bcbsm qualified health coverage letter
Qualified Health Coverage Documents DIFS Bulletin 2020-01-INS advises health plans should develop a document that indicates whether a person's coverage is "qualified health coverage" or QHC for purposes of the new no-fault law. The plan covers inpatient hospital care, as well as other outpatient services received at a hospital including emergency room care. 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. 0000007848 00000 n 0000027316 00000 n Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. 1tv (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 Click My Plan and Spending. 0000039800 00000 n 0000015623 00000 n Mail Code 1112. Select Claims on the menu bar. 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. 0000059434 00000 n 0000024839 00000 n Each letter serves a distinct and specific purpose: Notice of qualified health coverage for auto personal injury protection (PIP) benefits: Changes to Michigan's no-fault auto insurance law that . To get reimbursed for a flu or pneumonia shot, you'll need to fill out our Member Flu and Pneumonia Shots Reimbursement Form (PDF). Give us a call to discuss your plan options. 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 . b|=b}#Aif3TRD0;@NHkQ#`VEQxD Detroit, MI 48243. New SHP PPO membership ID cards will be mailed in September 2019. 866-503-3158 0000034485 00000 n 0000004500 00000 n 0000005441 00000 n 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, Important Information About MedicarePlans. 0000027006 00000 n 0000022070 00000 n 0 Effective October 1, 2019, Blue Cross Blue Shield of Michigan, in partnership with Lucet, will be replacing Magellan Health as the State Health Plan (SHP) PPO Behavioral Health/Substance Use Disorder carrier. 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. lC]n8\! 258 0 obj <> endobj 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 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. What's qualified health coverage under the new law? <> Detroit, MI 48226-9942. 0000027945 00000 n An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. 120 0 obj This tool provides side-by-side medical plan comparisons and personalized cost modeling. Qualified health coverage is health or accident insurance that doesn't exclude or limit coverage for injuries from auto accidents. All rights reserved. (MSPTA-represented only) Qualified Transportation Fringe Benefits (QTFB). Federal No Surprises Act: The federal government issued the "transparency in coverage" final rule under the Federal No Surprises Act. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. It has a deductible of $6,000 or less per person. Blue Cross Blue Shield of Michigan, in partnership with Lucet Two letters confirming you have MESSA coverage that are often requested by your auto insurance carrier can be found in your MyMESSA member account. 0000042215 00000 n If your no-fault insurance carrier requests or requires confirmation of your university health plan's position for coordination with no fault, please call the SSC Contact Center at 734-615-2000 or 1-866-647-7657 (toll free). For Medicare Members: No-fault auto law changes bcbsm.com Health (Just Now) WebThere are several ways you can request a QHC letter. James wouldn't have to pay anything from his paycheck to have the HSA Plan. K4[WYV5pL@=>QBuD In 2021, you'll have a choice between two HSA eligible medical plans, HSA Plan and HSA Plus Plan. 0000029515 00000 n [Instructor] Hello, and welcome to Blue Cross Blue Shield of Michigan. Links to all provider websites can be found on our Benefit Carrier Contact Information page. }v".VrTAmk$NJ+ y{i-Y#gds7D 0000029225 00000 n Ready to enroll? But, if you receive services from a provider not in the PPO network, you may be responsible for paying additional out-of-pocket costs. 0000019432 00000 n 0000022361 00000 n Log in to continue with member verification. 0000033229 00000 n 0000024311 00000 n Follow the instructions on the page to have your letter created. 0000058981 00000 n Health Trust HSA Plan and HSA Plus Plan. You can keep your unlimited PIP coverage. 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 If you are new to an HMO, that HMO may ask you to select your primary care physician. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. Look for the chat icon at the bottom right corner of the screenon any page of this website. For the HSA Plus Plan, her yearly contributions, which is her cost to have the plan would be $3,300. 0000013667 00000 n To help you compare and select your 2021 medical plan, Ford has provided Benefits Mentor powered by IBM Watson Health. We're redirecting you to Blue Shield of California's Find a doctor search. Under the plan documents section, click Michigan Auto Reform to request a letter be mailed to the subscriber's address. 0000027161 00000 n 500 Renaissance Center. Your email address will not be published. 0000059211 00000 n db4H@g& C An HMO is a managed care plan that provides medical care through its network of physicians, pharmacies, contracted hospitals, and medical care suppliers. 0000049042 00000 n For more information about the State of Michigan's eligibility requirements for employee health insurance coverage, . The HSA Plus Plan requires a monthly contribution that's different depending on whether the plan will cover you, you and your spouse, you and your children, or your entire family. Government Human Resources Benefits Health Benefit Plans. Mary would pay nothing from her paycheck to have the HSA Plan. Please enable JavaScript in your browser for a better user experience. 248-524-0454 \8/$z To help you compare and select your 2021 plan based on your personal needs, Ford has provided Benefits Mentor powered by IBM Watson Health. 193 0 obj <>stream 0000048173 00000 n 0000004937 00000 n Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. After the deductible and coinsurance are applied for the HSA Plus Plan, James will be responsible for $3,480. 0000021457 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. Click continue to proceed with verification. To help your savings grow even more, when your HSA balance reaches $1,000, you can choose a variety of investments. Let's start with Mary who selected a plan to cover her family. 