Blue Cross and Blue Shield Plans provide coverage for over 92 million people in all 50 states, the District of Columbia and Puerto Rico. The Blue Plans continue to grow in membership by providing top quality, affordable health insurance coverage. The Blue Cross and Blue Shield Association has contracts with more hospitals and physicians than any other insurance company. BCBS health insurance cards are accepted by over 80 percent of hospitals as well as almost 90 percent of physicians in the United States. The Blue Cross and Blue Shield Association is the largest processor of Medicare claims in the United States.