<?xml version="1.0" encoding="UTF-8" ?>
<?xml-stylesheet type="text/xsl" href="https://connect.bcbsok.com/cfs-file/__key/system/syndication/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/" xmlns:atom="http://www.w3.org/2005/Atom"><channel><title>Blogs</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog</link><description>Get your Oklahoma health insurance coverage explained by our experts. We&amp;#39;ll also give you advice and tips to handle a variety of issues you may encounter.</description><dc:language>en-US</dc:language><generator>Telligent Community 12</generator><lastBuildDate>Tue, 01 Sep 2026 08:12:00 GMT</lastBuildDate><atom:link rel="self" type="application/rss+xml" href="https://connect.bcbsok.com/my-coverage-explained/b/weblog" /><item><title>Get Fit and Save in October</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment</link><pubDate>Tue, 01 Sep 2026 08:12:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:75147c78-3018-476a-8bc2-c1a602209301</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1031</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment#comments</comments><description>Well onTarget and the Fitness Program&amp;nbsp;are not available to all members. Check your online account information&amp;nbsp;or ask your benefits administrator to see if you have these benefits.
If you&amp;rsquo;re looking to stay in shape, or get back in sha...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1031&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Exercise">Exercise</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Fitness%2bProgram">Fitness Program</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Well%2bonTarget">Well onTarget</category></item><item><title>What Is an HMO?</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo</link><pubDate>Thu, 27 Aug 2026 20:35:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:b30dacbb-25ea-4b92-ba1e-2f166c060375</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1381</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsok.com/espanol/b/tucobertura/posts/que-es-una-cobertura-hmo"&gt;&lt;/a&gt;An HMO &amp;mdash; or health maintenance organization &amp;mdash; can help keep your costs lower and more predictable compared to other types of plans. With one doctor to coordinate your care, an HMO health plan is easy to use.
An HMO health plan offers:

Mo...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1381&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/HMO%2bInsurance">HMO Insurance</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Using%2bHealth%2bInsurance">Using Health Insurance</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Blue%2bAccess%2bfor%2bMembers">Blue Access for Members</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Provider%2bFinder">Provider Finder</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category></item><item><title>Check Your Updated Drug List</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/drug-list-update</link><pubDate>Thu, 27 Aug 2026 17:40:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:a5bb9c44-0d05-4b1d-a198-37ba2d4cd169</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1004</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/drug-list-update#comments</comments><description>Medicines play a major role in preventing and treating many health problems. That is why a prescription drug benefit is included in most health plans.
Many Blue Cross and Blue Shield of Oklahoma plans have a prescription drug list (also known as a fo...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/drug-list-update"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1004&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Prescriptions">Prescriptions</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Drug%2bList">Drug List</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category></item><item><title>Your Health Plan Covers Reconstructive Surgery After a Mastectomy</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/mastectomy-reconstructive-surgery</link><pubDate>Thu, 27 Aug 2026 13:52:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:766b24a9-0df3-476c-8ba2-6543cdbb72cc</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1158</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/mastectomy-reconstructive-surgery#comments</comments><description>It&amp;rsquo;s normal to be anxious if you find out you need to have a mastectomy due to breast cancer. A mastectomy is the removal of one or both breasts. This procedure is most often performed to treat breast cancer.
If you are facing this surgery, tak...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/mastectomy-reconstructive-surgery"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1158&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Women_1920_s%2bHealth">Women’s Health</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Employer%2bCoverage">Employer Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer">Breast Cancer</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category></item><item><title>Is My Prescription a Pharmacy or Medical Benefit?</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit</link><pubDate>Thu, 30 Jul 2026 15:00:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:8a0522f1-d0aa-4687-b50e-fd413d96eabc</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1431</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsok.com/espanol/b/tucobertura/posts/cobertura-para-medicamentos-o-cobertura-medica"&gt;&lt;/a&gt;It&amp;rsquo;s no secret that prescription drugs can be pricey. One of the best ways to save on the drugs you are prescribed is to make sure you understand how your health plan benefits work.
