<?xml version="1.0" encoding="UTF-8" ?>
<?xml-stylesheet type="text/xsl" href="https://connect.bcbsil.com/cfs-file/__key/system/syndication/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/" xmlns:atom="http://www.w3.org/2005/Atom"><channel><title>Blogs</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog</link><description>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.</description><dc:language>en-US</dc:language><generator>Telligent Community 12</generator><lastBuildDate>Tue, 29 Sep 2026 11:35:00 GMT</lastBuildDate><atom:link rel="self" type="application/rss+xml" href="https://connect.bcbsil.com/my-coverage-explained/b/weblog" /><item><title>What Is 3D Mammography?</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-3d-mammography</link><pubDate>Tue, 29 Sep 2026 11:35:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:2c1f706c-74af-42e2-84ff-d7537a511140</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-3d-mammography#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Mammogram">Mammogram</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Women_1920_s%2bHealth">Women’s Health</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer">Breast Cancer</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer%2bPrevention">Breast Cancer Prevention</category></item><item><title>Members Can Appeal Coverage Decisions</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/appeals-decisions</link><pubDate>Mon, 28 Sep 2026 13:35:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:e3b0675b-8a3c-4f09-8663-85377b4e6d2b</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>7</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/appeals-decisions#comments</comments><description>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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Appeals">Appeals</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/External%2bReview">External Review</category></item><item><title>Looking for Ways to Save on Healthy Gifts?</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/deals-blue365</link><pubDate>Mon, 28 Sep 2026 11:36:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:b23f6a76-e912-4cd1-8522-b9c5c85f1089</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/deals-blue365#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Blue365">Blue365</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Discounts">Discounts</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Deals">Deals</category></item><item><title>Get to Know Your Medical Tests: Preventive vs. Diagnostic</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/medical-tests-preventive-vs-diagnostic</link><pubDate>Mon, 28 Sep 2026 09:57:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:5e38756a-ab8c-4bd9-9905-e7ec9edb524d</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/medical-tests-preventive-vs-diagnostic#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/pruebas-medicas-prevencion-y-de-diagnostico" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bCare">Medical Care</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category></item><item><title>Know Your Colorectal Cancer Screening Options</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/cancer-screening-preventive-diagnostic</link><pubDate>Mon, 28 Sep 2026 09:28:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:8e649e29-59ea-44f5-8e23-0db48e287ef8</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>1</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/cancer-screening-preventive-diagnostic#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Colorectal%2bCancer%2bScreening%2bOptions">Colorectal Cancer Screening Options</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Colon%2bHealth">Colon Health</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bCare">Medical Care</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Cancer">Cancer</category></item><item><title>Get Fit and Save in October</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment</link><pubDate>Tue, 01 Sep 2026 08:17:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:61b030e2-3efb-4bc8-b718-4e20fab2caaf</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment#comments</comments><description>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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Fitness%2bProgram">Fitness Program</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Exercise">Exercise</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Well%2bonTarget">Well onTarget</category></item><item><title>Need Reconstructive Surgery After a Mastectomy? You’re Covered</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reconstructive-surgery-mastectomy</link><pubDate>Thu, 27 Aug 2026 19:43:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:ef3354d0-7fcc-4a7d-900b-6bd3610c1179</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>4</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reconstructive-surgery-mastectomy#comments</comments><description>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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Employer%2bCoverage">Employer Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bBreast%2bCancer%2bTreatment%2bOptions">Understanding Breast Cancer Treatment Options</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Women_1920_s%2bHealth">Women’s Health</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer">Breast Cancer</category></item><item><title>What Is an HMO?</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo</link><pubDate>Thu, 27 Aug 2026 18:48:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:85301aa5-ba70-433b-9756-f2c3facd55fe</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Using%2bHealth%2bInsurance">Using Health Insurance</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Blue%2bAccess%2bfor%2bMembers">Blue Access for Members</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Provider%2bFinder">Provider Finder</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/HMO">HMO</category></item><item><title>Is My Prescription a Pharmacy or Medical Benefit?</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit</link><pubDate>Thu, 30 Jul 2026 13:50:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:d56b5d6e-9c1a-40f2-bb8b-534927d51aa2</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Prescriptions">Prescriptions</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Pharmacy%2bBenefits">Pharmacy Benefits</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Pharmacy">Pharmacy</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Drug%2bList">Drug List</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Generic%2bDrugs">Generic Drugs</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/In_2D00_Network">In-Network</category></item><item><title>Plan Year Ending Soon? Make the Most of It</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end</link><pubDate>Thu, 30 Jul 2026 10:06:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:d7d53c35-d6e4-4d2f-b158-4694c21d45fb</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/aprovechar-al-maximo-la-finalizacion-del-plan-de-cobertura" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Blue%2bAccess%2bfor%2bMembers">Blue Access for Members</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Deductibles">Deductibles</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/BAM">BAM</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Save%2bMoney">Save Money</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category></item><item><title>Insurance Basics: Out-of-Pocket Maximum</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum</link><pubDate>Thu, 30 Jul 2026 09:00:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:9177c39f-b769-4cfe-8a33-9c339ecb4e3d</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>4</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/gasto-de-bolsillo" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bBills">Medical Bills</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Out_2D00_of_2D00_pocket%2bCosts">Out-of-pocket Costs</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Insurance%2bBasics">Insurance Basics</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Provider%2bFinder">Provider Finder</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category></item><item><title>What Is Coordination of Benefits?</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits</link><pubDate>Tue, 28 Jul 2026 09:02:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:70c2673d-2c08-4768-ae94-569d81d1a199</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Customer%2bService">Customer Service</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category></item><item><title>5 Reasons a Claim May Be Denied</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied</link><pubDate>Thu, 16 Jul 2026 15:21:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:ef2a091d-4067-4942-a2ca-32b352fb7c0e</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied#comments</comments><description>&lt;a title="https://connect.bcbsil.com/espanol/b/tucobertura/posts/motivos-rechazarse-reclamacion" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Appeals">Appeals</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Explanation%2bof%2bBenefits">Explanation of Benefits</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category></item><item><title>What to Do if Your Claim Is Not Approved</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/claim-not-approved</link><pubDate>Thu, 16 Jul 2026 14:40:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:e313569a-ba0d-4922-87c5-c455e42b4a79</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>2</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/claim-not-approved#comments</comments><description>&lt;a title="https://connect.bcbsil.com/espanol/b/tucobertura/posts/reclamo-no-aprobado" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Appeals">Appeals</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Explanation%2bof%2bBenefits">Explanation of Benefits</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category></item><item><title>Staying In-Network Can Help Cut Costs</title><link>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/in-network-health-care</link><pubDate>Wed, 08 Jul 2026 15:10:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:726453ab-391b-44f0-94cc-734fe76345b4</guid><dc:creator>BCBSIL Connect Team</dc:creator><slash:comments>0</slash:comments><comments>https://connect.bcbsil.com/my-coverage-explained/b/weblog/posts/in-network-health-care#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsil.com/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;</description><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bInsurance%2bNetwork">Health Insurance Network</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Using%2bHealth%2bInsurance">Using Health Insurance</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/In_2D00_Network">In-Network</category><category domain="https://connect.bcbsil.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category></item></channel></rss>