Immediate Family

In-network providers may not bill Blue Cross and Blue Shield of Nebraska (BCBSNE), or cause BCBSNE to be billed, for health care services rendered to, or ordered for, themselves or their immediate family members. In-network providers also may not designate themselves as a primary care physician, for any purpose, for themselves or their immediate family members. "Immediate family member" is defined as:

• Current spouse 
• Eligible domestic partner 
• Parents and stepparents of the provider or the provider’s spouse or domestic partner 
• Children and grandchildren (biological, adopted or other legally placed children) of the provider and/or the provider’s spouse or domestic partner 
• Siblings (including biological, adopted, step, half or other legally placed children) of the provider or the provider’s spouse or domestic partner 

BCBSNE will not process or make payment for any claims for services rendered by an in-network provider to themselves or to their immediate family members. Additionally, BCBSNE will not process or make payment for any claims for services ordered by an in-network provider for themselves or for their immediate family members. If BCBSNE determines that a benefit was paid in error, BCBSNE has the right to request and receive a refund of the payment from the in-network provider.