Blue Cross Blue Shield of Michigan: Understanding member ID cards 0000010919 00000 n endstream You have certain tasks to complete within specific . }v".VrTAmk$NJ+ y{i-Y#gds7D 0000034422 00000 n Health Trust 0000048916 00000 n endstream endobj startxref PPO. 310 0 obj <>/Filter/FlateDecode/ID[<4C51D19B138643B1A2CB07133610D1D7>]/Index[258 116]/Info 257 0 R/Length 203/Prev 1461330/Root 259 0 R/Size 374/Type/XRef/W[1 3 1]>>stream State Health Plan Preferred Provider Organization (PPO) Uses standard Blue Cross ID card. 0000024600 00000 n trailer 258 0 obj <> endobj N'JV|DI]Ea:%*&[|{;z^HzwD/L_d?D/q|',W2tKpcukU;Bxc%w37XeNh{%_hl@zPMy * uAd;{i6pmn'D=6e Cvy"ngpdh6 s/8bG. [Narrator] Hello again, and welcome to Blue Cross Blue Shield of Michigan. It can help treat minor illnesses such as colds, sinus or respiratory infections, sprains, or rashes, making it perfect when your primary care physician is unavailable or leaving the house is difficult. 0000036634 00000 n 0000007628 00000 n They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. If your no-fault insurance carrier requests or requires confirmation of your university health plan's position for coordination with no fault, please call the SSC Contact Center at 734-615-2000 or 1-866-647-7657 (toll free). 0000022070 00000 n He paid the full $800 cost of his medical services because the cost is less than the deductible for either plan. 0000008243 00000 n An HMO is a managed care plan that provides medical care through its network of physicians, pharmacies, contracted hospitals, and medical care suppliers. When we look again at the total cost of having and using the plans, the HSA Plan is the lower cost option for John. 0000029225 00000 n GradCare Member Reimbursement Form U-M Premier Care Member Reimbursement Form Create an account now. Later in the year, that same person needs an MRI and chooses an out-of-network provider. When you combine Mary's cost to have and use the HSA Plus Plan, her total cost is $5,306. And with the $1,000 Ford contribution to his health savings account, James out of pocket costs to use the HSA Plus Plan is reduced to $2,480. Respond promptly to the carrier to complete the final phase of the enrollment process. Qualified health coverage is health or accident insurance that doesn't exclude or limit coverage for injuries from auto accidents. Detroit, MI 48243. Enrollment in the State HDHP will also provide access to an HSA, which is a tax-advantaged savings account that can be used to pay onlyeligiblehealth, prescription, dental, and vision-related expenses incurred for services not covered by insurance (e.g., deductibles, copays, and coinsurance). 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. Health insurance plans may contain auto exclusions (meaning they don't provide coverage for car accident-related injuries); may fail to cover the treatment, care and services needed by car accident victims; may limit such treatment, care and services in ways that No-Fault does not; and/or may involve managed care or HMOs which require You can choose your own primary care physician who will provide direct care or make referrals from within the network. <<674A7177E0417F4590EC384E93D00AED>]>> Federal No Surprises Act: The federal government issued the "transparency in coverage" final rule under the Federal No Surprises Act. Questions About Your Benefits? The account and money are yours. Identified standard preventive services are covered at 100%, but most other services have a 20% in-network coinsurance after meeting the deductible. The rule provides protection against balance or "surprise" billing under certain circumstances, and phases in new transparency requirements on most group health plans and health insurers. When you see a HMO in-network provider for covered services, your out-of-pocket costs are limited to deductibles (starting October 12, 2014), and copays. The HSA Plan is available to you at no cost. Physician Qualification Form (PDF) Healthy Blue Achieve Form Ready to enroll? PDF Blue Cross Blue Shield of Michigan: Understanding member ID cards Your doctor will submit the form by following the instructions on the back. Thank you for viewing. The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. The only providers permitted to submit a signed "Hospital Coverage Letter" for hospital privileges' requirement, are the following provider specialties/types: Adolescent Medicine, Child & Adolescent Psychiatry, Developmental-Behavioral Pediatrics, Family Practice, General Practice, Geriatric Medicine, Internal Medicine, Pediatrics, Physical The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. Please provide the following information about the policy holder of the other health coverage. HSA Plan and HSA Plus Plan. John's annual paycheck deduction for the HSA Plan is zero. Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. endobj 'TMjZ}dM`V;hO0 45o` T@> $0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz 0000048472 00000 n Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health California Physicians Service DBA Blue Shield of California 1999-2023. 0000025504 00000 n Log in now myfordbenefits.com HELPS YOU: View personalized benefits Effective October 1, 2019, Blue Cross Blue Shield of Michigan, in partnership with Lucet, will be replacing Magellan Health as the State Health Plan (SHP) PPO Behavioral Health/Substance Use Disorder carrier. "Qualified Health Coverage" means your health coverage: Does not exclude or limit coverage for motor vehicle accidents; and Has an annual deductible of $6,000.00 or less per covered individual. Provided in a vehicle qualified as an ambulance and part of a licensed ambulance operation <>stream Auto insurance reform | Priority Health 0000019721 00000 n Learn more about your Blue Cross Blue Shield of Michigan plan options. 0000004937 00000 n Plan: Blue Care Network (BCN) Premium Cost: Summer 5/16/20 - 8/15/20 $474.00 (approx. Michigan Auto Insurance & Coordination of Benefits Explained What does PIP cover? lo%x9d,oqM lzgw'TK6oB~+d; {qi.B/ R`]Hcq6~s_]=y&|9]Fl2b\o9Vp"(5Z9lb.dx;@? *Mii lkSW+0XI~'kT`C>?wlvR 0000012767 00000 n 0000027006 00000 n %PDF-1.6 % Or, call the number on the back of your member ID card. Be sure to turn off pop-up blocker and private browsing prior to opening your Auto Health verification letter. If you are new to an HMO, that HMO may ask you to select your primary care physician. 0000026848 00000 n Benefits under this plan were payable only after you had paid expenses equal to one month's basic salary (your deductible). startxref PDF Hospital Coverage Letter - Bcbstx

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