Use the Find-a-Doctor tool to verify provider participation in one of our plan networks. Two letters confirming you have MESSA coverage that are often requested by your auto insurance carrier can be found in your MyMESSA member account. When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to BlueShield of California. 0000022361 00000 n An important note regarding the State Health Plan PPO deductibles: You have the freedom to see both in-network and out-of-network providers. endobj 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. Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. HSA Plan and HSA Plus Plan. 0000026320 00000 n For instance, you can make your own before tax paycheck contributions to your HSA, use the accelerated HSA contribution option to ensure savings are available sooner, or simply plan to pay yourself back later in the year once your HSA savings has time to build. 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. Blue Cross Blue Shield of Michigan. Click My Plan and Spending. Members should direct specific questions about PIP coverage to their auto insurer. Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health 866-503-3158 0000030241 00000 n Your Benefit Guide State Health Plan PPO 3 Visit BCBSM Customer Service Center 232 S. Capitol Ave. Lansing, MI 48933 . Contact your auto insurance agent with questions and to learn more about your options. 0000023941 00000 n No-fault auto insurance changes in Michigan bcbsm.com Health (6 days ago) WebThere are several ways you can request a QHC letter. startxref 13 151 Let's start with Mary who selected a plan to cover her family. 0000022731 00000 n 0000048834 00000 n 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 also review your current plan to help make the best choice for 2021. Don't have a member account? 140 0 obj <> endobj 0000026660 00000 n So when we consider the total cost to have and use the plans, the HSA Plus Plan is the less costly option. em4MVRpH ~*.V%s^5h}R,uJXP;6s@bH{{J 4aWS8r *W~oKMwSV-Kl^voIb #TY^hAP38HUR{mv8azF`lAQm8yiKm77!}1nW 0000032373 00000 n We're sorry, but the attestation service is temporarily unavailable. Federal No Surprises Act: The federal government issued the "transparency in coverage" final rule under the Federal No Surprises Act. 0000014332 00000 n We're making your EOB easier to understand. You are encouraged to visit your benefit providers' website and create free member logins. The account and money are yours. 0000003914 00000 n You can now file disputes, attach supporting documents, and retrieve letters for submitted disputes online! You can call the number on the back of your member ID card. 159 0 obj <>/Filter/FlateDecode/ID[<38505CF35D4D814CB849C61D42F0BD2C>]/Index[140 54]/Info 139 0 R/Length 99/Prev 142241/Root 141 0 R/Size 194/Type/XRef/W[1 3 1]>>stream After that deductible is met, out-of-network charges are paid according to the plan design. To file a Blue Cross Blue Shield Global Core eClaim online, log in with your username and password or register for access. 0000060222 00000 n 0000014041 00000 n 0000059211 00000 n 0000045752 00000 n State-sponsored health insurance carriers are prepared to send a letter to State employees or retirees, upon request, confirming their health plan is considered Qualified Health Coverage (QHC). Once logged in, navigate to the https://www.bcbsm.com/index/health-insurance-help/faqs/topics/other-topics/no-fault-changes.html Share & Bookmark, Press Enter to show all options, press Tab go to next option, Retirement and Deferred Compensation Board, Upcoming Individual Consultations & Seminars, Oakland County's Qualified Health Coverage Letter for Active Employees, Oakland County's Qualified Health Coverage Letter for Retiree, Notice of Qualified Health Coverage for Purposes of Michigan No-Fault Auto Law, 2023 PPO 1 Summary of Benefits and Coverage, 2023 PPO 3 Summary of Benefits and Coverage, Summary of Information for Preventive Care, 2023 PPO 2 Summary of Benefits and Coverage, 2023 Traditional Summary of Benefits and Coverage, 2023 HAP Summary of Benefits and Coverage, BCBSM Approved Autism Evaluation Centers and Behavioral Analysts. <> }v".VrTAmk$NJ+ y{i-Y#gds7D 0000049042 00000 n 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. 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. 0000036634 00000 n Since John has individual coverage, he gets a $500 HSA contribution from Ford if he selects the HSA Plus Plan, Ford doesn't make a contribution towards the health savings account for the HSA Plan. When you see a PPO network provider for covered services, your out-of-pocket costs are limited to deductibles, co-insurance, and copays. 0000034448 00000 n Per state and federal law, providers and facilities must attest to accuracy of directory information to stay visible in find a Doctor. 0000014991 00000 n An HMO provides necessary hospital and medical treatment when you are sick or injured, prescription medicine services, substance abuse treatment, short-term mental health care, and routine preventive health maintenance services such as immunizations. Access commonly requested forms for patient care activities, credentialing, and more. 163 0 obj <>stream This contribution will be prorated for employees who enroll mid-year. An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. %%EOF 0 373 0 obj <>stream db4H@g& C Member logins offer many on-line tools, such as access to claims information, viewing Explanation of Benefits, printing replacement ID cards, etc. Even though this law has to do with your auto insurance, a lot of people have questions about what it means for your. 0000005858 00000 n 0000059656 00000 n John's annual paycheck deduction for the HSA Plan is zero. 0000029757 00000 n There are different levels of PIP coverage that you can choose from. hbbd```b``z"@$D2e5A$)e,H^0 0000035745 00000 n And you don't have to use the money by the end of the year, your account balance will not expire. {07 N_Bdk 0000012476 00000 n 0000039800 00000 n Questions About Your Benefits? 