bcbsm qualified health coverage letter

Submit and confirm authorizations and approval of medical and pharmacy services prior to services being rendered. 0000029757 00000 n If you don't have a Provider Connection account, you will need to register before logging in. After the deductible and coinsurance are applied for the HSA Plus Plan, James will be responsible for $3,480. Contact your auto insurance carrier for specific questions regarding PIP coverage. 0000006389 00000 n You can log in to your online member account to see if you have a QHC letter to download. 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 Thank you for viewing. Respond promptly to the carrier to complete the final phase of the enrollment process. You can use the money if you leave the company, change your plan, or retire. 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). Contact your auto insurance agent with questions and to learn more about your options. <> 0000032096 00000 n For auto insurance policies issued or renewed after July 1, 2020, Michigan's Automobile No-Fault Insurance Law will change. 0000018397 00000 n [Instructor] Hello, and welcome to Blue Cross Blue Shield of Michigan. 0000013667 00000 n Pontiac, MI 48341. We appreciate your understanding. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. Provided in a vehicle qualified as an ambulance and part of a licensed ambulance operation 0000027316 00000 n 0000023941 00000 n Once logged in, navigate to the https://www.bcbsm.com/index/health-insurance-help/faqs/topics/other-topics/no-fault-changes.html 0000006680 00000 n You're now aware you have a choice between two HSA eligible medical plans in 2021. 140 0 obj <> endobj The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. 0000027473 00000 n 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. 0 0000021168 00000 n 0000048540 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. 0000029225 00000 n Learn More Questions? Callers to our phone lines are currently experiencing long wait times. Contact your HR Benefits Team at LCC-HR-Benefits@star.lcc.edu Contact Human Resources Phone: 517-483-1870 Fax: 517-483-1883 Monday - Friday: 8:00 a.m. - 5:00 p.m. Administration Building This contribution will be prorated for employees who enroll mid-year. 0000048277 00000 n You can also review your current plan to help make the best choice for 2021. 0 Members should direct specific questions about PIP coverage to their auto insurer. 0000025213 00000 n 0000030483 00000 n The state will make an annual HSA contribution of $750 for an eligible individual employee enrolled in the State HDHP or $1,500 for an eligible employee who enrolls with one or more eligible dependents in the State HDHP,* effective January 1. 0000012476 00000 n Look for the chat icon at the bottom right corner of the screenon any page of this website. We're sorry, but the attestation service is temporarily unavailable. To help you compare and select your 2021 medical plan, Ford has provided Benefits Mentor powered by IBM Watson Health. 0000048834 00000 n hbbd``b`$WX@]@D0(, IH0@1% b Cu@\v d"3|` %PDF-1.7 % #G:&#WeKo]b287X]4 fd!n>X3jG[)GW%0.{1,JqA]Vf,fyf#Ji+OvDUpe!K|\"e2{g3ePW?/p These scenarios are simple, and there are many other ways you can consider managing your out-of-pocket costs with your health savings account. And you don't have to use the money by the end of the year, your account balance will not expire. 0000011869 00000 n (MSPTA-represented only) 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. 0000008243 00000 n For all other claims, choose your health plan on this page to find the form and instructions for sending it in. 0000036634 00000 n It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. View detailed plan information in this document. %PDF-1.6 % First, let's look at the cost to have a medical plan. 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. Individuals attempting unauthorized access will be prosecuted. 0000027945 00000 n C.O.P.S. lC]n8\! i' *eW Click continue to proceed with verification. trailer Government Human Resources Benefits Health Benefit Plans. 0000010545 00000 n <. The HSA Plan is available to you at no cost. $"mY_%Be66y=\"QI Give us a call to discuss your plan options. 0000027783 00000 n 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. 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. 'TMjZ}dM`V;hO0 45o` T@> $0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz 1-313-225-9000. Your Benefit Guide State Health Plan PPO 3 Visit BCBSM Customer Service Center 232 S. Capitol Ave. Lansing, MI 48933 . 0000048349 00000 n 13 151 This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. 