Does Blue Cross Blue Shield cover truck drivers? Yes. Blue Cross Blue Shield offers health insurance plans available to truck drivers through its affiliated companies in 36 states. BCBS PPO plans are particularly relevant for OTR drivers because the BlueCard network allows access to BCBS-affiliated providers across state lines. BCBS plans are available both on the ACA Marketplace and off-marketplace directly. Compare both options if BCBS is your preferred carrier — off-marketplace plans sometimes offer wider networks in specific states.