Be a part of the largest network in the state, with fast access to everything you need to check benefits and submit claims. 1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Connect with us. This document explains coverage criteria for drugs on the Custom Drug List. This drug list is updated monthly. This document includes recent changes that may not yet be reflected on our drug lists. Log in to our provider portal (availity.com*). Encourage a culture of well-being with tools and resources to help your employees improve their whole health. Your Personal Data will be disclosed to appropriate personnel for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. The drugs included in our formularies are FDA approved. We pass those savings on to you: your premiums are up to 8% lower when you choose a plan with the PCP Focus network. These service providers will be bound by sufficient guarantees to implement appropriate technical and organizational measures in such a matter that their processing will meet the requirements of applicable law. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands Outside the United States Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Find eye care Use the link to register for your account and find an eye care professional. Welcome to Blue Cross Blue Shield of Michigan | BCBSM Please let us know! Not registered? Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices All our Community Blue PPO plans use the Custom Select Drug List (PDF). The embedded coinsurance maximum is the most youll have to pay in coinsurance during a policy period. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. PDF Custom Drug List - PPO Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Drug List. BCBSM Provider Secured Services - Login Helping your employees avoid costly ER visits and get the care they need quickly and conveniently. To access the manual: 1. Health Insurance: Blue Cross Blue Shield of Michigan | BCBSM PCP Focus is a custom primary care physician HMO network offered by Blue Care Network. The doctors your employees will choose from this network have shown they can provide quality care and a high level of efficiency that lowers health care costs. Blue Cross Blue Shield of Arizona. Search for the highest-quality providers using the Blue Distinction filter. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. Helpful information for providing and billing for Medicare services in the Blue Cross network. Labcorp will file claims for insured patients directly to Medicare, Medicaid, and many insurance companies and managed care plans. Find a plan you can visit for a low copay. The purpose of this Data Protection Statement is to notify you of the practices that will govern the processing of your personal data and to obtain your explicit consent for the processing of your personal data consistent with it, in particular in accordance with the legal requirements of the European Unions (EU) General Data Protection Regulation (GDPR): The personal data collected may include your address, city, postal code, country, phone number, email address, IP address, as well as any other personal information you choose to provide (Personal Data). Blue Cross Blue Shield of Michigan Community Blue - MSU Human Resources This plan provides health benefits using providers and facilities that are in-network, meaning the providers and facilities have agreed to accept a discounted fee from BCBSM in order to be in-network. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. Always ask the doctor if they accept your Medicare Advantage plan before making an appointment. Register Now, Not registered? How do I choose an HSA, FSA or HRA for my employees? Who has a health plan through my employer, But might get a BCBSAZ health plan through my employer, And want to review my information or refer a patient. Not Registered? Use the link to register for your account and find an eye care professional. Add or remove Provider Secured Services users, or change access for existing users. We provide health insurance in Michigan. It's easy to find a dentist in network. If the provider you select doesn't participate at all with BCBSM (BCBSM has several different provider arrangements), you may also be required to pay additional charges. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. How do I find a doctor or hospital in my network? This document explains coverage criteria for certain drugs. Read our provider directory introductions to learn more about how our HMO network works. Small Group Employers: Simply Blue PPO | bcbsm.com We provide health insurance in Michigan. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Make sure you know whether your Medicare Advantage plan is HMO or PPO. Its usually figured as a percentage of the total charge for the service. Behavior Health/Substance Abuse Administrator. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Make sure you bring these things with you to the pharmacy: This is a solicitation of insurance. We're here to help. View cost estimates* for services, so you can compare and potentially save. Those costs include increased copay and deductible amounts. Yet, sometimes you have to manage or recover from a condition that requires durable medical equipment. We will retain the information in our system in accordance with applicable law and our Data Protection Policy:https://www.highmark.com/hmk2/gdpr.shtml. But, if you receive services from a provider not in the PPO network, you may be responsible for paying additional out-of-pocket costs. Contact an agent to learn more. Health Insurance 101 Already a Member? These accounts are part of what's called consumer-directed health care. Not Registered? Get to know your options, from in-person checkups to online health care. This list is for small group or individual health plans that began on or after Jan. 1, 2014 and meet the requirements of the Patient Protection and Affordable Care Act. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. Every Medicare plan covers basic equipment for at-home use. If you have questions about Medicare Plus Blue PPO, please call our Customer Service department at 1-877-241-2583, 8:00 a.m. to 9:00 p.m., Monday through Friday. More information about our provider and pharmacy directory Home [m.bcbsm.com] This list is for small group or individual health plans that began on or after Jan. 1, 2014 and meet the requirements of the Patient Protection and Affordable Care Act. (ii) when required valid requests by law enforcement. How do I enroll in a plan and pay my bill? Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? From preauthorizations to referrals to claims, here's a list of the links you use most. Find specific information about your plan or you can find a pharmacy that accepts your plan. An independent licensee of the Blue Cross and Blue Shield Association. There is no fee to register or use MyBlue. This lists the standard comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. We provide health insurance in Michigan. This is a standard-level plan with a $4,000 deductible. Find a dentist It's easy to find a dentist in network. For Providers: Drug lists | BCBSM Register Now, Learn more about registering for our web tools. Notwithstanding the above disclosures, we will disclose the Personal Data we collect from you under the following circumstances: We use third-party service providers to process Personal Data, including, without limitation, for information storage and other similar purposes. Heres how you can travel confidently with your Medicare Advantage or Medicare Supplement plan. Community Blue Platinum $0 Community Blue Platinum $250 Community Blue Platinum $500 Community Blue Gold $1000 HRA plans Community Blue HRA Platinum $1500 ($1250) Community Blue HRA Gold $3000 ($750) Community Blue HRA Gold $5000 ($1500) After that, all Personal Data will be deleted or the documents with such data will be anonymized. Important Information About MedicarePlans. Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Drug List. It makes up part of the out-of-pocket maximum. Register Now, Not registered? You also explicitly consent to the automated decision making by us, which may include the processing of your health data, to the extent that it is necessary to process your health claim swiftly and efficiently. As a Blue Cross Blue Shield of Michigan or Blue Care Network member it's easy to access care. Community Blue PPO | Human Resources University of Michigan This is where you'll find fast answers to your most common questions about being a Blue Cross provider. This document explains coverage criteria for drugs on the Clinical Drug List. Community Blue SM PPO This plan can help you attract and keep talented employees. The ability to see a specialist without a referral from a primary care doctor, Potential tax savings by being tax exempt or tax deductible. Refer to this list for drug coverage information for BCN members with a 3 or 5-Tier benefit whose plan uses the Custom Drug List. We provide health insurance in Michigan. Find, select or change your primary care physician. State and Federal Privacy laws prohibit unauthorized access to Member's private information. This is a mid-level plan with a $3,000 deductible. This lists the drugs we cover for BCN Advantage Community Value. Whether online, in person or over the phone you can be confident in our over 80 years of service. PPO plans offer: In- and out-of-network coverage The ability to see a specialist without a referral from a primary care doctor Want more details about Simply Blue PPO? An individual annual deductible is the amount you pay each year for health services before your health insurance begins to pay. Qualified Transportation Fringe Benefits (QTFB). Have Questions? Refer to this list for drug coverage information for BCN members whose plan uses the Custom Select Drug List. Now that you're enrolled, you can register for Provider Secured Services. AZBlue - Find a Doctor in Arizona - BCBSAZ . Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. State Health Plan Preferred Provider Organization (PPO) 3 . Call 877-258-3932 | Privacy Policy 1996-Blue Cross Blue Shield of Michigan and Blue Care Network Nonprofit corporations and independent licensees . They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. Find a Doctor | Blue Cross Blue Shield Register Now, Not registered? The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). The Community Blue PPO plan offers members the flexibility to see any provider throughout the U.S. without a referral, with lower out-of-pocket costs when you use in-network providers. For customer service, call the number on the back of your member ID card. Get to know your options, from in-person checkups to online health care. 2. This lists the plus comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. Need us to mail you a copy? You start paying coinsurance once youve met your plans deductible. Once you've reached it, your plan pays 100% of the allowed amount for covered services. Get access to your online account.Register Now, Not registered? For Providers | bcbsm.com This is what you'll pay when you see your primary care physician, the doctor you've selected to oversee your health care. Register Now. Register Now Why log in? For Medicare Members: Find a Doctor | BCBSM Sometimes you can predict when you'll need a doctor while traveling. This represents the most youll have to pay during a policy period, usually a year, for health care services. This is where you'll find fast answers to your most common questions about being a Blue Cross provider. A preferred provider organization is a group of health care professionals who provide services at discounted rates to plan members. We ensure through research that they are safe, effective and lower in cost. New SHP PPO membership ID cards will be mailed in September 2019. Let us help you choose the plans that meet your strategic goals.
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