A good place to start is to answer this question: Is my prescr...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1431&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Prescriptions">Prescriptions</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/In_2D00_Network">In-Network</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Drug%2bList">Drug List</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Generic%2bDrugs">Generic Drugs</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Pharmacy">Pharmacy</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Pharmacy%2bBenefits">Pharmacy Benefits</category></item><item><title>Insurance Basics: Out-of-Pocket Maximum</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum</link><pubDate>Thu, 30 Jul 2026 13:32:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:223b2be7-4256-416d-b522-ef42847a2cb3</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=283</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/gasto-de-bolsillo" href="https://connect.bcbsok.com/espanol/b/tucobertura/posts/gasto-de-bolsillo"&gt;&lt;/a&gt;We know health care terms can be confusing. One you&amp;rsquo;re sure to run across is &amp;ldquo;out-of-pocket maximum.&amp;rdquo; What does it mean? How does it affect you and your family? How does it influence your choice of health plan?
You share the cost of...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=283&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Out_2D00_of_2D00_pocket%2bcosts">Out-of-pocket costs</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Provider%2bFinder">Provider Finder</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bBills">Medical Bills</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Insurance%2bBasics">Insurance Basics</category></item><item><title>Plan Year Ending Soon? Make the Most of It</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end</link><pubDate>Thu, 30 Jul 2026 10:11:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:6ceb9d78-bb4b-48f0-92af-3b266496d94d</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>2</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=985</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/aprovechar-al-maximo-la-finalizacion-del-plan-de-cobertura" href="https://connect.bcbsok.com/espanol/b/tucobertura/posts/aprovechar-al-maximo-la-finalizacion-del-plan-de-cobertura"&gt;&lt;/a&gt;If you&amp;rsquo;re the kind of person who needs a deadline to get things done, there may be a big one just around the corner. If your health plan year is ending soon, it&amp;rsquo;s a good time to review your health benefits.
Doing so could be a boost to yo...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=985&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Deductible">Deductible</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Blue%2bAccess%2bfor%2bMembers">Blue Access for Members</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/BAM">BAM</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/My%2bCoverage%2bExplained">My Coverage Explained</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Save%2bMoney">Save Money</category></item><item><title>Our Customer Service, Appeals Process Can Help</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/appeals-process</link><pubDate>Thu, 30 Jul 2026 08:50:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:a76d7305-cc7f-4da4-ba9f-152f27f8662b</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>1</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1157</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/appeals-process#comments</comments><description>We want you to be happy with your health plan. If you don&amp;rsquo;t understand a benefit decision made by Blue Cross and Blue Shield of Oklahoma or BlueLincs HMOSM, first call customer service.
In most cases, a customer service representative will be a...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/appeals-process"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1157&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Appeals">Appeals</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/BlueLincs%2bHMO">BlueLincs HMO</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Employer%2bCoverage">Employer Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/HMO">HMO</category></item><item><title>Let Us Help You Understand Your Health Plan</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/understand-plan</link><pubDate>Thu, 30 Jul 2026 08:48:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:9b19ca36-f838-4960-a511-abff75ee3f71</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>1</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1156</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/understand-plan#comments</comments><description>This article is intended for HMO members.
Blue Cross and Blue Shield of Oklahoma and BlueLincs HMOSM support our members&amp;rsquo; communication needs.
We use software to help make sure the information we send is easy to understand.
If you are language,...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/understand-plan"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1156&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/BlueLincs%2bHMO">BlueLincs HMO</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Customer%2bService">Customer Service</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Employer%2bCoverage">Employer Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/HMO">HMO</category></item><item><title>What Is Coordination of Benefits?</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits</link><pubDate>Tue, 28 Jul 2026 06:08:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:81c131d4-c337-442c-bc8e-1acc0abc38f3</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1202</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits#comments</comments><description>&lt;a title="Lee esto en Espa&amp;ntilde;ol" href="https://connect.bcbsok.com/espanol/b/tucobertura/posts/coordinacion-de-beneficios"&gt;&lt;/a&gt;
When you need care and are on two different health insurance plans, your insurers will coordinate your benefits (COB). This helps you get maximum coverage when you need it.
