I used to share 4-eye's view and turn them down. Recently, University of Maryland turned their case management program over to BC/BS for BC/BS members. I was leary of using one of their nursecase managers, but she recognized that the hospital had neglected to setup any type of care for my central line while waiting between treatments and setup a home nurse at considerable cost. All-in-all I've been happy with their program. That said, they have UMD looking over their shoulder.