0000030483 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. 577 0 obj <>stream You still have the freedom to go out-of-network to see any physician, hospital or other provider of your choice. N'JV|DI]Ea:%*&[|{;z^HzwD/L_d?D/q|',W2tKpcukU;Bxc%w37XeNh{%_hl@zPMy * uAd;{i6pmn'D=6e Cvy"ngpdh6 s/8bG. Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. Qualified Healthcare Coverage Letter 0000035230 00000 n For Medicare Members: No-fault auto law changes Health (Just Now) WebThere are several ways you can request a QHC letter. 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. 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. 0000012102 00000 n Learnyour requirements, deadline dates and more about your coverage. 0000004937 00000 n (tJ)Dpdd5* 7YG1}[X3C=Yvou*tdU`{NRGqZy3Cv{c.W+5gE|7?)z 0000033229 00000 n Under the new legislation, residents may select different levels of PIP coverage. Qualification Forms | Managing My Account | bcbsm.com Respond promptly to the carrier to complete the final phase of the enrollment process. Michigan Qualified Health Insurance Letter 0000012767 00000 n 0000048207 00000 n Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. The state will make an annual HSA contribution of $750 for an eligible individual employee enrolled in the State HDHP or $1,500 for an eligible employee who enrolls with one or more eligible dependents in the State HDHP,* effective January 1. This tool provides side-by-side medical plan comparisons and personalized cost modeling. %PDF-1.7 % This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. Log in to continue with member verification. endstream endobj startxref [Instructor] Hello, and welcome to Blue Cross Blue Shield of Michigan. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 0000019062 00000 n 0000048916 00000 n $158 per month) Eligibility: All MSU students, Law students, Visiting scholars, and more, including spouse and children of a student enrolled in the plan. 0000009647 00000 n Before you select a medical plan, consider your total costs, including the costs to have and use the plan. To help your savings grow even more, when your HSA balance reaches $1,000, you can choose a variety of investments. 0000019892 00000 n <>/Filter/FlateDecode/ID[<640396EC155E3E4385DE44C7EB07AE63>]/Index[119 54]/Info 118 0 R/Length 102/Prev 42314/Root 120 0 R/Size 173/Type/XRef/W[1 2 1]>>stream Visit, Go to Qualified Transportation Fringe Benefits (QTFB), Active Employee State Health Plan PPO BCBSM Plan Booklet, Retiree State Health Plan PPO With Medicare Booklet, Understanding HMO Insurance Premium Rates. Now let's look at what a single person with relatively few healthcare needs might experience. 0000048173 00000 n You can log in to your online member account to see if you have a QHC letter to download. endobj The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. You may enroll in an authorized HMO plan serving your residential area. The State Health Plan PPO provides reimbursement for medical care expenses when you need treatment for an illness, injury, or disease. 172 0 obj Once logged in, navigate to the QHC letter in the Proof of Insurance section at the bottom of the page. Michigan Auto Insurance Reform -- What HAP Members Should Know These scenarios are simple, and there are many other ways you can consider managing your out-of-pocket costs with your health savings account. PDF Blue Cross Blue Shield of Michigan: Understanding member ID cards hb``b``f`c`Taa@ V(-) Q>hL)[ley|800pt Pn`K Al@8m@@3J31k=21@=3 F%&hWfpdbm]` Uses standard Blue Cross ID card. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. This copay is waived if Mary or her family member is admitted as a result of the ER visit. 0000047030 00000 n You can choose your own primary care physician who will provide direct care or make referrals from within the network. 0000018771 00000 n 0000008674 00000 n 'TMjZ}dM`V;hO0 45o` T@> $0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz You can log in to your online member account to see if you have a QHC letter to download. 0000010919 00000 n www.bcbsm.com/som, State High Deductible HealthPlan (HDHP) withHealth Savings Account (HSA)- HDHP administered by Blue Cross Blue Shield of Michigan (BCBSM),HSA administered by HealthEquity. Demographics |Electronic Data Interchange (EDI) | Recoveries, Need help with Provider Connection: Blue Shield Provider Connection Guide Provider Connection training. 