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You can use the plan provider directory to find Medicare doctors and hospitals in your network. This is a standard-level plan with a $4,000 deductible. Not Registered? The newsfeed is temporarily unavailable. Carriers Currently Filed by Labcorp. Read more about the types of doctors and specialists Register for MyBlue. This document includes recent changes that may not yet be reflected on our drug lists. We provide health insurance in Michigan. Get access to your employer portal.Register Now, Not registered? A preferred provider organization is a group of health care professionals who provide services at discounted rates to plan members. Community Blue PPO | Human Resources University of Michigan This lists the standard comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. Not registered? When you see a PPO network provider for covered services, your out-of-pocket costs are limited to deductibles, co-insurance, and copays. If traveling away from home, learn if you're covered with one of our Medicare Advantage or Medicare Supplement plans. Sometimes you can predict when you'll need a doctor while traveling. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Our agents can help you set up your plan, enroll your employees and help you determine the easiest way to set up payments. This drug list is updated monthly. Qualified Transportation Fringe Benefits (QTFB). Important Legal and Privacy Information|Important Information About MedicarePlans|Privacy Practices|Site Map|Feedback|Download Adobe Acrobat Reader, Y0074_BCBSMBCNWeb_M_2023_C CMS Accepted 04232023, Page Last Updated Mon Jan 09 16:13:00 EST 2023. The State Health Plan PPO provides reimbursement for medical care expenses when you need treatment for an illness, injury, or disease. Search for the highest-quality providers using the Blue Distinction filter. 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BCBSM Provider Secured Services - Login That can be a great way to build loyalty. New SHP PPO membership ID cards will be mailed in September 2019. This drug list is updated monthly. the providers in your community. Community Blue PPO plans - BCBSM These services providers are located in the United States. 866-503-3158 Notwithstanding the above disclosures, we will disclose the Personal Data we collect from you under the following circumstances: We use third-party service providers to process Personal Data, including, without limitation, for information storage and other similar purposes. Blue Cross Blue Shield of Michigan, in partnership with New Directions Later in the year, that same person needs an MRI and chooses an out-of-network provider. This document explains coverage criteria for drugs on the Clinical Drug List. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Not registered? How do I enroll in a plan and pay my bill? This streamlined and affordable plan has just one point of contact for your employees, their primary care physician. Get access to your provider portal.Register Now, Not registered? 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. These tools let you quickly and easily send electronic fund transfers, view benefits and see authorizations and claims. This is the lowest copay tier for prescription drugs. Insurance List | Carriers Currently Filed by Labcorp This document spells out our quantity limits for certain drugs, such as opioids. It makes up part of the out-of-pocket maximum. This lists the standard enhanced comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. An individual annual deductible is the amount you pay each year for health services before your health insurance begins to pay. Want more details about Simply Blue PPO? 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. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Notice an error in a provider listing? This document explains coverage criteria for certain drugs. Log in to your Blue Cross Blue Shield of Michigan account for the best experience. They offer: We can help you decide which is best for your business and employees. You also explicitly consent to the automated decision making by us, which may include the processing of your health data, to the extent that it is necessary to process your health claim swiftly and efficiently. We provide health insurance in Michigan. This document explains coverage criteria for drugs on the Custom Select Drug List. Make sure you know whether your Medicare Advantage plan is HMO or PPO. A family annual deductible is the amount you and others on your plan have to pay each year for health services before your health insurance begins to pay. The embedded coinsurance maximum is the most youll have to pay in coinsurance during a policy period. For Providers | bcbsm.com Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Drug List. Incentivizing employees with PPO plans to use cost-effective providers by using our Find Care tools. Not registered? Get access to your online account.Register Now, Not registered? This document explains coverage criteria for drugs on the Custom Drug List. Blue Cross Blue Shield of Arizona. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Sometimes you cant. You start paying coinsurance once youve met your plans deductible. you can visit for a low copay. Health Insurance: Blue Cross Blue Shield of Michigan | BCBSM Get to know your options, from in-person checkups to online health care. We pass those savings on to you: your premiums are up to 8% lower when you choose a plan with the PCP Focus network. PDF Custom Drug List - PPO Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Drug List. The plan covers inpatient hospital care, as well as other outpatient services received at a hospital including emergency room care. Register Now, Learn more about registering for our web tools. We provide health insurance in Michigan. Blue Cross Blue Shield of Arizona. Register for MyBlue. This lists the plus comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. PPO plans offer: In- and out-of-network coverage The ability to see a specialist without a referral from a primary care doctor Want more details about Simply Blue PPO? Use the link to register for your account and find an eye care professional. This document explains coverage criteria for drugs on the Preferred Drug list. Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. This is a mid-level plan with a $3,000 deductible. Get access to your online account. They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. Who has a health plan through my employer, But might get a BCBSAZ health plan through my employer, And want to review my information or refer a patient. We may contact you about buying insurance. PCP Focus is a custom primary care physician HMO network offered by Blue Care Network. This document spells out our quantity limits for certain drugs, like opioids. To access the manual: 1. State Health Plan PPO Behavioral Health/Substance Abuse Frequently Asked Questions, State Health Plan Preferred Provider Organization (PPO), OptumRx is the Pharmacy Benefit Manager for the State Health Plan PPOand will administer all retail, mail-order, and specialty, Go to Qualified Transportation Fringe Benefits (QTFB), Active Employee State Health Plan PPO BCBSM Plan Booklet, Retiree State Health Plan PPO With Medicare Booklet, State Health Plan PPO Behavioral Health/Substance Abuse Frequently Asked Questions. Our point of service plan offers affordability and the freedom to choose a doctor or specialist without a referral. Make sure you know whether your Medicare Advantage plan is HMO or PPO. Get access to your agent portal. An independent licensee of the Blue Cross and Blue Shield Association. This lists the drugs covered under group BCN Advantage plans. Have your I.D. Call 877-258-3932 | Privacy Policy 1996-Blue Cross Blue Shield of Michigan and Blue Care Network Nonprofit corporations and independent licensees . This directory lists Medicare Plus Blue PPO providers by county, then city, then zip code, so you can find . You still have the freedom to go out-of-network to see any physician, hospital or other provider of your choice. Select your plan to get started. This lists the comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. Refer to this list for the drugs and products covered by Blue Cross and BCN at no out-of-pocket cost to members and comply with health care reforms preventive benefits requirements. (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. This is a top-level plan with a $250 deductible. If you choose to do so, you will be responsible for both deductibles. It's easy to find a dentist in network. Search for the highest-quality providers using the Blue Distinction. Register Now, Learn more about registering for our web tools. Individuals attempting unauthorized access will be prosecuted. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. Register Now, Not registered? Get access to your member portal. Report doctor information error. Register Now, Not registered? Important Information About Medicare Plans 1996-2021 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Get access to your agent portal.Register Now. As a Blue Cross Blue Shield of Michigan or Blue Care Network member it's easy to access care. Every Medicare plan covers basic equipment for at-home use. We provide health insurance in Michigan. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands Outside the United States Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Whether online, in person or over the phone you can be confident in our over 80 years of service. Be a part of the largest network in the state, with fast access to everything you need to check benefits and submit claims. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Injectable Medications for behavioral health conditions, FAQs for customers considering HMO coverage, Important Information About Medicare Plans. For members with a closed benefit design, nonpreferred drugs arent covered unless we authorize them as medically necessary. Community Blue Platinum $0 Community Blue Platinum $250 Community Blue Platinum $500 Community Blue Gold $1000 HRA plans Community Blue HRA Platinum $1500 ($1250) Community Blue HRA Gold $3000 ($750) Community Blue HRA Gold $5000 ($1500) This list is updated monthly to keep you informed of changes. Individuals attempting unauthorized access will be prosecuted. Use these documents to find drug coverage information, as well as prior authorization or step therapy requirements, for your Blue Cross Blue Shield of Michigan, Blue Care Network and Medicare Advantage patients. When this pharmacy directory refers . Register Now Why log in? Looking for a simple solution? This drug list is updated monthly. Learn how to access DME with your Blue Cross Blue Shield of Michigan Medicare plan. Register Now, Not registered? 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. Blue Cross Blue Shield of Michigan Community Blue - MSU Human Resources Let us help you choose the plans that meet your strategic goals. Get to know your options, from in-person checkups to online health care. Blue Cross commercial provider resources You can find additional information about Blue Cross provider resources in the Blue Pages Directory chapter of the Blue Cross Commercial Provider Manual. This is what you'll pay when you buy a commonly prescribed generic version of a brand-name drug. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? This is where you'll find fast answers to your most common questions about being a Blue Cross provider. Find a dentist It's easy to find a dentist in network. How do I choose an HSA, FSA or HRA for my employees? It's a premium plan that has low out-of-pocket costs and offers essential health benefits. After that, all Personal Data will be deleted or the documents with such data will be anonymized. State and Federal Privacy laws prohibit unauthorized access to Member's private information. This is a mid-level plan with a $1,500 deductible. This lists the drugs we cover for Medicare Plus Blue PPO plans. How? This information will be used 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. Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Select Drug List. From preauthorizations to referrals to claims, here's a list of the links you use most. We're here to help. Register Now, Not registered? . Get access to your provider portal. Labcorp will file claims for insured patients directly to Medicare, Medicaid, and many insurance companies and managed care plans. PDF Blue Cross and BCN: Provider resource guide at a glance They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. Register Now. Helpful information for providing and billing for Medicare services in the Blue Cross network. An independent licensee of the Blue Cross and Blue Shield Association. For members with a closed benefit design, nonpreferred drugs aren't covered unless we authorize them as medically necessary. We provide health insurance in Michigan. AZBlue - Find a Doctor in Arizona - BCBSAZ 1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Have Questions? Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Important Information About Medicare Plans. Refer to this list for drug coverage information for BCN members whose plan uses the Custom Select Drug List. Your employees will get the tools, information and support they need all under one secure online account. The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. State Health Plan PPO - Administered by Blue Cross Blue Shield of Michigan (BCBSM). Register Now, Not registered? This drug list is updated monthly. You can reach us at 1-855-237-3501, or talk to a Blue Cross-authorized, independent agent. 