About the Blue Cross and Blue Shield Association


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The Blue Cross and Blue Shield Association (BCBSA) is a national federation of 39 independent, community-based and locally operated Blue Cross and Blue Shield companies.

For more than 70 years, the 39 Blue Cross and Blue Shield companies have provided millions of families with top-quality, affordable health insurance. 

BCBS Companies

Collectively, the 39 Blue Cross and Blue Shield System provides healthcare coverage for more than 100 million people or one-in-three Americans. 

  • 39 Blue Cross and Blue Shield companies
  • Among the 20 largest employers in the U.S.
  • Healthcare coverage available in all 50 states, the District of Columbia and in Puerto Rico
  • Nationwide, more than 90 percent of hospitals and 80 percent of physicians contract with BCBS companies – more than any other insurer

BCBS Healthcare Coverage

Blue Cross and Blue Shield companies offer a variety of insurance products to all segments of the population, including large employer groups, small businesses and individuals.

  • 71.6 million in PPOs
  • 11.7 million in traditional, fee-for-service programs
  • 14.8 million in HMOs
  • 4.8 million in point-of-service (POS) products 

BCBS History

Today, the Blue Cross and Blue Shield Brands are registered in more than 170 countries.  To find out the history behind healthcare's most recognized Brands, visit the BCBS Timeline.

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