How to Recognize Signs and Ease the Burden, PEARS Increases Early Autism Identification in Toddlers with Play-Based, Rapid Interactive Screening System, Its My Duty: How Doctors are Working to Reduce Health Disparities Among Black Patients, Does not exclude or limit coverage for injuries related to motor vehicle accident and has an annual deductible of $6,000 or less per individual, Or if your coverage is Medicare Parts A & B. 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. endstream
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<. And you don't have to use the money by the end of the year, your account balance will not expire. &yw}.$7eIw To file a Blue Cross Blue Shield Global Core eClaim online, log in with your username and password or register for access. The plan covers inpatient hospital care, as well as other outpatient services received at a hospital including emergency room care. The rule provides protection against balance or "surprise" billing under certain circumstances, and phases in new transparency requirements on most group health plans and health insurers. When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to Blue Shield of California. (tJ)Dpdd5* 7YG1}[X3C=Yvou*tdU`{NRGqZy3Cv{c.W+5gE|7?)z
[Narrator] Hello again, and welcome to Blue Cross Blue Shield of Michigan. This provides cost and other information related to your plan options. To find the most up-to-date information about current medical and pharmacy claims, you can use the Blue Cross app or log into your BCBSM member account at bcbsm.com. %%EOF
Visit myfordbenefits.com and make your plan selection for 2023. 0000017849 00000 n
IS IBCQ-]97T5dUa{ugdcg`\o'.Nu }n|7G|ZXXMf9I\RTt K{d\H3$]S^-}h
C6PDI^7|[N$G3y\80-~/T2;D->>DRUw_ F=(8#l9o&.fy66tK~yUR~YZOa.y=jYh8MfH3eXg]s#2H`pw$]Nx8p&`1l)v1]\Ib`wO6+1OLn@{hE +vA3LSY+o(*_6]o. To get reimbursed for a flu or pneumonia shot, you'll need to fill out our Member Flu and Pneumonia Shots Reimbursement Form (PDF). Provided in a vehicle qualified as an ambulance and part of a licensed ambulance operation Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. When we look again at the total cost of having and using the plans, the HSA Plan is the lower cost option for John. For more info, visitwww.mi.gov/AutoInsurance, emailAutoInsurance@mi.gov, or call 833-ASK-DIFS (275-3437). Preventive care benefits are covered 100 percent when received from a TRUST PPO network provider. If you're asked to provide your auto insurer with a QHC letter, you will either need to contact your health plan (like Blue Cross) or your employer to request the letter. 0000058981 00000 n
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*Except for those employees in certain bargaining units who are hired on or after 1/1/00 who have a regular work schedule of 40 hours or less per bi-weekly pay period (not permanent-intermittent positions). 0000025504 00000 n
Earnings on an HSA fund balance are tax-free, and you can withdraw your money tax-free anytime, as long as you use it for qualified medical expenses for yourself or your tax dependents. Behavior Health/Substance Use Disorder Administrator. C.O.P.S. What's qualified health coverage under the new law? They are responsible for the out-of-network deductible. 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). 0000032777 00000 n
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Under the new legislation, residents may select different levels of PIP coverage. A plan is considered QHC if coverage for motor vehicle accidents is not excluded and the annual deductible is $6,000 or less per covered individual. There are different levels of PIP coverage that you can choose from. 0000024600 00000 n
120 0 obj Other costs to use the HSA Plan will vary depending on whether you select plan coverage for you or for your family. If you absolutely need to call, please try again at a later date.
Detroit, MI 48226-9942. 0000047030 00000 n
To quickly and easily find out if you, the provider, or a provider referral, participate in the member's plan network*, either log in or register for Provider Connection. ATTENTION: To ensure individuals with disabilities have an equal opportunity to access enrollment services for Qualified Health Plans, if you have a disability (such as visual or hearing impairment) auxiliary aids and alternative formats are available free of charge by contacting HealthCare.gov or calling 1-800-318-2596 to speak with HealthCare.gov. These plans also allow you to set aside tax-free funds that you can use for qualified medical expenses. Let's say Mary and her family have a normal year with normal doctor visits. And that both plans include a health savings account or HSA, that allows you to set aside tax-free funds that you can use for qualified medical expenses.
