Total Care Benefit Differential

Total Care Benefit Differential, a Blue Cross and Blue Shield Association (BCBSA) national designation program, recognizes contracted doctors and hospitals for their efforts in coordinating total patient care.

The Total Care Benefit Differential product helps group clients and their employees use providers with this total care distinction. You can help steer your clients to value-based care providers with Total Care.

Here’s an example of a benefit design:

  • Tier 1 - Designated Total Care Primary Care Providers
  • Tier 2 - PPO Contracted Facilities and Providers
  • Tier 3 - Out-of-Network


Total Care Benefit Differential offers employers:

  • Improved health care quality and safety for employees
  • Possible lower cost of care with potential savings
  • Flexible design
  • Decision-making support