0000029225 00000 n If you're asked to provide your auto insurer with a QHC letter, you will either need to contact your health plan (like Blue Cross) or your employer to request the letter. Oakland County's Qualified Health Coverage Letter for Retiree Notice of Qualified Health Coverage for Purposes of Michigan No-Fault Auto Law Medical Health Plans ASR Plan Documents ASR PPO 1 Plan Document ASR PPO 3 Plan Document Summary of Benefits and Coverage 2023 PPO 1 Summary of Benefits and Coverage 2023 PPO 3 Summary of Benefits and Coverage IS IBCQ-]97T5dUa{ugdcg`\o'.Nu }n|7G|ZXXMf9I\RTt K{d\H3$]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). For auto insurance policies issued or renewed after July 1, 2020, Michigan's Automobile No-Fault Insurance Law will change. Employees selecting the HSA Plan are responsible for a fixed amount copayment of $200 for each visit to the emergency room after your deductible has been met. Utilize the Insurance Planspage to review plan summaries or contact the HMO that interests you to request their benefit booklet. James has arthritis, so he needs to take a higher cost maintenance drug. endstream endobj 141 0 obj <>/Metadata 11 0 R/Pages 138 0 R/StructTreeRoot 21 0 R/Type/Catalog/ViewerPreferences 160 0 R>> endobj 142 0 obj <>/MediaBox[0 0 612 792]/Parent 138 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 143 0 obj <>stream Reviewplan materialscarefully to understand the advantages and risks associated with the plan. 0000022070 00000 n Simply Blue. If you have any questions, call the phone number on the back of your Blue Cross ID card and we'll help. GradCare Member Reimbursement Form U-M Premier Care Member Reimbursement Form And he pay $2,280 annually to have the HSA Plus Plan. Representatives are available 8:00 a.m. to 5:00 p.m., Monday through Friday. 0000027316 00000 n 0000020507 00000 n 0000021457 00000 n They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. Please keep in mind that PIP coverage pays for some items that health insurance doesnt, such as attendant care, lost wages and vehicle or housing modifications. To find the most up-to-date information about current medical and pharmacy claims, you can use the Blue Cross app or log into your BCBSM member account at bcbsm.com. Those costs include increased copay and deductible amounts. 0000034422 00000 n Detroit, MI 48243. 119 0 obj Michigans new auto no-fault insurance law went into effect July 1, 2020. And that both plans include a health savings account or HSA, that allows you to set aside tax-free funds that you can use for qualified medical expenses. 141 0 obj 0000048613 00000 n Try again later. 14. other health care coverage 16. other policy holder's last name 19. other policy holder's date of birth 17. other policy holder's first name 20. name of other health carrier 21. other carrier policy/group number 22. other carrier street address city state zip code 23. other employer name major medical 24. type of other health insurance . 0 For Medicare Members: No-fault auto law changes bcbsm.com Health (Just Now) WebThere are several ways you can request a QHC letter. Create an account now. 0000027473 00000 n Log in now myfordbenefits.com HELPS YOU: View personalized benefits 0000000016 00000 n Ford offers an accelerated contribution option. You can keep your unlimited PIP coverage. Enter the three letters of your "Enrollee ID" found on your Blue Cross Blue Shield member ID card, and then click Go. For Ford Employees: 2023 Health Plans | BCBSM h1aMXk* Q)DDJjH$*F Go paperless by submitting claims and managing payments online for free. 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. Later in the year, that same person needs an MRI and chooses an out-of-network provider. For more info, visitwww.mi.gov/AutoInsurance, emailAutoInsurance@mi.gov, or call 833-ASK-DIFS (275-3437). 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 0000027006 00000 n Now let's look at some helpful scenarios that show how these plans work, considering the costs to have and use each plan. Your auto insurer may also ask for a letter about how your health coverage coordinates with your auto insurance for auto accident medical claims (i.e., which coverage pays primary in an auto accident). 0000060102 00000 n You don't need to wait until your new plan year starts to see your doctor. 0000008045 00000 n 0000042215 00000 n *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). 0000017188 00000 n Or, call the number on the back of your member ID card. 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. First, let's look at the cost to have a medical plan. 0000030725 00000 n Auto insurance reform | Priority Health SECTION 2 OTHER HEALTH COVERAGE INFORMATION . 0000048409 00000 n Take a look at what Blue Cross plans offer, then choose the one that's right for you. (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 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. 0000048976 00000 n 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. You can also take a closer look at your current plan to help you make the best choice for your 2021 plan. 0000016814 00000 n This amount does not count toward the plan's out-of-pocket maximum. More from MIBluesPerspectives.com: MI Blues Perspectives is sponsored by Blue Cross Blue Shield of Michigan, a nonprofit, independent licensee of the Blue Cross Blue Shield Association, Blue Cross Helps Primary Care Practices Survive Pandemic, Blue Cross, Blue Care Network to Return $21M to Individual Plan Members, Increasing Access to Behavioral Health Care in the Face of COVID-19, Concussions: The Warning Signs You Need to Know, Are You the Default Parent? Learn more about your Blue Cross Blue Shield of Michigan plan options. For example: a single person chooses an in-network hospital for surgery. 1tv a health reimbursement arrangement which helps members pay for qualified medical expenses. *Note: MSPTA-represented (T01) employees, DROP employees, and Other Eligible Adult Individuals (OEAIs) and their dependents are not eligible for this benefit.
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