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. When you combine Mary's cost to have and use the HSA Plus Plan, her total cost is $5,306. The HSA Plus Plan requires a monthly contribution that's different depending on whether the plan will cover you, you and your spouse, you and your children, or your entire family. 0000022070 00000 n
Health Trust California Physicians Service DBA Blue Shield of California 1999-2023. 0000036634 00000 n
An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. In the HSA Plus Plan, you're also responsible for all medical and prescription costs until your deductible is met. %PDF-1.6
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This copay does not apply to the out of pocket maximum for the HSA Plan, so Mary will be responsible for this copay each time she or a family member visits the ER, after the deductible is met. Health insurance plans may contain auto exclusions (meaning they don't provide coverage for car accident-related injuries); may fail to cover the treatment, care and services needed by car accident victims; may limit such treatment, care and services in ways that No-Fault does not; and/or may involve managed care or HMOs which require Please see below for further information. You still have the freedom to go out-of-network to see any physician, hospital or other provider of your choice. h1aMXk* Q)DDJjH$*F Try again later. endstream
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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. Don't have a member account? GradCare Member Reimbursement Form U-M Premier Care Member Reimbursement Form 0000003382 00000 n
View the eGuide to see the Ford resources available all year long. 310 0 obj
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The HSA Plan is available to you at no cost. 0000021457 00000 n
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45o` T@> $0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz 0000028187 00000 n
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Uses standard Blue Cross ID card. Learnyour requirements, deadline dates and more about your coverage. The account and money are yours. To request your QHC confirmation letter: Log in to your member account. 93gpm},|P gaToY%+IzO96`%n'`Pll@BJa
You're eligible for an HSA if you enroll in the State HDHP and have no other non-HDHP health care coverage, including coverage through your spouse or any other person, and you are not claimed as a dependent on another persons tax return. 0000014332 00000 n
Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. Because Mary's cost to have the HSA Plan is $0, her total cost is $3,030. Individuals attempting unauthorized access will be prosecuted. 0000048409 00000 n
*Blue Shield of California member plans only. Automobile No-Fault Insurance Changes: Prior to July 2, 2020, Michigans Automobile No-Fault Insurance Law required individuals to purchase unlimited Personal Injury Protection (PIP) through their auto insurer. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. After that deductible is met, out-of-network charges are paid according to the plan design. $"mY_%Be66y=\"QI Under the new law, youll no longer be required to purchase unlimited personal injury protection (or PIP) if you have a certain level of health insurance coverage. b|=b}#Aif3TRD0;@NHkQ#`VEQxD Blue Cross Blue Shield of Michigan: Understanding member ID cards The best part is an HSA offers a triple tax advantage, payroll contributions, interest earned on investments and withdrawals for qualified medical expenses are all tax free. 0000028854 00000 n
All rights reserved. 13 151
Click My Plan and Spending. Go paperless by submitting claims and managing payments online for free. Co-insurance is a percentage of the cost you share with the plan. There are several ways you can request a QHC letter. You also have an out of pocket maximum, that's the maximum amount you pay in deductibles and applicable co-insurance during one plan year. Visit myfordbenefits.com and make your plan selection for 2023. In our next scenario, James covers his wife on his medical plan. An HMO provides necessary hospital and medical treatment when you are sick or injured, prescription medicine services, substance abuse treatment, short-term mental health care, and routine preventive health maintenance services such as immunizations. This amount does not count toward the plan's out-of-pocket maximum. And for the HSA Plus Plan, it's $1,020. 0000032096 00000 n
To help you compare and select your 2021 medical plan, Ford has provided Benefits Mentor powered by IBM Watson Health. Under the plan documents section, click Michigan Auto Reform to request a letter be mailed to the subscriber's address. TTY users should call 711. 0000029515 00000 n
Enter the three letters of your "Enrollee ID" found on your Blue Cross Blue Shield member ID card, and then click Go. The document must: Verify eligibility of Blue Shield of California, Blue Shield of California Promise Health Plan, other Blue plan and Federal Employee Program members, and access associated benefits information. 0000059887 00000 n
