What is the coverage for out-of-network providers with Blue Cross and Blue Shield (TN)?

Asked 2 years ago
Blue Cross and Blue Shield of Tennessee typically offers various plans with different levels of coverage, including options for out-of-network providers. Coverage for services rendered by out-of-network providers may vary based on the specific health plan an individual has enrolled in. Generally, members may have to pay higher out-of-pocket costs for services received from out-of-network providers compared to in-network providers. In many cases, insurance plans will have a designated deductible that must be met before coverage kicks in for out-of-network care. Once the deductible is satisfied, the plan may cover a percentage of the costs after the member has paid their coinsurance. The higher costs associated with out-of-network care often include higher deductibles and maximum out-of-pocket limits. It is important for members to understand the details of their particular plan, as not all plans provide the same level of out-of-network benefits. Some plans may have extremely limited coverage for out-of-network services or might require prior authorization. Members are encouraged to review their benefit documents carefully to get an accurate understanding of their out-of-network coverage options. To access more tailored information and updates on coverage policies, visiting the official Blue Cross and Blue Shield of Tennessee website could be helpful.
Christian Allen is the editor / author responsible for this content.
Answered Aug 3, 2025

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