Freedom and flexibility. . Local Provider Directory Let us help you understand your Medicare Advantage options, with plans as low as $0. The embedded coinsurance maximum is the most youll have to pay in coinsurance during a policy period. With a health reimbursement arrangement, or HRA, you provide the funds to your employee's account. This streamlined and affordable plan has just one point of contact for your employees, their primary care physician. Community Blue Medicare Plus PPO - Highmark Medicare This is a mid-level plan with a $5,500 deductible. There are zero copays ($0) when you use in-network providers. 1-877-860-2837 All Community Blue plans give members: More than 50 community and specialty hospitals and more than 10,400 doctors in 29 counties in Western Pennsylvania. Limited to spinal manipulation for subluxation of the spine. | $26,400. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama Preferred listings, or those with featured website buttons, indicate YP advertisers who directly provide information about their businesses to help consumers make more informed buying decisions. Our mission is to provide our clients with the best and personnel services when handling their finance. | Community Blue | Highmark Insurance | Central Pennsylvania Want more details about Community Blue HRA PPO? Our four Everyday LifeChangers help give our members, providers and employees the best experience possible. Pick a directory to search or find other helpful information about drug resources, quality programs and more. Blue Cross Blue Shield of Michigan Community Blue. Yes, under certain circumstances, a Prior Authorization is required for non-covered benefits. Community Blue Platinum $500. Search 24/7 online for a provider or pharmacy. In addition, some sites may require you to agree to their terms of use and privacy policy. Very happy I made the choice to use Carteret. MyCARE NAVIGATOR . All our Community Blue PPO plans use the Custom Select Drug List (PDF). Copyright 2023 Blue Cross and Blue Shield of Louisiana. Network choices that can translate to lower costs for copays and coinsurance. Hospital Inpatient Services and Ambulatory Services. to a Qualifying Life Event. As a Blue Cross Community Health Plans member, you have access to medical, dental, vision, behavioral health, prescription drug coverage and more. You are leaving the Blue Cross and Blue Shield of Louisiana (BCBSLA) website. . YP advertisers receive higher placement in the default ordering of search results and may appear in sponsored listings on the top, side, or bottom of the search results page. MMAI Members: Get ready to renew your Medicaid! They offer experienced, knowledgeable service. These pay-as-you-go plans have no startup or administrative fees. Members have a lower deductible and lower out-of-pocket costs when using providers at the Enhanced Value Level. This . This plan provides care As a partner in joint operating agreements, Highmark Blue Shield also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Illinois is checking to see if you are still eligible for Medicaid. We offer a complete choice of plans to meet your coverage needs and fit your budget. BlueCare lets you see doctors 24/7 for minor health issues or schedule appointments for behavioral health needs. PDF File is in portable document format (PDF). This is called "prior authorization." Information is issued by Highmark Blue Cross Blue Shield on behalf of these companies, which serve the 29 counties of western 2023 MEDICAL PREMIUMS FOR ACTIVE EMPLOYEES, 2023 MAGNOLIA LOCAL SUMMARY OF BENEFITS AND COVERAGE, 2023 MAGNOLIA LOCAL PLUS SUMMARY OF BENEFITS AND COVERAGE, 2023 MAGNOLIA LOCAL PLUS SCHEDULE OF BENEFITS, Louisiana State University Find a doctor near you or search for other doctors in Louisiana and more. Here are some of the benefits: These pay-as-you-go plans have no startup or administrative fees. They offer tax advantages and seamless processing of medical claims. Security | Privacy | Terms of Use | Notice of Non-Discrimination and Translation Assistance, For updates on our contract negotiation with Catholic Health , Notice of Non-Discrimination and Translation Assistance. The Blue Cross Community Health PlansSM(BCCHP) network is made up of doctors, specialists and hospitals that can provide medical services to you. Call Member Services: A Blue Cross Blue Shield Global Core accepted by providers across the country. The freedom and flexibility. networks and dont plan to utilize out-of-network care. Community Blue Medicare PPO - Highmark Medicare Find a pharmacy in your plan network. PDF Community Blue Group Benefits Certificate Sg - Bcbsm Pharmacy Finder YP - The Real Yellow PagesSM - helps you find the right local businesses to meet your specific needs. Blue Cross and Blue Shield of Louisiana Enters Into Definitive Agreement to be Acquired by Elevance Health, Deal will result in $3 billion foundation focused on improving Louisiana. Register Now. 