Links to all provider websites can be found on our Benefit Carrier Contact Information page. 0000017188 00000 n
Since John has individual coverage, he gets a $500 HSA contribution from Ford if he selects the HSA Plus Plan, Ford doesn't make a contribution towards the health savings account for the HSA Plan. %PDF-1.7
%
New SHP PPO membership ID cards will be mailed in September 2019. This tool provides side-by-side medical plan comparisons and personalized cost modeling. 0000009279 00000 n
14. other health care coverage 16. other policy holder's last name 19. other policy holder's date of birth 17. other policy holder's first name 20. name of other health carrier 21. other carrier policy/group number 22. other carrier street address city state zip code 23. other employer name major medical 24. type of other health insurance . So when we consider the total cost to have and use the plans, the HSA Plus Plan is the less costly option. A QHC letter must contain the following: The full names and dates of birth of all individuals covered under the policy or plan; and A statement that includes whether the coverage provided constitutes "Qualified Health Coverage" as defined in MCL 500.3107d (7) (b) (i), or that the coverage: Does not exclude coverage for motor vehicle accidents, and 0000005259 00000 n
www.bcbsm.com/som, State High Deductible HealthPlan (HDHP) withHealth Savings Account (HSA)- HDHP administered by Blue Cross Blue Shield of Michigan (BCBSM),HSA administered by HealthEquity. 0000048349 00000 n
Enroll when you're ready. 0rtq]%g=z.#i0\*m(D2q;t2}$kX[-+G-0hdA9r*8!jcsfEdRyV0=bLzf']q[6F"h.wB)^wvDH
=/OC;
f'e$GVi]G}//xTw)9]y(kkxU*uXT) 0ajx[k jK`8P1(GU=. This is the amount taken from your pay each month. Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health 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. The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. $158 per month) Eligibility: All MSU students, Law students, Visiting scholars, and more, including spouse and children of a student enrolled in the plan. To help your savings grow even more, when your HSA balance reaches $1,000, you can choose a variety of investments. Mail Code 1112. Simply . Field Service. An HSA is a smart way to save for your future qualified health expenses, including those that may come up in retirement. For all other claims, choose your health plan on this page to find the form and instructions for sending it in. hbbd```b``z"@$D2e5A$)e,H^0 Available for commercial, Shared Advantage, and BlueCard. Please keep in mind that PIP coverage pays for some items that health insurance doesnt, such as attendant care, lost wages and vehicle or housing modifications. 577 0 obj
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To request a proof of qualified health coverage letter, contact Blue Cross' Customer Service department at 1-800-422-9146from 8:30 a.m. to 5 p.m. Eastern time, Monday through Friday. 0000008446 00000 n
PIP coverage can include items like attendant care, housing modifications and lost wages. (5 days ago) WebTo request a proof of qualified health coverage letter, contact Blue Cross' Customer Service department at 1-800-422-9146 from 8:30 a.m. to 5 p.m. Eastern time, Monday https://hwnr.bcbsm.com/content/dam/microsites/mpsers/2020/best-of-health-summer-nonmedicare.pdf Category: Health Show Health Filter Type: Treatment The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. You must be in pay status to receive this payment. i'
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If your auto insurance is requesting a QHC letter to issue or renew a policy, you may request a QHC letter by contacting your health carrier. 0000019721 00000 n
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. Demographics |Electronic Data Interchange (EDI) | Recoveries, Need help with Provider Connection: Blue Shield Provider Connection Guide Provider Connection training. If your auto insurance is requesting a QHC letter to issue or renew a policy, you may request a QHC letter by contacting yourhealth carrier. 0000018397 00000 n
Member logins offer many on-line tools, such as access to claims information, viewing Explanation of Benefits, printing replacement ID cards, etc. Utilize the Insurance Planspage to review plan summaries or contact the HMO that interests you to request their benefit booklet. 0000022731 00000 n
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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 We appreciate your understanding. Your Benefit Guide State Health Plan PPO 3 Visit BCBSM Customer Service Center 232 S. Capitol Ave. Lansing, MI 48933 . 0000048916 00000 n
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For the HSA Plus Plan, her yearly contributions, which is her cost to have the plan would be $3,300. This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. Once logged in, navigate to the https://www.bcbsm.com/index/health-insurance-help/faqs/topics/other-topics/no-fault-changes.html The new Michigan No-Fault insurance law defines qualified health coverage in two ways: It is "health or accident coverage" that "does not exclude or limit coverage for injuries related to motor vehicle accidents" and its "annual deductible for coverage" must be "$6,000 or less per individual." (MCL 500.3107d (7) (b) (i)) Or it is Medicare coverage. 0000049165 00000 n
