HEALTH PLAN INFORMATION FOR NON-U.S. PARTICIPANTS

GENERAL HEALTH PLAN INFORMATION

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:

  • If the service you need is not covered under your national health plan, but is covered under our Plan, you can submit the claim to us.
  • Even if the service is covered by your national health plan, you can submit the claim for covered services to us if you see a doctor outside of your national health plan’s network.

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.

SUBMITTING CLAIMS INCURRED OUTSIDE THE UNITED STATES

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.

COVERAGE OUTSIDE THE UNITED STATES

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.

FINDING DOCTORS OUTSIDE THE UNITED STATES

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.