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 information contained on this website regarding the Patient Protectionand Affordable Care Act of 2010 (PPACA), as amended, and/or any otherlaw, does not constitute legal or tax advice and is subject to change basedupon the issuance of new guidance and/or change in laws. Illinois is checking to see if you are still eligible for Medicaid. Go to the nearest hospital in an emergency. The Community Blue Premier Flex network gives members: High quality, in-network care, with access to thousands of accepted doctors, hospitals and medical centers across Pennsylvania. The information provided is intended to provide general information only and does not attempt to give you advice that relates to your specific circumstances. TheProvider Findermakes it easy to find a doctor or other provider in your area. insurance eligibility. PDF File is in portable document format (PDF). Incentivizing employees with PPO plans to use cost-effective providers by using our Find Care tools. Find a Provider | Blue Cross and Blue Shield of Illinois As with any insurance plan, a few smart choices can help you avoid big, unexpected medical bills. View listing photos, review sales history, and use our detailed real estate filters to find the perfect place. parishes of Ascension, East Baton Rouge, Livingston and West Baton Rouge. Once you've reached it, your plan pays 100% of the allowed amount for covered services. Either way, you're not where you want to be, and we're sorry about that. Start at abe.illinois.gov, click Manage My Case to find your renewal due date and verify your mailing address. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Register Now, Not registered? Summary of Community Blue Flex PPO Blue Benefits On the chart below, you'll see what your plan pays for specific services. | iptiQ by Swiss Re | LinkedIn Get access to your online account.Register Now, Not registered? Copyright YYYYHealth Care Service Corporation. Let's Make Sure You're In the Right Place. The Public Health Emergency (PHE), in place as a result of COVID-19, ended on May 11, 2023. Picking a primary care doctor is an important step to staying healthy and saving money. Some services that are not covered include: Use our Provider Finder to search for doctors and other providers. State laws and regulations governing health insurance and health plans may vary from state to state. There are two levels of network benefits coverage for certain services: Enhanced Value and Standard Value*. The call is free. Community Blue Medicare Plus PPO includes a high value network of select providers, PLUS an enhanced service model to assist in . Read Our Non-Discrimination Notice, English | The best value, this covers the care you need. All with no copays. Plan members dont require a referral to schedule an appointment with a specialist. Last Updated: 05312023 H0927_WEBILMMAIRET23, Home and Community-Based Services & Waivers, Grievances, Appeals and Coverage Decisions, Language Assistance and Non-Discrimination Notice. They offer tax advantages and seamless processing of medical claims. PCP office visit copay. $36,400. When my husband needed to get health insurance to go with medicare, I saw this commercial and decided to call. The Johns Hopkins Hospital, Penn State Milton S. Hershey Medical Center,ClevelandClinic, The Childrens Hospital of Philadelphia and Memorial Sloan-Kettering Cancer Center are among some of the renowned medical facilities that accept Community Blue Premier Flex coverage. We have an extensive experience in, From Business: Gibson Kevin L has been in business since 1998. PDF MEMBER FAQs COMMUNITY BLUE FLEX PPO - Matson Insurance Highmark Inc. or certain of its affiliated Blue companies serve Blue Cross Blue Shield members in the 29 counties of western Pennsylvania, 13 counties in northeast Pennsylvania, the state of West Virginia plus Washington County, Ohio, and the entire state of Delaware. 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. If you're looking for a straight answer to your healthcare questions, this is the place. Get discounts on gym memberships, fitness gear, healthy eating, prescriptions and more. Your Personal Data will remain on file for: any period required by applicable law; and, to the extent necessary for any purpose(s) provided directly or indirectly herein or as may be reasonably inferred from the content contained in this notice or the website, but no longer than permitted by applicable law. The Local Pay Your Bill. only. The information provided is intended to provide general information only and does not attempt to give you advice that relates to your specific circumstances. This classic PPO plan has the largest network of doctors and all the essential health benefits you expect. 24/7 Nurseline: If you have questions, our nurses have answers. Health Insurance Alabama | Blue Cross and Blue Shield of Alabama. Well exam must be done by your Primary Care Provider (PCP) or Womens Health Care Provider (WHCP). To view this file, you may need to install a PDF reader program. Your primary care provider (PCP) is your personal doctor who will give you most of your care. Access to renowned childrens hospitals, The Johns Hopkins Hospital, Cleveland Clinic and other leading health care providers. The TAI community is heading to Louisville, Kentucky Save the date: May 7-10, 2024 Swipe to see the new program schedule. (iii) for purposes relevant to corporate policies or litigation to the extent permitted under applicable law or when it is prescribed in GDPR or other applicable law. High quality, in-network care, with access to thousands of accepted doctors, hospitals and medical centers across Pennsylvania. Click below to access each regional Provider Directory: Region 1 Provider Directoryincludes these counties: Out-of-network care is provided in emergencies (TTY/TDD: 711). 