To request your QHC confirmation letter: Log in to your member account. TTY users should call 711. The HSA Plan is available to you at no cost. The plan covers inpatient hospital care, as well as other outpatient services received at a hospital including emergency room care. It has a deductible of $6,000 or less per person. Utilize the Insurance Planspage to review plan summaries or contact the HMO that interests you to request their benefit booklet. PDF Hospital Coverage Letter - Bcbstx Be informed about all your Blue Cross plan has to offer. 0000003914 00000 n 0 Members should direct specific questions about PIP coverage to their auto insurer. 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. 0000006145 00000 n Here's how these plans work. 0000025874 00000 n 0000059656 00000 n See below. %%EOF 0000027006 00000 n 0000016284 00000 n *Blue Shield of California member plans only, Pre-service review for out-of-area members. Detroit, MI 48243. What does PIP cover? 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. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. You can log in to your online member account to see if you have a QHC letter to download. i' *eW Qualified Health Coverage & Michigan No-Fault Insurance Please refer to www.bcbsm.com/som for the list of providers. Coordination of Benefits | Human Resources University of Michigan For all other claims, choose your health plan on this page to find the form and instructions for sending it in. 0000041020 00000 n They are responsible for the out-of-network deductible. 0000026660 00000 n PDF Blue Cross Blue Shield of Michigan: Understanding member ID cards 0000048540 00000 n And for the HSA Plus Plan, it's $1,020. 0000049165 00000 n We provide health insurance in Michigan. 0000032777 00000 n PIP pays for services that health insurance may or may not cover. 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. View the Telemedicine Benefit Summary to see your State-sponsored health insurance carrier's telemedicine coverage. 0000030241 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. *Note: MSPTA-represented (T01) employees, DROP employees, and Other Eligible Adult Individuals (OEAIs) and their dependents are not eligible for this benefit. You're eligible for an HSA if you enroll in the State HDHP and have no other non-HDHP health care coverage, including coverage through your spouse or any other person, and you are not claimed as a dependent on another persons tax return. 0000022361 00000 n Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. 0000048613 00000 n {07 N_Bdk PIP coverage can include items like attendant care, housing modifications and lost wages. Look for the chat icon at the bottom right corner of the screenon any page of this website. To help your savings grow even more, when your HSA balance reaches $1,000, you can choose a variety of investments. Learn more about your Blue Cross Blue Shield of Michigan plan options. Blue Shield/Blue Shield Promise network referrals. Access tools to prescreen, submit and check the status of submitted claims. To file a Blue Cross Blue Shield Global Core eClaim online, log in with your username and password or register for access. Employees can now get a Health Care Plan Verification letter through Wolverine Access by selecting Employee Self-Service > Benefits > Health Care Plan Verification. 0000018397 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. State Health Plan PPO - Administered by Blue Cross Blue Shield of Michigan (BCBSM). 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 %PDF-1.7 % %PDF-1.6 % To get reimbursed for a flu or pneumonia shot, you'll need to fill out our Member Flu and Pneumonia Shots Reimbursement Form (PDF). 193 0 obj <>stream 0000042215 00000 n Representatives are available 8:00 a.m. to 5:00 p.m., Monday through Friday. .r~'J ms-oA&@i 9k2 J4T{Yt;cu6J_Fs"6r|(Z? Enroll when you're ready. 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 You can also take a closer look at your current plan to help you make the best choice for your 2021 plan. 600 Lafayette East. Coordination of Benefits Questionnaire - BCBSM In the HSA Plus Plan, you're also responsible for all medical and prescription costs until your deductible is met. 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. 141 0 obj View the eGuide to see the Ford resources available all year long. Because the deductible for the HSA plan is higher, James is responsible for paying the full cost of his health care services, including his medications. hb``b``f`c`Taa@ V(-) Q>hL)[ley|800pt Pn`K Al@8m@@3J31k=21@=3 F%&hWfpdbm]` 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. Click My Plan and Spending. 0000021457 00000 n This means you have the option to increase your payroll contributions so you can reach the maximum contribution amount earlier in the year. trailer Follow the instructions on the page to have your letter created. 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 . 0000029999 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. Those costs include increased copay and deductible amounts. 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. Health Insurance Marketplace Check out information about the Marketplace, especially if you are not eligible for coverage through LCC. BlueCard Program home page. 0000004937 00000 n 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). Ford offers an accelerated contribution option. 0000014332 00000 n Your doctor will submit the form by following the instructions on the back. 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 Log in to continue with member verification. 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). h1aMXk* Q)DDJjH$*F xref C.O.P.S. For the HSA Plus Plan, Ford contributes $1,000 towards Mary's health savings account, which further reduces her cost to use this plan. Standard Qualification Form If you have a Blue Cross Blue Shield of Michigan plan other than Healthy Blue Achieve that requires a qualification form, please use the form below. %%EOF When an out-of-area Blue plan member seeks medical care from your office, use our tools to simplify claims submission to Blue Shield of California. Once logged in, navigate to the QHC letter in the Proof of Insurance section at the bottom of the page. 93gpm},|P gaToY%+IzO96`%n'`Pll@BJa This tool provides side-by-side medical plan comparisons and personalized cost modeling. 0000006680 00000 n 0000036634 00000 n To obtain a coordination of benefits letter, call the number on the back of your Enrollee ID card. 1tv 0000048916 00000 n IS IBCQ-]97T5dUa{ugdcg`\o'.Nu }n|7G|ZXXMf9I\RTt K{d\H3$]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. \8/$z PDF Blue Cross Blue Shield of Michigan: Understanding member ID cards 13 151 No-fault auto insurance changes in Michigan | bcbsm.com 0000020507 00000 n 0000028562 00000 n 172 0 obj SM. Learn More Questions? With the HSA Plan, you pay 100% of medical and prescription costs until your deductible is met. Field Service. Co-insurance is a percentage of the cost you share with the plan. 