0000025874 00000 n 0000009647 00000 n In the HSA Plus Plan, you're also responsible for all medical and prescription costs until your deductible is met. endstream endobj startxref endstream endobj 14 0 obj <. .r~'J ms-oA&@i 9k2 J4T{Yt;cu6J_Fs"6r|(Z? 0000021457 00000 n Please see below for further information. Demographics |Electronic Data Interchange (EDI) | Recoveries, Need help with Provider Connection: Blue Shield Provider Connection Guide Provider Connection training. This was a hospitalization-only plan intended as an option if you had coverage elsewhere (for example, through a spouse who works for another employer). Log in to continue with member verification. | _1S}9M{T=o9B^>.!a8Znpk9(6_ James wouldn't have to pay anything from his paycheck to have the HSA Plan. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 0000023020 00000 n But, if you receive services from a provider not in the PPO network, you may be responsible for paying additional out-of-pocket costs. There are several ways you can request a QHC letter. 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 Detroit, MI 48226-9942. You can log in to your online member account to see if you have a QHC letter to download. State Health Plan PPO - Administered by Blue Cross Blue Shield of Michigan (BCBSM). 0000007628 00000 n Benefits under this plan were payable only after you had paid expenses equal to one month's basic salary (your deductible). 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. 0000032777 00000 n The plan covers inpatient hospital care, as well as other outpatient services received at a hospital including emergency room care. `+DO>|5%Nqdws=0y';L a66[OIe,%EqtRS&54Qvw"E$iu3:G+x+II^ UTT"9W!4XuYS6Ly}l&!2 SECTION 2 OTHER HEALTH COVERAGE INFORMATION . 0000026320 00000 n Enroll when you're ready. 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. 0000024839 00000 n We're redirecting you to Blue Shield of California's Find a doctor search. Other costs to use the HSA Plan will vary depending on whether you select plan coverage for you or for your family. 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? Fax: 248-524-2752, https://dev.michigan.local/som/json?sc_device=json, State Health Plan Preferred Provider Organization (PPO), State High Deductible Health Plan (HDHP) with Health Savings Account (HSA), Catastrophic Benefits (Effective January 1, 2023 this plan is no longer available to employees and their dependents), OptumRx is the Pharmacy Benefit Manager for the State Health Plan PPOand will administer all retail, mail-order, and specialty, State High Deductible HealthPlan (HDHP) with, dministered by Blue Cross Blue Shield of Michigan (BCBSM),HSA a, The federal government issued the "transparency in coverage" final rule under the Federal No Surprises Act. 0000017188 00000 n hb```5,|z cbD{600T|txGyG{T8"W3\baah4p1$$ v3Kx4@6@ 1 If you are new to an HMO, that HMO may ask you to select your primary care physician. PPO. 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. Take a look at what Blue Cross plans offer, then choose the one that's right for you. startxref See below. 0000041020 00000 n 606 0 obj <>stream Please enable JavaScript in your browser for a better user experience. To get reimbursed for a flu or pneumonia shot, you'll need to fill out our Member Flu and Pneumonia Shots Reimbursement Form (PDF). 0000028562 00000 n 0000031798 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. K4[WYV5pL@=>QBuD 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. 0000027625 00000 n 0000010306 00000 n Utilize the Insurance Planspage to review plan summaries or contact the HMO that interests you to request their benefit booklet. The State High Deductible Health Plan (HDHP) with Health Savings Account (HSA) provides a different way for employees to cover health care costs while still being able to access the entire BCBSM PPO network. Blue Cross Blue Shield of Michigan: Understanding member ID cards 0000014332 00000 n endobj 0000008905 00000 n In accordance with state and federal law, contracted providers and facilities must attest to the accuracy of their directory information at least every 90 days. 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. In our next scenario, James covers his wife on his medical plan. Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. For Medicare Members: No-fault auto law changes Health (Just Now) WebThere are several ways you can request a QHC letter. For example: a single person chooses an in-network hospital for surgery. 