And if you or someone in your family has a pre-existing condition, an HMO plan could be your best option.
The new Lumenos plans from Blue Cross of California give you control over your healthcare. That means you control where your healthcare dollars go. Nothing comes between you and your doctor. And with the Lumenos Health Incentive Account plan, Blue Cross will actually reward you for making healthy decisions.
Lumenos is a consumer-directed health plan. That means that instead of relying on your insurance company to make health decisions for you, you and your doctor are in control of your healthcare.
Once you meet your deductible, the Lumenos plans include 100% coverage for many healthcare needs, including visits to your doctor, inpatient hospital services, prescription drugs, and maternity care.
And like all health plans from Blue Cross of California, the Lumenos plans include access to the award-winning Blue Cross health management website. If you have health questions, the Nurse Advice Line is just a phone call away ? and available 24 hours day. And the Personal Health Coach Program will give you assistance managing your special health needs.
Both Frank Vanderlugt & Dennis Alexander are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Dennis Alexander has sinced written about articles on various topics from Health Insurance, Insurance Quotes and Health Insurance. Dennis Alexander - leading consultant for employer group and individual/family health insurance. Marketing consultant for major health insurance resource websites and brokerage firms online. If you want more information about what you just read visit. Dennis Alexander's top article generates over 110000 views. to your Favourites.
Book Of Chinese Medicine Blood stagnation may occur due to one or more abortions or lower abdominal or pelvic surgeries. Herbs have been used for centuries for their pain relieving qualities