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California health insurance - Understand Health Coverage - Blue Card Program

What is the Blue Card program?

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The Blue Card program is offered by the nationwide Association of Blue Cross Blue Shield. It does not apply to HMO networks or plans.

The Blue Card program essentially extends a members network to Blue Cross Blue Shield providers in other States for PPO plans.

This is a huge benefit to going with Anthem Blue Cross or Blue Shield of California in our State.

UPDATE: The Blue Shield Individual Family PPO plans does not have access to Blue Card since 2019. Anthem EPO may still have this option via Covered California.

Other carriers may have a network (either shared or their own) in other States but the other carriers generally do not have the breadth to compete with the Blue Card network.

This option is important if you travel to other States (for vacation or work) or if your company offers California group health benefits and you have employees outside the State.

There are some States such as Hawaii who do not participate so it's important to verify at www.bluecard.com to make sure a given State participates in the network.

We find that the Blue Card program is an important concern for many situations.

It works well when students are attending school in another State but still reside in California.

It also address travel across the UnitedStates for either leisure or work.

You can quote the Anthem Individual Family (including Covered California) EPO Plans:

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Further more, it provides the equivalent of a Nationwide coverage for companies with employees in other States which address a major gap in how health insurance is handled on a State by State basis.

How does the claims side work with the Blue Card Network?

When a claim is filed in another State to a Blue Cross Blue Shield provider, the claim goes through the state in which the services occurs.

That BCBS then forwards the claim through the Blue Card system and network to the home BCBS (two separate companies in California: Anthem Blue Cross or Blue Shield of California).

Blue Cross Blue Shield Blue Card program logo representing nationwide health coverage network access

The home BCBS then processes the claims as usual. The system is pretty seamless to a member here in California. As usual, you need your ID card and/or number.

There is a three letter prefix which tells the Blue Card network which State to bill ultimately.

We have had groups with employees in multiple States with no issues relating to the processing of the claims through this Blue Card system.

Find a Doctor or Hospital Worldwide

BlueCard Doctor and Hospital Finder (you will be sent to the BlueCard Worldwide website)
BlueCard Worldwide Service Center Inside the U.S.: 1.800.810.BLUE (2583)
BlueCard Worldwide Service Center Outside the U.S. (call collect): 1.804.673.1177

Neither the Blue Cross and Blue Shield Association nor any of its independent Licensees shall be liable for any losses, damages, or uncovered charges as a result of using the BlueCard Worldwide Service Center or receiving care from any provider listed on this site.

You can run your Anthem or Blue Shield EPO/PPO Plan With BlueCard Quote here to view rates and plans side by side from the major carriers...Free.

Again, there is absolutely no cost to you for our services. Call 800-320-6269 Today!


Frequently Asked Questions
▸ What is the Blue Card program and how does it work?
The Blue Card program is offered by the nationwide Blue Cross Blue Shield Association and allows members to access in-network providers across the country. It does not apply to HMO plans or networks. If you have a qualifying Blue plan while traveling or living in another state, participating providers can still file claims through your home plan.
▸ Does the Blue Card program work with HMO health plans?
No - the Blue Card program generally does not apply to HMO networks or plans. It is typically associated with PPO-style coverage, where members have broader provider access. If you're considering a plan for out-of-area flexibility, speaking with a licensed agent can help clarify which plan types qualify.
▸ Can I use my California Blue Cross or Blue Shield plan out of state?
If your California Blue plan participates in the Blue Card program, you may be able to access in-network providers in other states through the Blue Cross Blue Shield Association network. Coverage details depend on your specific plan type, so review your benefits or compare California carriers to confirm out-of-area options.
▸ How do I find a doctor or hospital when traveling if I have a Blue Card plan?
Most Blue Card-eligible plans offer a provider finder tool through the Blue Cross Blue Shield Association website, allowing members to search for participating doctors and hospitals worldwide. Your insurance card typically identifies whether your plan participates in the Blue Card network. Contact your carrier or a licensed agent if you're unsure how to locate in-network providers while away from home.
▸ Is CalHealth.net a licensed agency that can help me choose a Blue plan in California?
Yes - CalHealth.net is operated by Goodacre Insurance Services, licensed since 1994, and serves Californians statewide across every county and region. Assistance is at no cost to you; you pay the same premium as going directly to the carrier. You can contact a licensed agent for no-pressure guidance on Blue Cross or Blue Shield plan options.
The answers above are general information about California health insurance and may change as rates, plans, and rules are updated each year. They are not a substitute for personalized advice. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
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