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. PDF Community Blue Medicare HMO Plan 2021 Provider Directory Exceptional provider choices, close-to-home including cancer care, rehabilitation services, behavioral health, emergency care, womens health and childrens care. Community Blue Medicare HMO includes a high-value network of select providers, PLUS an enhanced service model to assist in finding doctors, making . Do you want to change your PCP or need help finding a doctor? Obsidian Insurance Holdings, Inc | LinkedIn We are committed to providing outstanding services to our applicants and members. Adams, Brown, Calhoun, Cass, Champaign, Christian, Clark, Coles, DeWitt, Douglas, Edgar, Ford, Greene, Hancock, Iroquois, Jersey, Livingston, Logan, Macon, MaCoupin, Mason, McDonough, McLean, Menard, Montgomery, Morgan, Moultrie, Piatt, Pike, Sangamon, Schuyler, Scott, Shelby, Vermillion, Region 3 Provider Directory includes these counties: This plan offers $25 primary care co-pays and $50 specialty care co-pays. in the form of a co-pay or coinsurance. Blue Connect - Blue Connect is a select, local network designed for members who live in the parishes Important Legal Information:Health benefits or health benefit administration may be provided by or through Highmark Blue Shield or one of its affiliated Blue companies, which are independent licensees of the Blue Cross Blue Shield Association. benefits job aid and forms. 2023 MEDICAL PREMIUMS FOR ACTIVE EMPLOYEES. Some of these services may require a prior authorization (getting an OK from BCCHP). Our agents can help you set up your plan, enroll your employees and help you determine the easiest way to set up payments. Your email address and phone number may be used to contact you. HRA plans. Visit the new website. External link You are leaving this website/app (site). Our Website and Member Login Is Moving. The site may also contain non-Medicare related information. All with no co-pays. Once you've reached it, your plan pays 100% of the allowed amount for covered services. options. than using employer funding to offset out-of-pocket costs. Your Medicaid plan offers comprehensive benefits for medical, prescription, vision and dental services. Pay your bill, view your statements or update your email or password. Learn about what to expect as a new member and your rights and responsibilities. Shop our plans today. Pharmacy coverage is available through Prime Therapeutics. Its usually figured as a percentage of the total charge for the service. 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. Plus plan is ideal for members who prefer the predictability of co-payments rather A wide selection of cost sharing and cost-savings benefit designs. For the best performance and security, always keep your web browser up-to-date. $18,200. We do so by offering health plans that provide reliable coverage to Western New Yorkers and by supporting the organizations and individuals who work hard every day to keep our communities healthy. All Rights Reserved. It has all BCCHP providers in one place. With our affordable guaranteed acceptance policy, you cannot be turned down due to your health. In this video, FF News' Douglas Mackenzie sits down for a conversation with Robert Burr, Group Managing Director & CEO of iptiQ by Swiss Re. Understand your plan, learn about health savings accounts, and watch helpful videos. ESPAOL TING VIT PENNSILFAANISCH DEITSCH ITALIANO FRANAIS DEUTSCH POLSZCZYZNA CREOLE FRANAIS PORTUGUS ADDITIONAL LANGUAGES NON-DISCRIMINATION POLICY. All Rights Reserved. Make sure a provider is in network before you get care. All reasonably appropriate measures will be taken to prevent disclosure of your Personal Data beyond the scope provided directly or indirectly herein or as may be reasonably inferred from the content contained in this notice or the website. The Office of Group Benefits (OGB) offers multiple health plans, including the Magnolia Did you try to get treatment? Connect with us. Highmark's mission is to be the leading health and wellness company in the communities we serve. This new site may be offered by a vendor or an independent third party. COMMUNITY BLUE GROUP BENEFITS CERTIFICATE SG End Stage Renal Disease (ESRD) We coordinate with Medicare to pay for ESRD treatment. | Security Blue HMO-POS is a Mesidicare Advantage Health Maintenance Organization plan that covers all Medicare-covered benefits, including preventive care, doctor visits, hospital stays, and more. One option is Adobe Reader which has a built-in screen reader. . Your Medicaid plan offers comprehensive benefits for medical, prescription, vision and dental services. 2mo. External links open in new windows to websites Blue Cross and Blue Shield of Louisiana does not control. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Plus you get added benefits like routine dental, vision, and hearing care. Here are their stories. Regardless of which Community Blue product members have, they have access to the high-quality Community Blue network. Some services need approval from your health plan before you get treated. Not registered? These services providers are located in the United States. Some special benefits include: The table below contains someof the services covered under your BCCHP plan. Community Blue Flex PPO is a tiered benefit design that . Download a print version. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. This way, members have a choice every time they select a provider and they can control their costs. Outside the Central Pennsylvania 21-county area, members have in-network access to participating doctors, hospitals and other care providers throughout the country. The Illinois Long Term Care Ombudsman Program, An appointment with another health care provider, One (1) eye exam every 12 months per member, Every two (2) years for member age 21 and older, Replaced "as needed" for members under 21, Additional reimbursement toward a pair of upgraded eyeglass frames, Cosmetic surgery or treatment that are not medically necessary, Procedures that are still being tested or experimental, Drugs and supplies without a prescription, Services in an emergency room for health issues that are not emergencies.