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. em4MVRpH ~*.V%s^5h}R,uJXP;6s@bH{{J 4aWS8r *W~oKMwSV-Kl^voIb #TY^hAP38HUR{mv8azF`lAQm8yiKm77!}1nW .r~'J ms-oA&@i 9k2 J4T{Yt;cu6J_Fs"6r|(Z? MSU Student Health Insurance Plan. 0000029999 00000 n 258 0 obj <> endobj 0000033132 00000 n Auto insurance reform | Priority Health This copay is waived if Mary or her family member is admitted as a result of the ER visit. Learnyour requirements, deadline dates and more about your coverage. 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. PDF Sample Qualified Health Coverage Documentation - Michigan You must be in pay status to receive this payment. 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. 0000018138 00000 n Under the plan documents section, click Michigan Auto Reform to request a letter be mailed to the subscriber's address. 0000025874 00000 n Callers to our phone lines are currently experiencing long wait times. 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. We're making your EOB easier to understand. 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. You may enroll in an authorized HMO plan serving your residential area. 0000024311 00000 n It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. BlueCard Program home page. 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 . If you are new to an HMO, that HMO may ask you to select your primary care physician. In our next scenario, James covers his wife on his medical plan. <>/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 This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. This is the amount taken from your pay each month. Telemedicine Benefit Summary:Telemedicine visits allow you to meet with a US board-certified doctor online using a video-chat tool. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Let's start with Mary who selected a plan to cover her family. PIP is the part of an auto insurance plan that covers the health care costs from a car . Michigans new auto no-fault insurance law went into effect July 1, 2020. Learn more about your Blue Cross Blue Shield of Michigan plan options. hm6?ZqJ!nv+E Don't have a member account? Qualification Forms | Managing My Account | bcbsm.com You don't need to wait until your new plan year starts to see your doctor. <. 0000015914 00000 n Qualified Healthcare Coverage Letter 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 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). 0000019892 00000 n 0000021457 00000 n Thank you for viewing. (tJ)Dpdd5* 7YG1}[X3C=Yvou*tdU`{NRGqZy3Cv{c.W+5gE|7?)z 0000027783 00000 n 0000048173 00000 n Blue Cross Blue Shield of Michigan, in partnership with Lucet These plans also allow you to set aside tax-free funds that you can use for qualified medical expenses. [Instructor] Hello, and welcome to Blue Cross Blue Shield of Michigan. California Physicians Service DBA Blue Shield of California 1999-2023. Visit myfordbenefits.com and make your plan selection for 2023. If your spouse's (non-State) employer will not cover you under their group plan because you are enrolled in any of the State-sponsored health care options,you can "opt out" completely and still receive the $50 biweekly payment (select "Health Waiver with Rebate"). 866-503-3158 Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health 0000017188 00000 n If you choose to do so, you will be responsible for both deductibles. Mail Code 1112. 0000041020 00000 n Blue Cross Blue Shield of Michigan: Understanding member ID cards 193 0 obj <>stream 0000008243 00000 n Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health 0000048472 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. 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. XYQ This product provides comprehensive PPO coverage with costsharing features. 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. 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). To obtain a coordination of benefits letter, call the number on the back of your Enrollee ID card. 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. Please refer to www.bcbsm.com/som for the list of providers. 0000027945 00000 n endobj Medical Insurance - Lansing Community College For more info, visitwww.mi.gov/AutoInsurance, emailAutoInsurance@mi.gov, or call 833-ASK-DIFS (275-3437). 0 Detroit, MI 48243. 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. To help you compare and select your 2021 plan based on your personal needs, Ford has provided Benefits Mentor powered by IBM Watson Health. endstream endobj startxref We can help. 0000018397 00000 n 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 0000010306 00000 n <<674A7177E0417F4590EC384E93D00AED>]>> 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. Government Human Resources Benefits Health Benefit Plans. Later in the year, that same person needs an MRI and chooses an out-of-network provider. TTY users should call 711. 0000020507 00000 n 0000014702 00000 n endobj 0000008674 00000 n 577 0 obj <>stream 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. 0000048916 00000 n *Note: MSPTA-represented (T01) employees, DROP employees, and Other Eligible Adult Individuals (OEAIs) and their dependents are not eligible for this benefit. 0000029225 00000 n 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 For Medicare Members: No-fault auto law changes Health (Just Now) WebThere are several ways you can request a QHC letter. 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. 0000048349 00000 n hb```5,|z cbD{600T|txGyG{T8"W3\baah4p1$$ v3Kx4@6@ 1 <> Representatives are available 8:00 a.m. to 5:00 p.m., Monday through Friday. xref 0000027006 00000 n After the deductible and coinsurance are applied for the HSA Plus Plan, James will be responsible for $3,480. 0000048683 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. Learn More Questions? This contribution will be prorated for employees who enroll mid-year. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. Other costs to use the HSA Plan will vary depending on whether you select plan coverage for you or for your family. Before you select a medical plan, consider your total costs, including the costs to have and use the plan. (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 Visit myfordbenefits.com and make your plan selection for 2023. 0000004052 00000 n If you have additional BCBSM contracts, pleas e include this as other coverage. Mary would pay nothing from her paycheck to have the HSA Plan. The out-of-pocket maximum does not include monthly paycheck contributions, copayments, or any expenses not covered by your plan. hb``b``f`c`Taa@ V(-) Q>hL)[ley|800pt Pn`K Al@8m@@3J31k=21@=3 F%&hWfpdbm]` 0000012476 00000 n Qualified Transportation Fringe Benefits (QTFB). Need a Health Care Plan Verification Letter for Your Auto Insurance 0000016284 00000 n Michigan Qualified Health Insurance Letter To file a Blue Cross Blue Shield Global Core eClaim online, log in with your username and password or register for access. 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). %%EOF 0000007100 00000 n If you don't have a Provider Connection account, you will need to register before logging in. "Qualified Health Coverage" means your health coverage: Does not exclude or limit coverage for motor vehicle accidents; and Has an annual deductible of $6,000.00 or less per covered individual. 0000005858 00000 n Both plans offer the largest doctor and hospital network as well as benefits, including prescription drug coverage and in-network preventive care at no additional cost. 0rtq]%g=z.#i0\*m(D2q;t2}$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=. Questions About Your Benefits? 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. 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. 0000048755 00000 n 0000011580 00000 n Go paperless by submitting claims and managing payments online for free. The account and money are yours. John's annual paycheck deduction for the HSA Plan is zero. Michigan - Blue Cross and Blue Shield's Federal Employee Program 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 0000007848 00000 n 0000059887 00000 n 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 BCBSM Master Medical Claim Form Blue Cross Blue Shield of Michigan. Your co-insurance amount for in-network services is 20%. If you have any questions, call the phone number on the back of your Blue Cross ID card and we'll help. 0000043394 00000 n Effective January 1, 2023, MSPTA-represented (To1) employees are eligible for this benefit, DROP employees and OEAIs and the dependents remain ineligible. 0000008905 00000 n Health Benefit Plans | Oakland County, MI They are responsible for the out-of-network deductible. We're redirecting you to Blue Shield of California's Find a doctor search. Available for commercial, Shared Advantage, and BlueCard. They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. 0000015623 00000 n 0000003914 00000 n Michigan Auto Insurance & Coordination of Benefits Explained Provided in a vehicle qualified as an ambulance and part of a licensed ambulance operation $"mY_%Be66y=\"QI | _1S}9M{T=o9B^>.!a8Znpk9(6_ 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. 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. Reviewplan materialscarefully to understand the advantages and risks associated with the plan. Try again later.
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