Click continue to proceed with verification. 0000003914 00000 n
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The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. Both plans offer the largest doctor and hospital network as well as benefits, including prescription drug coverage and in-network preventive care at no additional cost. Callers to our phone lines are currently experiencing long wait times. 0000029225 00000 n
<> Government Human Resources Benefits Health Benefit Plans. 0000021168 00000 n
A plan is considered QHC if coverage for motor vehicle accidents is not excluded and the annual deductible is $6,000 or less per covered individual. 0000006145 00000 n
You are encouraged to visit your benefit providers' website and create free member logins. XYQ This product provides comprehensive PPO coverage with costsharing features. You can log in to your online member account to see if you have a QHC letter to download. This tool provides side-by-side medical plan comparisons and personalized cost modeling. Access tools to prescreen, submit and check the status of submitted claims. 0000007258 00000 n
Providers and facilities that fail to comply will be suppressed from our directories. 606 0 obj
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You can use the money if you leave the company, change your plan, or retire. He paid the full $800 cost of his medical services because the cost is less than the deductible for either plan. You don't need to wait until your new plan year starts to see your doctor. 0000059656 00000 n
You have certain tasks to complete within specific . 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. 0000041020 00000 n
If you are 55 or older, you can make an additional catch-up contribution of $1,000 per year until you are enrolled in Medicare. Respond promptly to the carrier to complete the final phase of the enrollment process. Contact your auto insurance carrier for specific questions regarding PIP coverage. Learn More Questions? 0000023941 00000 n
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Blue Cross Blue Shield of Michigan. Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. Questions About Your Benefits? endstream
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You can choose your own primary care physician who will provide direct care or make referrals from within the network. Physician Qualification Form (PDF) Healthy Blue Achieve Form 119 0 obj Let's start with Mary who selected a plan to cover her family. Contact your auto insurance agent with questions and to learn more about your options. 0000020798 00000 n
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Access commonly requested forms for patient care activities, credentialing, and more. 0000013426 00000 n
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We're redirecting you to Blue Shield of California's Find a doctor search. Thank you for viewing. 0000035745 00000 n
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). 0000018771 00000 n
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OptumRx is the Pharmacy Benefit Manager for the State Health Plan PPOand will administer all retail, mail-order, and specialty prescription services for active employees and both Medicare-eligible and non-Medicare eligible retirees. 0000016284 00000 n
Be sure to turn off pop-up blocker and private browsing prior to opening your Auto Health verification letter. 0000045752 00000 n
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If you have additional BCBSM contracts, pleas e include this as other coverage. See below. 0000051836 00000 n
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They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. 1200 N. Telegraph Road
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%PDF-1.6
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Blue Shield/Blue Shield Promise network referrals. Visit Federal No Surprises Act (michigan.gov)for more information. 0000043394 00000 n
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Ready to enroll? `+DO>|5%Nqdws=0y';L a66[OIe,%EqtRS&54Qvw"E$iu3:G+x+II^ UTT"9W!4XuYS6Ly}l&!2 lo%x9d,oqM lzgw'TK6oB~+d; {qi.B/ R`]Hcq6~s_]=y&|9]Fl2b\o9Vp"(5Z9lb.dx;@? *Mii
lkSW+0XI~'kT`C>?wlvR 0000005441 00000 n
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If you need information about eligibility, benefits or claims, or want to submit or review an authorization, the best way to get up-to-date information is through our on-line resources. %PDF-1.6
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Look for the chat icon at the bottom right corner of the screenon any page of this website. %PDF-1.7
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With the HSA Plan, you pay 100% of medical and prescription costs until your deductible is met. 0000027783 00000 n
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If you are new to an HMO, that HMO may ask you to select your primary care physician.
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