<?xml version="1.0" encoding="UTF-8" ?>
<?xml-stylesheet type="text/xsl" href="https://connect.bcbsil.com/cfs-file/__key/system/syndication/atom.xsl" media="screen"?><feed xmlns="http://www.w3.org/2005/Atom" xml:lang="en-US"><title type="html">Blogs</title><subtitle type="html">Get your Illinois health insurance coverage explained by our experts. We will also give you advice and tips to handle a variety of issues you may encounter.</subtitle><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/atom</id><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog" /><link rel="self" type="application/atom+xml" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/atom" /><generator uri="http://telligent.com" version="12.1.6.28905">Telligent Community (Build: 12.1.6.28905)</generator><updated>2026-07-08T10:10:00Z</updated><entry><title>What Is 3D Mammography?</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-3d-mammography" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-3d-mammography</id><published>2026-09-29T11:35:00Z</published><updated>2026-09-29T11:35:00Z</updated><content type="html">&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="/espanol/b/tucobertura/posts/en-que-consisten-las-mamografias-3d"&gt;&lt;/a&gt;
Women have choices when it comes to breast cancer screenings. A standard mammogram every one or two years is the recommended best practice for early detection. It can detect breast cancer up to three years before it can be felt.
Since their introduc...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-3d-mammography"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=294&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Preventive Care" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare" /><category term="Mammogram" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Mammogram" /><category term="Women’s Health" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Women_1920_s%2bHealth" /><category term="Breast Cancer" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer" /><category term="Breast Cancer Prevention" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer%2bPrevention" /></entry><entry><title>Members Can Appeal Coverage Decisions</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/appeals-decisions" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/appeals-decisions</id><published>2026-09-28T13:35:00Z</published><updated>2026-09-28T13:35:00Z</updated><content type="html">Internal Appeals
Blue Cross and Blue Shield of Illinois has an internal claims and appeals process that allows you to appeal decisions about paying claims, eligibility for coverage or ending coverage.
Please check &amp;ldquo;adverse benefit determination...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/appeals-decisions"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=878&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Appeals" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Appeals" /><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="External Review" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/External%2bReview" /></entry><entry><title>Looking for Ways to Save on Healthy Gifts?</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/deals-blue365" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/deals-blue365</id><published>2026-09-28T11:36:00Z</published><updated>2026-09-28T11:36:00Z</updated><content type="html">&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="/espanol/b/tucobertura/posts/ofertas-blue365"&gt;&lt;/a&gt;Do your shopping lists never end? Are you a champion bargain hunter? Then Blue365&amp;reg; is perfect for you. Blue365 is a discount service that saves you money on a variety of everyday needs and healthy lifestyle aids.
How Does It Work?
Any member of a...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/deals-blue365"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=876&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Blue365" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Blue365" /><category term="Discounts" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Discounts" /><category term="Deals" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Deals" /></entry><entry><title>Get to Know Your Medical Tests: Preventive vs. Diagnostic</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/medical-tests-preventive-vs-diagnostic" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/medical-tests-preventive-vs-diagnostic</id><published>2026-09-28T09:57:00Z</published><updated>2026-09-28T09:57:00Z</updated><content type="html">&lt;a title="/espanol/b/tucobertura/posts/pruebas-medicas-prevencion-y-de-diagnostico" href="/espanol/b/tucobertura/posts/pruebas-medicas-prevencion-y-de-diagnostico"&gt;&lt;/a&gt;When your doctor orders a test for you, it&amp;rsquo;s important to know what type of test is ordered. There are two types, preventive and diagnostic.
Knowing the difference between these two types of tests will help you better understand your treatment ...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/medical-tests-preventive-vs-diagnostic"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=1395&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Medical Care" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bCare" /><category term="Understanding Insurance" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance" /><category term="Preventive Care" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare" /></entry><entry><title>Know Your Colorectal Cancer Screening Options</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/cancer-screening-preventive-diagnostic" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/cancer-screening-preventive-diagnostic</id><published>2026-09-28T09:28:00Z</published><updated>2026-09-28T09:28:00Z</updated><content type="html">&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="/espanol/b/tucobertura/posts/conoce-tus-opciones-de-deteccion-del-cancer-colorrectal"&gt;&lt;/a&gt;Getting screened for colon cancer is an important way to protect your health.
