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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements

View requirements for Local Plan and BlueCard Out-of-Area members.

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Health Insurance Exchanges Information

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Click here to access other Health Care Reform information posted on our website 
 
The Affordable Care Act (ACA) calls for the development of health plans that will be offered on Health Insurance Marketplaces (commonly referred to as Exchanges), as well as health plans not purchased on the public exchange. To support this initiative, BCBSGa has developed provider networks to service these new health plans and reflect the needs of our anticipated membership. Providers will be able to easily identify these plans by the network name noted on the member ID card. Please refer back to this page often for information on these health plans. 
 
In addition to posting Exchange information on this page, we will publish articles in the Network Update and use our email service, Network eUPDATE to communicate information about Health Insurance Exchanges. If you are not yet signed up to receive Network eUPDATEs, we encourage you to enroll now so you’ll be sure to receive all information we’ll be sending about Exchanges. 
 
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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.