The Blue Access plan is a comprehensive health care program that covers hospital, medical, surgical, outpatient, and other health care services such as physical therapy. Coverage is also provided for routine physicals, newborn care (including inoculations, scheduled visits, etc.), well-child checkups, treatment of mental health conditions, treatment of chemical dependency, and prescription drugs.
- Blue Access Insurance Certificate (pdf)
- Blue Access Summary of Benefits and Coverages - 2017 (pdf)
- Blue Access Summary of Benefits and Coverages - 2016 (pdf)
- Prescription Drugs
How an Individual Uses the Blue Access Plan
Health care under this plan will be provided by physicians, advanced registered nurse practitioners, certified nurse midwives, and specialists at The University of Iowa Hospitals and Clinics, the University Community Medical Services Clinics, and community physicians and facilities who are part of the Wellmark Health Plan of Iowa network. In Iowa City, this network includes Mercy Hospital.
Care by non-participating providers needed due to medical necessity (examples: referrals or ambulance transportation) may involve higher cost to you. Non-participating providers do not have contracts with Blue Cross and Blue Shield. They do not agree to accept payment arrangements and are not responsible for filing claims for you. Non-participating providers may charge more for health care than participating providers. Payment is made to you and you are responsible for paying the provider. Non-participating providers can bill you for the difference between what Blue Cross and Blue Shield will pay for a service and what they charge (balance billing).