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In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS). [11] Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans. The Tax Reform Act of 1986 revoked the exemption, however, because the plans sold commercial-type insurance.
The company was founded in 1936 and is based in Chicago, Illinois with a network of offices in the United States. Health Care Service Corporation is the licensee of the Blue Cross and Blue Shield Association for five states. It concentrates its operations in Illinois, Montana, New Mexico, Oklahoma, and Texas.
The subsidies for insurance premiums are given to individuals who buy a plan from an exchange and have a household income between 133% and 400% of the poverty line. [50] [56] [57] [58] Section 1401(36B) of PPACA explains that each subsidy will be provided as an advanceable, refundable tax credit [59] and gives a formula for its calculation: [60]
Blue Cross Blue Shield offers Medicare Advantage plans in many, but not all, U.S. states. Coverage may also differ by location. Read on to find out more.
Products are distributed on a group or individual basis at the worksite through national and regional brokers and professional benefit communication firms. [10] Trustmark Small Business Benefits focuses on employer-sponsored health benefit solutions for smaller employers. In addition to health plan coverage, Small Business Benefits an array of ...
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Aetna, Humana, UnitedHealth Group also exited various individual markets. Many local Blue Cross plans sharply narrowed their networks. In 2016 two thirds of individual plans were narrow-network HMO plans. [42] One of the causes of insurer losses is the lower income, older and sicker enrollee population.
This was the origin of Blue Cross. Around 1939, state medical societies created Blue Shield plans to cover physician services, as Blue Cross covered only hospital services. These prepaid plans burgeoned during the Great Depression as a method for providers to ensure constant and steady revenue. In 1970, the number of HMOs declined to fewer than 40.
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