Wondering If a New Treatment Is Right for You?

This article is intended for HMO members enrolled in an employer health insurance plan.

New treatments for many conditions — from diabetes to cancer — are in the news. Do you wonder if you might be a candidate for a treatment that could help you? Do you question whether your benefits will cover it? 

Blue Cross and Blue Shield of Illinois (BCBSIL) stays on top of the latest medical advancements that might help you stay healthy.

BCBSIL has its own medical advisory panel. The panel studies information on new health care developments. This information includes data provided by the Blue Cross and Blue Shield Association’s Office of Clinical Affairs, which reviews the medical evidence.

Our medical advisory panel evaluates advancements in:

• Treatments
• Services
• Drugs
• Medical devices
• Other health care products

BCBSIL shares information about new health care developments with your primary care physician (PCP) and your medical group (MG)/individual practice association (IPA). Your PCP and your MG/IPA decide whether your benefits will cover the treatments or services.

If you have questions about coverage for a new treatment, call the customer service number on your member ID card.

Originally published 4/14/2020; Reviewed 2022, 2023