The DGA–Producer Health Plan is a fee-for-service plan. This means that you can choose your own doctor. You are not limited to doctors within a specific network. If you have DGA Health Plan coverage, the following apply:
For example, if your national health plan does not cover dental benefits, you can submit those claims to Delta Dental, our dental benefit manager. Additionally, if you receive services such as a routine office visit or surgical procedure outside of your national health plan system, you can submit that claim to us for reimbursement.
All health claims incurred outside the United States are treated as non-network claims. Claims incurred inside the United States are covered based on whether the healthcare provider participates in the Health Plan’s provider network.
All doctors outside of the United States are covered at the Plan’s non-network rate. For more information on your coverage, click the button below.
As a foreign participant, you have access to the Blue Cross Blue Shield Global Core program. They can help you find a provider or hospital that will bill the Health Plan directly for services. For more information on the Blue Cross Blue Shield Global Core program and the services it offers, click the button below.