83 2. Exceptions In certain situations, the Plan may use other pricing methods, such as billed charges or the pricing it would use if the healthcare services had been obtained within the Anthem Service Area, or a special negotiated price to determine the amount the Plan will pay for services provided by nonparticipating providers. In these situations, you may be liable for the difference between the amount that the nonparticipating provider bills and the payment we make for the Covered Services as set forth in this paragraph. E. Blue Cross Blue Shield Global Core® Program If you plan to travel outside the United States, call Member Services to find out your Blue Cross Blue Shield Global Core® benefits. Benefits for services received outside of the United States may be different from services received in the United States. Remember to take an up to date health ID card with you. When you are traveling abroad and need medical care, you can call the Blue Cross Blue Shield Global Core® Service Center any time. They are available 24 hours a day, seven days a week. The toll free number is 800-810-2583. Or you can call them collect at 804-673-1177. If you need inpatient hospital care, you or someone on your behalf, should contact us for Precertification. Keep in mind, if you need Emergency medical care, go to the nearest hospital. There is no need to call before you receive care. Please refer to the Getting Approval for Benefits section in this Booklet for further information. You can learn how to get Precertification when you need to be admitted to the hospital for Emergency or non- emergency care. How Claims are Paid with Blue Cross Blue Shield Global Core® In most cases, when you arrange inpatient hospital care with Blue Cross Blue Shield Global Core®, claims will be filed for you. The only amounts that you may need to pay up front are any Copayment, Coinsurance or Deductible amounts that may apply. You will typically need to pay for the following services up front: • Doctors services; • Inpatient hospital care not arranged through Blue Cross Blue Shield Global Core; and • Outpatient services. You will need to file a claim form for any payments made up front. When you need Blue Cross Blue Shield Global Core® claim forms you can get international claims forms in the following ways: • Call the Blue Cross Blue Shield Global Core® Service Center at the numbers above; or • Online at www.bcbsglobalcore.com. You will find the address for mailing the claim on the form.

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