Make sure you're covered

Before you are treated, we encourage you to ask your doctor or health care provider to check the Regence website or call us to make sure that the services you're getting are covered by your insurance plan. You can also call Regence with any questions about whether a service is a covered benefit.

Medical policies

The Regence® Medical Policy Manual contains medical policies approved by Regence. We decide to cover specific services based on research that meets standards developed by the BlueCross BlueShield Association®.

Compare

Compare even more detailed quality measures with different providers.

Disclosure notice for Clark County

A disclosure notice gives more information about your contract with Regence and sums up many of the terms and conditions of our plans.

Annual notice

Every year, the state requires us to tell our members about key elements of our plans. This notice sums up those topics for our members.

Oregon state continuation coverage notice

What is continuation coverage?
 
Oregon law requires that eligible enrolled employees and/or dependents be allowed to continue their existing group health insurance coverage for up to nine months. Continued coverage may or may not include additional coverage such as dental or vision (check with your employer). However, you are responsible for the full cost of any coverage you continue.
 
Who is eligible?
 
You are eligible if you are an employee who has had continuous health coverage by one or more employer group plans for at least three months prior to the date your most recent coverage ended. Your spouse and/or children are also eligible to maintain coverage with or without you.
 
How do I get Oregon state continuation coverage?
 
  • You will need to notify Regence BlueCross BlueShield of Oregon that you want to continue your coverage by notifying your employer in writing or calling the Member Services number on the back of your member ID card.
  • Your request for continuation coverage must be provided (a) sixty days after the event that triggered your loss of eligibility for coverage or (b) ten days after the date of this notice, whichever is later.
  • You are responsible for paying your full premium by when it is due. Please contact your employer for more information.
  • You will need to submit any necessary continuation forms and premiums to your employer within the time periods stated above to continue your current group health insurance plan coverage.
IF YOU FAIL TO DO AS INDICATED ABOVE, YOU MAY LOSE YOUR ABILITY TO CONTINUE YOUR CURRENT GROUP HEALTH INSURANCE COVERAGE.
 
How do I get more information?
  • Contact your employer.
  • Contact our Member Services representatives at the telephone number on the back of your member ID card.

Clinical Practice Guidelines

Clinical Practice Guidelines are available online. They tell you what we expect your provider to do for you if you have particular health conditions. We base these guidelines on the medical research currently available. Note: Even though procedures and services are mentioned in the guidelines, they may not all be covered by your insurance plan.

Agent bonus/commission notice

If you have a producer or insurance agent, that person may receive bonuses, commissions, administrative services or other compensation from Regence. Incentives may be based on any of several factors, including but not limited to:
  • the size of group business
  • the products you buy
  • your broker or producer's volume of business with Regence
  • other services your producer or broker provides to you 
These incentives may have an indirect impact on your rates. For more information, contact your producer or agent.
 

Questions?

If you have any questions about these notices or need help, call our Member Services department at the number on the back of your member ID card.

People with a hearing or speech disability can contact us using TTY: 711.

Para asistencia en español, por favor llame al teléfono de Servicio al Cliente en la parte de atrás de su tarjeta de miembro.

Para humingi ng tulong sa Tagalog, pakitawagan ang numero ng telepono ng Serbisyo sa Kostumer (Member Services) na nakasulat sa likod ng inyong kard bilang miyembro.

如需中文幫助,請撥打客戶服務電話, 號碼位於您會員卡背面。

Diné kʼehjí áká'eʼyeedgo, t'áá shǫǫdí áká anídaalwoʼí bi béésh bee haneʼé ninaaltsoos bee atah nílínígíí bineʼdę̀ę̀ bikááʼ.

Quality concerns

Care management