BCBS prefix JLX: BCBS of Illinois, Medicare Advantage Group PPO
The short answerJLX is a Blue Cross and Blue Shield of Illinois prefix: Medicare Advantage, on the Medicare Advantage Group PPO network (group Medicare Advantage for named employer groups only). File the claim to your local Blue plan; outside Illinois, BlueCard routes it to BCBS of Illinois by the prefix.
By Javier Alvarez · Updated · 2 min read
What the JLX prefix means
| Home plan | Blue Cross and Blue Shield of Illinois, a division of Health Care Service Corporation (HCSC). Medicare Advantage. 1 |
| Network | Medicare Advantage Group PPO (network code PMA). Plans: Blue Cross Group Medicare Advantage (PPO) and Group Medicare Advantage Open Access (PPO). 1 |
| Who it covers | Group Medicare Advantage for named employer groups only: DePaul University, City of Chicago, BCS Financial Corporation, HCSC Retirees, American Library Association, IMRF, Town of Cicero, Dell, Cook County District 130, Deublin Company and the BCBS Association. 1 |
| Area | Group PPO: Cook, DeKalb, DuPage, Ford, Grundy, Iroquois, Kane, Kendall, Lee, Livingston and Will counties. Open Access PPO: no network restrictions. 1 |
| How the network works | The Group PPO is a traditional PPO, with a national network for retirees who live out of the area. On the Open Access PPO, members can see any provider that accepts Medicare nationwide at the same coverage level. 1 |
| Where to file | In Illinois, to BCBS of Illinois, your local Blue plan. Outside Illinois, ask your local Blue plan before the visit: Medicare Advantage members have their own out-of-area rules. Send the member ID exactly as printed, prefix included. 2 |
| Verify benefits | Through your local Blue plan's eligibility tools, or the phone number on the member's card, before the first visit. 2 |
| MNT policy | Original Medicare covers MNT by a dietitian for diabetes, kidney disease, or a kidney transplant in the last 36 months, with a referral from the doctor. Ask the plan how its group plan covers MNT. 3 See Medicare MNT coverage. |
Before a visit with prefix JLX
- Copy the current card, front and back, and enter the member ID exactly as printed, JLX included.
- Verify benefits for 97802 and 97803: through your local Blue plan's eligibility tools, or the phone number on the member's card. Ask whether nutrition counseling is covered, how many visits, whether a referral is needed, and what the member pays.
- Outside Illinois, ask your local Blue plan where the claim goes before the visit.
Another prefix? Type it in the lookup above or see every prefix we have. For how BlueCard routes an out-of-state Blue card, see BlueCard for dietitians.