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. We apologize for the inconvenience, Health and Wellness Resources and Services. Get access to your employer portal. 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. This lists the drugs we cover for Prescription Blue PDP Select. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. (i) when required or permitted by law or government agencies. Get access to your online account. An important note regarding the State Health Plan PPO deductibles: You have the freedom to see both in-network and out-of-network providers. We provide free accommodations for those with disabilities. TTY users call 1-800-452-8086 or dial 711.. card and plan name handy to assist with the process. View cost estimates* for services, so you can compare and potentially save. This is a mid-level plan with a $2,000 deductible. Read about the latest news and innovations from the experts themselves. For example: a single person chooses an in-network hospital for surgery. Contact an agent to learn more. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. 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. This represents the most youll have to pay during a policy period, usually a year, for health care services. Heres how you can travel confidently with your Medicare Advantage or Medicare Supplement plan. Your employees will find this plan easy to use thanks to its copay only structure. 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. When life changes, we have you covered. We're moving to a pharmacy benefits management system to keep costs more stable for our group customers and members. This drug list is updated monthly. Have your I.D. Read our provider directory introductions to learn more about how our HMO network works. Find, select or change your primary care physician. www.bcbsm.com/som Effective October 1, 2019, Blue Cross Blue Shield of Michigan, in partnership with New Directions, will be replacing Magellan Health as the State Health Plan (SHP) PPO Behavioral Health/Substance Abuse carrier. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices AZBlue - Healthcare Professionals: Information, Forms, and other *Cost estimates are available to most non-Medicare members. State and Federal Privacy laws prohibit unauthorized access to Member's private information. They are responsible for the out-of-network deductible. 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. For Providers: Drug lists | BCBSM Add or remove Provider Secured Services users, or change access for existing users. Always ask the doctor if they accept your Medicare Advantage plan before making an appointment. The purpose of this Data Protection Statement is to notify you of the practices that will govern the processing of your personal data and to obtain your explicit consent for the processing of your personal data consistent with it, in particular in accordance with the legal requirements of the European Unions (EU) General Data Protection Regulation (GDPR): The personal data collected may include your address, city, postal code, country, phone number, email address, IP address, as well as any other personal information you choose to provide (Personal Data). If you have a technical question about this website, please call This lists the enhanced comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. Small Group Employers: Simply Blue PPO | bcbsm.com We provide health insurance in Michigan. Encourage a culture of well-being with tools and resources to help your employees improve their whole health. This list is updated monthly to keep you informed of changes. Get access to your agent portal. Community Blue SM PPO This plan can help you attract and keep talented employees. Stay informed about the newest policies, programs and news by subscribing to these publications for health care professionals and staff. Register Now, Not registered? Blue Cross Health and Well-Being offers tools and resources that can help to improve and maintain your health. Behavior Health/Substance Abuse Administrator. Find a Doctor | bcbsm.com Individuals attempting unauthorized access will be prosecuted. 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. Need us to mail you a copy? transform health care. If you have questions regarding how we process your Personal Data and what we store about you, please contact PrivacyInternational@HighmarkHealth.org or write us: By agreeing to the terms and conditions set out in this Data Protection Statement, and by providing us with your Personal Data, you consent to the collection, use and disclosure of any information you provide in accordance with the above purposes and this Data Protection Statement. Find a plan 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. This drug list is updated monthly. This drug list is updated monthly. MyBlue - MyBlue is a set of online tools, resources and services that help contracted healthcare professionals conduct business with Blue Cross Blue Shield of Arizona. This list is for small group or individual health plans that began on or after Jan. 1, 2014 and meet the requirements of the Patient Protection and Affordable Care Act. (ii) when required valid requests by law enforcement. This drug list is updated monthly. Get access to your agent portal.Register Now. Register Now, Not registered? Its usually figured as a percentage of the total charge for the service. This list is for small group or individual health plans that began on or after Jan. 1, 2014 and meet the requirements of the Patient Protection and Affordable Care Act. The plan is administered by Blue Cross Blue Shield of Michigan (BCBSM). Get access to your member portal. Community Blue is a Preferred Provider Organization (PPO) and allows you to choose whether you receive health care services from a Community Blue PPO physician (in-network) or to choose any physician (out-of-network). Register Now, Not registered? This lists the drugs we cover for Prescription Blue PDP Premium. 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. Register Now, Not registered? More information about our provider and pharmacy directory This is a mid-level plan with a $1,000 deductible. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. Login Browse our plans: Individual and Family Medicare Medicaid Plans Employers Get a Quote Find a Doctor Pay My Bill Stay connected Sign up for an online account and get easy access anytime, anywhere. We're working with Michigan's providers to