Colon cancer is the fourth leading cause of cancer death in the U.S. But colon cancer can be successfully treated when it is found and treated early. Until it grows or spre...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/cancer-screening-preventive-diagnostic"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=1157&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Colorectal Cancer Screening Options" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Colorectal%2bCancer%2bScreening%2bOptions" /><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Colon Health" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Colon%2bHealth" /><category term="Medical Care" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bCare" /><category term="Preventive Care" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare" /><category term="Cancer" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Cancer" /></entry><entry><title>Get Fit and Save in October</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment</id><published>2026-09-01T08:17:00Z</published><updated>2026-09-01T08:17:00Z</updated><content type="html">Well onTarget and the Fitness Program&amp;nbsp;are not available to all members. Check your online account information or ask your benefits administrator to see if you have these benefits.
If you&amp;rsquo;re looking to stay in shape, or get back in shape, n...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=916&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Fitness Program" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Fitness%2bProgram" /><category term="Exercise" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Exercise" /><category term="Well onTarget" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Well%2bonTarget" /></entry><entry><title>Need Reconstructive Surgery After a Mastectomy? You’re Covered</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reconstructive-surgery-mastectomy" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reconstructive-surgery-mastectomy</id><published>2026-08-27T19:43:00Z</published><updated>2026-08-27T19:43:00Z</updated><content type="html">It&amp;rsquo;s normal to be anxious if you find out you need to have a mastectomy. A mastectomy is the removal of one or both breasts. This procedure is most often performed to treat breast cancer.&amp;nbsp;
If you are facing this surgery, take some comfort ...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reconstructive-surgery-mastectomy"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=1032&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Employer Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Employer%2bCoverage" /><category term="Understanding Breast Cancer Treatment Options" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bBreast%2bCancer%2bTreatment%2bOptions" /><category term="Women’s Health" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Women_1920_s%2bHealth" /><category term="Breast Cancer" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer" /></entry><entry><title>What Is an HMO?</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo</id><published>2026-08-27T18:48:00Z</published><updated>2026-08-27T18:48:00Z</updated><content type="html">&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="/espanol/b/tucobertura/posts/que-es-una-cobertura-hmo"&gt;&lt;/a&gt;
An HMO &amp;mdash; or health maintenance organization &amp;mdash; can help keep your costs lower and more predictable compared to other types of plans. With one medical group to coordinate your care, an HMO health plan is easy to use.
An HMO health plan off...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=1219&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Using Health Insurance" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Using%2bHealth%2bInsurance" /><category term="Blue Access for Members" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Blue%2bAccess%2bfor%2bMembers" /><category term="Provider Finder" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Provider%2bFinder" /><category term="HMO" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/HMO" /></entry><entry><title>Is My Prescription a Pharmacy or Medical Benefit?</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit</id><published>2026-07-30T13:50:00Z</published><updated>2026-07-30T13:50:00Z</updated><content type="html">&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="/espanol/b/tucobertura/posts/cobertura-para-medicamentos-o-cobertura-medica"&gt;&lt;/a&gt;
It&amp;rsquo;s no secret that prescription drugs can be pricey. One of the best ways to save on the drugs you are prescribed is to make sure you understand how your health plan benefits work.
A good place to start is to answer this question: Is my presc...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=1271&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Prescriptions" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Prescriptions" /><category term="Pharmacy Benefits" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Pharmacy%2bBenefits" /><category term="Pharmacy" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Pharmacy" /><category term="Drug List" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Drug%2bList" /><category term="Generic Drugs" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Generic%2bDrugs" /><category term="In-Network" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/In_2D00_Network" /></entry><entry><title>Plan Year Ending Soon? Make the Most of It</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end</id><published>2026-07-30T10:06:00Z</published><updated>2026-07-30T10:06:00Z</updated><content type="html">&lt;a title="/espanol/b/tucobertura/posts/aprovechar-al-maximo-la-finalizacion-del-plan-de-cobertura" href="/espanol/b/tucobertura/posts/aprovechar-al-maximo-la-finalizacion-del-plan-de-cobertura"&gt;&lt;/a&gt;If you&amp;rsquo;re the kind of person who needs a deadline to get things done, there may be a big one just around the corner. If your health plan year is ending soon, it&amp;rsquo;s a good time to review your health benefits.
Doing so could be a boost to yo...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=872&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Preventive Care" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare" /><category term="Blue Access for Members" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Blue%2bAccess%2bfor%2bMembers" /><category term="Deductibles" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Deductibles" /><category term="BAM" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/BAM" /><category term="Save Money" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Save%2bMoney" /><category term="Health Care Costs" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts" /></entry><entry><title>Insurance Basics: Out-of-Pocket Maximum</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum</id><published>2026-07-30T09:00:00Z</published><updated>2026-07-30T09:00:00Z</updated><content type="html">&lt;a title="/espanol/b/tucobertura/posts/gasto-de-bolsillo" href="/espanol/b/tucobertura/posts/gasto-de-bolsillo"&gt;&lt;/a&gt;We know health care terms can be confusing. One you&amp;rsquo;re sure to run across is &amp;ldquo;out-of-pocket maximum.&amp;rdquo; What does it mean? How does it affect you and your family? How does it influence your choice of health plan?
