Medical Benefits

Blue Cross Community Centennial covers your physical health care needs. Plan benefits include:

  • Preventive care services to help keep you healthy
  • Well-child visits for kids from birth to age 21
  • Early and periodic screening, diagnostic and treatment (EPSDT)
  • Family planning services
  • Urgent care services
  • Emergency services

Here are just some of the services covered when medically necessary:

Covered ServiceDoes service need to be preauthorized?
Office visits to PCPs or specialists No
Diabetes self-management services Depends on the exact service
Podiatry (foot and ankle) services Depends on the exact service
Routine exams for kids and teens No
Pregnancy related and maternity services No
Covered services provided in school-based health clinics No
Medical supplies; durable medical equipment Medical supplies that cost $1,000 or more require preauthorization.
Ground and air ambulance Ground – No
Air – Yes
Hospital services (inpatient, skilled nursing) Yes
Hospital services (outpatient) No (except some outpatient tests such as CT scans or MRI may require preauthorization)
Nursing facilities Yes
Dialysis services Yes
Surgery, including pre- and post-operative care Depends on the surgery. All transplants and pre-transplant evaluations require preauthorization
Lab tests, x-rays, EKGs, medical imaging Depends on the exact service
Special rehab services such as physical therapy, speech therapy, cardiac rehab, etc. Yes
Home health care and IV services Yes
Chemotherapy and radiation therapy No
Hospice Yes

To learn more about covered medical benefits, see the Member Handbook pdf.

Don't forget to talk with your PCP about how to stay fit and eat right. There are recommended health screenings for adults and kids. Here are guidelines to help you manage your care. Ask your doctor about what screenings you might need.

Preventive Care Guidelines for Adults pdf

Preventive Care Guidelines for Children pdf

 

Contact Us

If you have questions about Blue Cross Community Centennial, call 866-689-1523. Members with hearing or speech loss can call the TTY/TDD line at 711. You can also email us.