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. Go paperless by submitting claims and managing payments online for free. 0000048916 00000 n Don't have a member account? This plan didn't cover prescription charges, office visit charges, medical equipment, psychiatric services, or other major medical services. As you can see, there are great benefits to having an HSA. 0000030725 00000 n 0000033229 00000 n hb``b``f`c`Taa@ V(-) Q>hL)[ley|800pt Pn`K Al@8m@@3J31k=21@=3 F%&hWfpdbm]` 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 An HMO is a managed care plan that provides medical care through its network of physicians, pharmacies, contracted hospitals, and medical care suppliers. And for the HSA Plus Plan, it's $1,020. When we look again at the total cost of having and using the plans, the HSA Plan is the lower cost option for John. When asked to log in, choose Continue as a guest. <<674A7177E0417F4590EC384E93D00AED>]>> If you're asked to provide your auto insurer with a QHC letter, you will either need to contact your health plan (like Blue Cross) or your employer to request the letter. We can help. Please review directory information to ensure its accuracy before attesting. 0000005259 00000 n endobj To obtain a coordination of benefits letter, call the number on the back of your Enrollee ID card. Please provide the following information about the policy holder of the other health coverage. *Blue Shield of California member plans only, Pre-service review for out-of-area members. 0000038624 00000 n 800-229-2210 Available for commercial, Shared Advantage, and BlueCard. em4MVRpH ~*.V%s^5h}R,uJXP;6s@bH{{J 4aWS8r *W~oKMwSV-Kl^voIb #TY^hAP38HUR{mv8azF`lAQm8yiKm77!}1nW 0000035230 00000 n 0000048613 00000 n endstream %%EOF Uses standard Blue Cross ID card. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Now let's look at some helpful scenarios that show how these plans work, considering the costs to have and use each plan. Both plans offer the largest doctor and hospital network as well as benefits, including prescription drug coverage and in-network preventive care at no additional cost. \8/$z Visit myfordbenefits.com and make your plan selection for 2023. This amount does not count toward the plan's out-of-pocket maximum. Healthcare includes your Medical (ASR, BCBS, or HAP), Prescription (Navitus or HAP), Dental (Delta Dental), and Vision (NVA). 0000023650 00000 n NO - YES - Please complete entire form, sign at the bottom and return sign at the bottom and return . Employees can also make pre-tax HSA contributions by payroll deductions. 0000005625 00000 n 0000022070 00000 n 0000059656 00000 n Learn more about your Blue Cross Blue Shield of Michigan plan options. Learnyour requirements, deadline dates and more about your coverage. This tool provides side-by-side medical plan comparisons and personalized cost modeling. $158 per month) Eligibility: All MSU students, Law students, Visiting scholars, and more, including spouse and children of a student enrolled in the plan. You have certain tasks to complete within specific . SM. hb``a`` -mY8PE!u[dCC#W6,j.Fvtl,s fb`p;CT3j After that deductible is met, out-of-network charges are paid according to the plan design. Please keep in mind that PIP coverage pays for some items that health insurance doesnt, such as attendant care, lost wages and vehicle or housing modifications. They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. You can log in to your online member account to see if you have a QHC letter to download. 0000048207 00000 n xref Learn about our tools and how to use them in our upcoming webinars. (5 days ago) WebTo request a proof of qualified health coverage letter, contact Blue Cross' Customer Service department at 1-800-422-9146 from 8:30 a.m. to 5 p.m. Eastern time, Monday https://hwnr.bcbsm.com/content/dam/microsites/mpsers/2020/best-of-health-summer-nonmedicare.pdf Category: Health Show Health Filter Type: Treatment 0000004500 00000 n BlueCard Program home page. %PDF-1.6 % Visit Federal No Surprises Act (michigan.gov)for more information. Visit myfordbenefits.com and make your plan selection for 2023. 172 0 obj To file a Blue Cross Blue Shield Global Core eClaim online, log in with your username and password or register for access. This copay is waived if Mary or her family member is admitted as a result of the ER visit. 0000030241 00000 n Your coverage is considered qualified if it: When making a decision, keep in mind that PIP has coverage that goes beyond traditional health insurance. hbbd```b``z"@$D2e5A$)e,H^0 0000006930 00000 n Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health Simply Blue. XYQ This product provides comprehensive PPO coverage with costsharing features. An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. 0000027006 00000 n Claims | Benefits | Member eligibility | How to use Provider Connection | Contracts | Credentialing | Blue Cross Blue Shield of Michigan. 248-524-0454 Its important to know that in order to opt-out of PIP coverage under the new Michigan law, you must have health insurance that is considered qualified health coverage. 0000024311 00000 n 0000003382 00000 n 0000010919 00000 n The HSA balance belongs to the employee and can be carried over from year to year.