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. Callers to our phone lines are currently experiencing long wait times. (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 Provided in a vehicle qualified as an ambulance and part of a licensed ambulance operation And he pay $2,280 annually to have the HSA Plus Plan. 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. James has arthritis, so he needs to take a higher cost maintenance drug. 120 0 obj K4[WYV5pL@=>QBuD The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. Don't have a member account? Please enable JavaScript in your browser for a better user experience. 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. Or, call the number on the back of your member ID card. 0000058981 00000 n Depending the level of PIP you choose, your auto insurer may request a letter stating whether you have qualified health coverage, or QHC. These scenarios are simple, and there are many other ways you can consider managing your out-of-pocket costs with your health savings account. 0000023276 00000 n Demographics |Electronic Data Interchange (EDI) | Recoveries, Need help with Provider Connection: Blue Shield Provider Connection Guide Provider Connection training. Medical Insurance - Lansing Community College This tool provides side-by-side medical plan comparisons and personalized cost modeling. 0000015623 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 hbbd```b``z"@$D2e5A$)e,H^0 1-313-225-9000. 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. 0000016814 00000 n Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health This plan didn't cover prescription charges, office visit charges, medical equipment, psychiatric services, or other major medical services. Detroit, MI 48226-9942. 0000048349 00000 n Simply Blue. 0000022070 00000 n 0000033132 00000 n We're making your EOB easier to understand. 0000013426 00000 n Blue Cross Blue Shield of Michigan, in partnership with Lucet 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. The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. (MSPTA-represented only) Health Trust $158 per month) Eligibility: All MSU students, Law students, Visiting scholars, and more, including spouse and children of a student enrolled in the plan. Let's start with Mary who selected a plan to cover her family. Please see below for further information. If you choose to do so, you will be responsible for both deductibles. 1200 N. Telegraph Road With the total of all her family services and prescriptions, the HSA Plan costs $3,030 to use. You are encouraged to visit your benefit providers' website and create free member logins. 0000017849 00000 n (tJ)Dpdd5* 7YG1}[X3C=Yvou*tdU`{NRGqZy3Cv{c.W+5gE|7?)z Contact your auto insurance agent with questions and to learn more about your options. Pontiac, MI 48341. 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 0000033229 00000 n Your email address will not be published. <>/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 An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. PPO. %PDF-1.6 % 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. 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. Benefits under this plan were payable only after you had paid expenses equal to one month's basic salary (your deductible). 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"). Federal No Surprises Act: The federal government issued the "transparency in coverage" final rule under the Federal No Surprises Act. lo%x9d,oqM lzgw'TK6oB~+d; {qi.B/ R`]Hcq6~s_]=y&|9]Fl2b\o9Vp"(5Z9lb.dx;@? *Mii lkSW+0XI~'kT`C>?wlvR There are several ways you can request a QHC letter. b|=b}#Aif3TRD0;@NHkQ#`VEQxD You may enroll in an authorized HMO plan serving your residential area. 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). Uses standard Blue Cross ID card. This is the amount taken from your pay each month. 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. 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. 0000027316 00000 n For the HSA Plan, your deductible and out-of-pocket maximum amounts for in-network services are the same. 0000006930 00000 n California Physicians Service DBA Blue Shield of California 1999-2023. Under the new legislation, residents may select different levels of PIP coverage. Qualification Forms | Managing My Account | bcbsm.com 0000010919 00000 n Health Plan Details 0000043394 00000 n 0000037572 00000 n Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health Government Human Resources Benefits Health Benefit Plans. 13 0 obj <> endobj Click continue to proceed with verification. 0000034485 00000 n 0000019721 00000 n 0000000016 00000 n 0000024311 00000 n [Narrator] Hello again, and welcome to Blue Cross Blue Shield of Michigan. 0000013137 00000 n 0000029225 00000 n 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 A plan is considered QHC if coverage for motor vehicle accidents is not excluded and the annual deductible is $6,000 or less per covered individual. }v".VrTAmk$NJ+ y{i-Y#gds7D endstream endobj startxref Effective January 1, 2023, MSPTA-represented (To1) employees are eligible for this benefit, DROP employees and OEAIs and the dependents remain ineligible. Qualified Healthcare Coverage Letter As you can see, there are great benefits to having an HSA. Ready to enroll? Before you select a medical plan, consider your total costs, including the costs to have and use the plan. 0000032373 00000 n N'JV|DI]Ea:%*&[|{;z^HzwD/L_d?D/q|',W2tKpcukU;Bxc%w37XeNh{%_hl@zPMy * uAd;{i6pmn'D=6e Cvy"ngpdh6 s/8bG. 800-229-2210 Contact your auto insurance carrier for specific questions regarding PIP coverage. [Instructor] Hello, and welcome to Blue Cross Blue Shield of Michigan. Your explanation of benefits (EOB) statement has a new look. 0000034448 00000 n 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. New SHP PPO membership ID cards will be mailed in September 2019. endobj 0000015249 00000 n The out-of-pocket maximum does not include monthly paycheck contributions, copayments, or any expenses not covered by your plan. 0000007100 00000 n 0000048683 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 0000030725 00000 n <. When you see a PPO network provider for covered services, your out-of-pocket costs are limited to deductibles, co-insurance, and copays. 0000019062 00000 n 0000048277 00000 n You must be in pay status to receive this payment. This amount does not count toward the plan's out-of-pocket maximum. For more information about the State of Michigan's eligibility requirements for employee health insurance coverage, .
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