What you should know about Medical Loss Ratio and potential rebates

Thank you for visiting BlueCross BlueShield of Tennessee’s Medical Loss Ratio (MLR) and Rebate Web page. We are now assessing Medical Loss Ratios for the 2012 reporting year – for small group, large group and individual business segments – and taking the steps necessary to assure MLR calculations are compliant with regulatory guidelines in the Affordable Care Act. 

Final information for the 2012 reporting year should be available after June 1, 2013. This page will be updated at that time.

For Your Reference
Rebates do not apply to short-term care coverage, Medicare Advantage or Medicare supplement plans, dental or vision policies, life coverage, or other non-medical ancillary products.

 

 

 

 

 

 

 

Adjusted Premium / Individual Policyholders

Rebates for the 2011 Reporting Year

In 2011, BlueCross met the required MLR thresholds for both small group and large group segments, so no rebates were paid. For our individual business segment, we were slightly below the 80 percent MLR threshold, at 76.6 percent, and paid rebates totaling $8.6 million to individual subscribers. Rebate checks were mailed in July of 2012.