0000027625 00000 n Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health 0000008905 00000 n %%EOF Share & Bookmark, Press Enter to show all options, press Tab go to next option, Retirement and Deferred Compensation Board, Upcoming Individual Consultations & Seminars, Oakland County's Qualified Health Coverage Letter for Active Employees, Oakland County's Qualified Health Coverage Letter for Retiree, Notice of Qualified Health Coverage for Purposes of Michigan No-Fault Auto Law, 2023 PPO 1 Summary of Benefits and Coverage, 2023 PPO 3 Summary of Benefits and Coverage, Summary of Information for Preventive Care, 2023 PPO 2 Summary of Benefits and Coverage, 2023 Traditional Summary of Benefits and Coverage, 2023 HAP Summary of Benefits and Coverage, BCBSM Approved Autism Evaluation Centers and Behavioral Analysts. <<674A7177E0417F4590EC384E93D00AED>]>> The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. %PDF-1.7 % startxref 0000035230 00000 n Please provide the following information about the policy holder of the other health coverage. 577 0 obj <>stream endstream [Narrator] Hello again, and welcome to Blue Cross Blue Shield of Michigan. Providers and facilities that fail to comply will be suppressed from our directories. #G:WeKo]b287X]4 fd!n>X3jG[)GW%0.{1,JqA]Vf,fyf#Ji+OvDUpe!K|\"e2{g3ePW?/p Identified standard preventive services are covered at 100%, but most other services have a 20% in-network coinsurance after meeting the deductible. They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. 0rtq]%g=z.#i0\*m(D2q;t2}$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=. 0000041020 00000 n Log in to get your questions answered by a live representative, Monday through Friday, 6 a.m. to 6:30 p.m. If you have any questions, call the phone number on the back of your Blue Cross ID card and we'll help. 800-229-2210 0000036168 00000 n Ford offers an accelerated contribution option. 0000025213 00000 n 13 0 obj <> endobj Learn about our tools and how to use them in our upcoming webinars. 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. C.O.P.S. Visit myfordbenefits.com and make your plan selection for 2023. *Note: MSPTA-represented (T01) employees, DROP employees, and Other Eligible Adult Individuals (OEAIs) and their dependents are not eligible for this benefit. em4MVRpH ~*.V%s^5h}R,uJXP;6s@bH{{J 4aWS8r *W~oKMwSV-Kl^voIb #TY^hAP38HUR{mv8azF`lAQm8yiKm77!}1nW 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). This tool provides side-by-side medical plan comparisons and personalized cost modeling. 0000019721 00000 n 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 $21M to Individual Plan Members, Increasing Access to Behavioral Health Care in the Face of COVID-19, Concussions: The Warning Signs You Need to Know, Are You the Default Parent? Use the Find-a-Doctor tool to verify provider participation in one of our plan networks. hbbd```b``z"@$D2e5A$)e,H^0 0000027783 00000 n We appreciate your understanding. For Medicare Members: No-fault auto law changes Health (Just Now) WebThere are several ways you can request a QHC letter. 0000007258 00000 n endstream endobj startxref When you combine Mary's cost to have and use the HSA Plus Plan, her total cost is $5,306. %PDF-1.6 % endstream endobj 14 0 obj <. As you can see, there are great benefits to having an HSA. Simply . And for the HSA Plus Plan, it's $1,020. For auto insurance policies issued or renewed after July 1, 2020, Michigan's Automobile No-Fault Insurance Law will change. The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. We provide health insurance in Michigan. This provides cost and other information related to your plan options. Benefits under this plan were payable only after you had paid expenses equal to one month's basic salary (your deductible). endobj 0000028562 00000 n 0000016573 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. 0000003382 00000 n 141 0 obj <>/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 PIP is the part of an auto insurance plan that covers the health care costs from a car . We're making your EOB easier to understand. endstream Field Service. $158 per month) Eligibility: All MSU students, Law students, Visiting scholars, and more, including spouse and children of a student enrolled in the plan. 0000033132 00000 n 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. TTY users should call 711. 0000019062 00000 n Employees can now get a Health Care Plan Verification letter through Wolverine Access by selecting Employee Self-Service > Benefits > Health Care Plan Verification. *Blue Shield of California member plans only. Be informed about all your Blue Cross plan has to offer. 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. 0000059965 00000 n You can now file disputes, attach supporting documents, and retrieve letters for submitted disputes online! So when we consider the total cost to have and use the plans, the HSA Plus Plan is the less costly option. First, let's look at the cost to have a medical plan. If you don't have a Provider Connection account, you will need to register before logging in. %PDF-1.7 % 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. 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. 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 The account and money are yours. You can call the number on the back of your member ID card. hb``b``f`c`Taa@ V(-) Q>hL)[ley|800pt Pn`K Al@8m@@3J31k=21@=3 F%&hWfpdbm]` 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"). Contact your auto insurance carrier for specific questions regarding PIP coverage. 0 0000026848 00000 n If you have additional BCBSM contracts, pleas e include this as other coverage. 0000028187 00000 n Learn More Questions? 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 $6,000 or less per individual, Or if your coverage is Medicare Parts A & B. In our next scenario, James covers his wife on his medical plan. Blue Shield/Blue Shield Promise network referrals. We'll accept a qualification form from an office visit that occurred up to 180 days before the start of your plan year. You can log in to your online member account to see if you have a QHC letter to download. 0000007628 00000 n 0000013426 00000 n California Physicians Service DBA Blue Shield of California 1999-2023. For instance, you can make your own before tax paycheck contributions to your HSA, use the accelerated HSA contribution option to ensure savings are available sooner, or simply plan to pay yourself back later in the year once your HSA savings has time to build. If your auto insurance is requesting a QHC letter to issue or renew a policy, you may request a QHC letter by contacting your health carrier. h1aMXk* Q)DDJjH$*F 0000048916 00000 n 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. Once logged in, navigate to the QHC letter in the Proof of Insurance section at the bottom of the page. For example: a single person chooses an in-network hospital for surgery. There are different levels of PIP coverage that you can choose from. 0000048277 00000 n Other costs to use the HSA Plan will vary depending on whether you select plan coverage for you or for your family.
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