Blue Cross And Blue Shield Of Rhode Island
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Providence, Rhode Island
Out-of-Network ... they really mean it
Providence, Rhode Island
Disabled but refusing to lower payments
Not sure why you'd expect otherwise. Regardless of it is from wages or retirement account it's income.
The only difference is the retirement account you didn't pay taxes on at the time you earned it as wages, deferring it to when you withdrew it.
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if you read the back of the BCBS card it states to send it to the local office they applies there contractual rates and then fwd it to the correct office for payment.
So sending it to state they are in is correct.
First off it sounds like the local provider is sending the claim to the wrong BCBS office. It sounds like they're sending it the BCBS of the state the provider is in, and not BCBS of the state you're insured in.
Thus it's not being processed correctly. Make sure the provider knows that they need to send it to BCBS of the state you're insured by. Secondly drug benefits don't count in anyway towards medical plan deductible/out of pocket maximums. Even if one company manages both for you they're separate plans.
As for not being able to access information on all family members under one account, this is not something they can change. Legally by law each family member must be given their own account because of federal privacy law. Even a child is legally entitled to privacy of their records from their parents in general.
Now there's one other suggestion for when you get coverage out of state.
If there's no in-network providers for a good distance you can ask if they would pay the doctor you see while out of state as in-network.
This is most commonly done for college students out of state, but if you're regularly out of state and away from any in-network providers they can do the same for you.