If you&amp;rsquo;re covered by two different health plans, your provider may fil...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1202&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Customer%2bService">Customer Service</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category></item><item><title>5 Reasons a Claim May Be Denied</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied</link><pubDate>Thu, 16 Jul 2026 10:22:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:73a3bc9b-d3f3-4733-a197-0cf729e5c596</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1105</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/motivos-rechazarse-reclamacion" href="https://connect.bcbsok.com/espanol/b/tucobertura/posts/motivos-rechazarse-reclamacion"&gt;&lt;/a&gt;
Believe it or not, there are only a handful of reasons that may lead to a health care service not getting approved or a claim not being paid.
They fall into these five buckets.
The claim has errors.&amp;nbsp;Minor data errors are the most common culprit...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1105&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Appeals">Appeals</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Explanation%2bof%2bBenefits">Explanation of Benefits</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category></item><item><title>What to Do if Your Claim Is Not Approved</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/claim-not-approved</link><pubDate>Thu, 16 Jul 2026 09:32:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:62a8036a-91e0-4736-adb0-13ed301c527c</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1103</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/claim-not-approved#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/reclamo-no-aprobado" href="https://connect.bcbsok.com/espanol/b/tucobertura/posts/reclamo-no-aprobado"&gt;&lt;/a&gt;
Nurse care manager Lenzy Mixon got a call from a member about a large bill he received for a stay at a skilled nursing facility.
He checked with his doctor, who assured him the stay had been pre-approved by his health plan. His next call was to us. ...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/claim-not-approved"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1103&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Appeals">Appeals</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Explanation%2bof%2bBenefits">Explanation of Benefits</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category></item><item><title>Know Your Plan, Know Your Benefits</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/know-your-plan</link><pubDate>Wed, 08 Jul 2026 23:32:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:cc36288c-ff7f-4be3-bbf0-9265175b5909</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1131</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/know-your-plan#comments</comments><description>This article is intended for HMO members.
As an informed consumer, you should know about the benefit exclusions and limits of your health plan.
Your BlueLincs HMOSM exclusions and limits are listed in your schedule of benefits.
To see the exclusions ...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/know-your-plan"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1131&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/BlueLincs%2bHMO">BlueLincs HMO</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Using%2bHealth%2bInsurance">Using Health Insurance</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Employer%2bCoverage">Employer Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/HMO">HMO</category></item><item><title>Multi-Language Support Is Available</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/multi-language-support</link><pubDate>Wed, 08 Jul 2026 14:40:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:8c3867ca-329a-4246-8661-9438293d2f82</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1133</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/multi-language-support#comments</comments><description>If you or someone you are helping has questions and English is not your primary language, you have the right to &lt;a title="get help and information in your primary language" href="https://www.bcbsok.com/language-assistance/"&gt;get help and information in your primary language&lt;/a&gt; at no cost.
To speak to an interpreter, call the customer service number on your member ...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/multi-language-support"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=1133&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Customer%2bService">Customer Service</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category></item><item><title>HIPAA: What More Do You Need to Know?</title><link>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/hipaa-what-more-do-you-need-to-know</link><pubDate>Wed, 08 Jul 2026 13:56:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:2d22af50-cf79-4b0f-8a57-64ffa48db4be</guid><dc:creator>BCBSOK Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsok.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=491</wfw:commentRss><comments>https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/hipaa-what-more-do-you-need-to-know#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/necesitas-saber-hipaa" href="https://connect.bcbsok.com/espanol/b/tucobertura/posts/necesitas-saber-hipaa"&gt;&lt;/a&gt;
When you go to a doctor, dentist or eye doctor, you are asked to sign that you&amp;rsquo;ve seen their privacy statement. What does that mean?
Thanks to the Health Insurance Portability and Accountability Act (&lt;a title="HIPAA" href="https://www.hhs.gov/hipaa/for-individuals/index.html" rel="noopener noreferrer" target="_blank"&gt;HIPAA&lt;/a&gt;), &amp;nbsp;you are reminded at each visi...(&lt;a href="https://connect.bcbsok.com/my-coverage-explained/b/weblog/posts/hipaa-what-more-do-you-need-to-know"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsok.com/aggbug?PostID=491&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/PHI">PHI</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/Standard%2bAuthorization">Standard Authorization</category><category domain="https://connect.bcbsok.com/my-coverage-explained/b/weblog/archive/tags/HIPAA">HIPAA</category></item></channel></rss>