My new car has bluetooth as does my cell phone.
What this essentially means is that once "mated" together (they seek out other bluetooth devices when told to do so), they act as a fully integrated technology.
When I get in to my car, as long as my cell phone is with me, in my pocket, on the seat, in the console, my car reads it like it's a built in feature.....which allows for hands-free use.
When I get a call on my cell in my car, the stereo turns all the way down, caller ID appears on the display my stereo uses and I can make or take calls by pushing a button on my steering wheel. It also shows a bar graph of my signal strength.
I think it's a very cool thing. All the benefits of a built in car phone, with all the convenience of a portable cell. The car knows when the phone is there, and vice versa.
P.S. - One use for it, that I don't use, is a wireless bluetooth head set. You can keep your phone in your pocket, and the bluetooth will allow a wireless ear piece, again, adding mostly hands-free use. I just am not in to phones enough to walk around with an ear piece attached to my head.