Introducing Coupe Health – transparent pricing, quality care, and no upfront costs
Effective January 1, 2026, Blue Cross and Blue Shield of North Carolina will be working with Coupe Health to offer eligible members an alternative health plan. This plan is designed to deliver greater price transparency, simplified access to high-quality care, and an easy to navigate member experience. Coupe Health is designed to help members make informed decisions by clearly displaying provider quality data and exact costs before care is received.
How does Coupe Health work?
- Same quality network: Your patients can access our BlueCard®PPO Network.
- Price certainty: Your patients will know the cost of all covered medical services and will pay $0 upon their visit.
- Focus on care: You will be paid your allowed amount in full, allowing you and your staff to focus on patient care, not payment collection.
How do I know if my patient has a Coupe Health medical plan or is eligible for one?
Members with a Coupe Health medical plan will have a co‑branded ID card. The Blue Cross and Blue Shield logo will be on the top‑left corner, and the Coupe logo will be on the bottom left corner. Our PPO network will be listed on the card.
Per the member’s benefit design, they are not required to pay any money up front for their services. Do not collect any money upfront for any Coupe Health member. The 270/271 transactions will confirm eligibility and include messaging stating no payment is due upfront.
If you have any questions, please call the appropriate phone number on the back of the ID card.
Is there a different process for member payment or filing claims?
- No. Coupe Health claims are processed as our claims, and you will use the same prefix on your patient’s member ID card and our same payer ID.
Who do I contact if I have questions about Coupe Health?
- If you have questions about member claims/eligibility, please call the appropriate number listed on the back of the ID card.
- Coupe Health Provider Services: 800-868-2510
- If you have general questions about Coupe Health, please contact the Coupe Health Provider Education Team at 803-264-4370 or provider.education@bcbssc.com