You share the cost of...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=131&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Medical Bills" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bBills" /><category term="Out-of-pocket Costs" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Out_2D00_of_2D00_pocket%2bCosts" /><category term="Insurance Basics" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Insurance%2bBasics" /><category term="Provider Finder" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Provider%2bFinder" /><category term="How Health Insurance Works" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks" /><category term="Health Care Costs" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts" /></entry><entry><title>What Is Coordination of Benefits?</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits</id><published>2026-07-28T09:02:00Z</published><updated>2026-07-28T09:02:00Z</updated><content type="html">&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="/espanol/b/tucobertura/posts/coordinacion_2d00_de_2d00_beneficios"&gt;&lt;/a&gt;
When you need care and are on two different health insurance plans, your insurers will coordinate your benefits (COB). This helps you get maximum coverage when you need it.
If you&amp;rsquo;re covered by two different health plans, your provider may fil...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=1063&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Understanding Insurance" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance" /><category term="Customer Service" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Customer%2bService" /><category term="Medical Claims" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims" /></entry><entry><title>5 Reasons a Claim May Be Denied</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied</id><published>2026-07-16T15:21:00Z</published><updated>2026-07-16T15:21:00Z</updated><content type="html">&lt;a title="https://connect.bcbsil.com/espanol/b/tucobertura/posts/motivos-rechazarse-reclamacion" href="/espanol/b/tucobertura/posts/motivos-rechazarse-reclamacion"&gt;&lt;/a&gt;
Believe it or not, there are only a handful of reasons that may lead to a health care service not getting approved or a claim not being paid.
They fall into these five buckets.
The claim has errors.&amp;nbsp;Minor data errors are the most common culprit...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=986&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Appeals" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Appeals" /><category term="Understanding Insurance" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance" /><category term="Medical Claims" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims" /><category term="Explanation of Benefits" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Explanation%2bof%2bBenefits" /><category term="How Health Insurance Works" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks" /><category term="Health Care Costs" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts" /></entry><entry><title>What to Do if Your Claim Is Not Approved</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/claim-not-approved" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/claim-not-approved</id><published>2026-07-16T14:40:00Z</published><updated>2026-07-16T14:40:00Z</updated><content type="html">&lt;a title="https://connect.bcbsil.com/espanol/b/tucobertura/posts/reclamo-no-aprobado" href="/espanol/b/tucobertura/posts/reclamo-no-aprobado"&gt;&lt;/a&gt;
Nurse care manager Lenzy Mixon got a call from a member about a large bill he received for a stay at a skilled nursing facility.
He checked with his doctor, who assured him the stay had been pre-approved by his health plan. His next call was to us. ...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/claim-not-approved"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=985&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Appeals" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Appeals" /><category term="Understanding Insurance" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance" /><category term="Medical Claims" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims" /><category term="Explanation of Benefits" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Explanation%2bof%2bBenefits" /><category term="How Health Insurance Works" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks" /><category term="Health Care Costs" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts" /></entry><entry><title>Staying In-Network Can Help Cut Costs</title><link rel="alternate" type="text/html" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/in-network-health-care" /><id>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/in-network-health-care</id><published>2026-07-08T15:10:00Z</published><updated>2026-07-08T15:10:00Z</updated><content type="html">&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="/espanol/b/tucobertura/posts/servicios-medicos-de-la-red"&gt;&lt;/a&gt;When you shop, you probably keep an eye on costs. You want to buy the things you need at a fair price. What about when you&amp;rsquo;re shopping for health care? Using providers in your health plan&amp;rsquo;s network can help you save money.
A network inclu...(&lt;a href="https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/in-network-health-care"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsil.com/aggbug?PostID=781&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</content><author><name>BCBSIL Connect Team</name><uri>https://connect.bcbsil.com/members/bcbsilconnect</uri></author><category term="Benefits and Coverage" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage" /><category term="Health Insurance Network" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bInsurance%2bNetwork" /><category term="Using Health Insurance" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Using%2bHealth%2bInsurance" /><category term="In-Network" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/In_2D00_Network" /><category term="Health Care Costs" scheme="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts" /></entry></feed>