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. 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 No-fault auto insurance changes in Michigan bcbsm.com Health (6 days ago) WebThere are several ways you can request a QHC letter. 0000006680 00000 n 0000011869 00000 n Under the new legislation, residents may select different levels of PIP coverage. endobj 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. hbbd``b`$WX@]@D0(, IH0@1% b Cu@\v d"3|` Simply Blue. 0000060222 00000 n This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. 0000030483 00000 n In order to understand if youll need information from Blue Cross to make an auto coverage decision, youll want to first talk to your auto insurer. 0000027625 00000 n To request your QHC confirmation letter: Log in to your member account. Now let's look at what a single person with relatively few healthcare needs might experience. GradCare Member Reimbursement Form U-M Premier Care Member Reimbursement Form And he pay $2,280 annually to have the HSA Plus Plan. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. 0000027006 00000 n But, if you receive services from a provider not in the PPO network, you may be responsible for paying additional out-of-pocket costs. 258 0 obj <> endobj 0000060102 00000 n #G:&#WeKo]b287X]4 fd!n>X3jG[)GW%0.{1,JqA]Vf,fyf#Ji+OvDUpe!K|\"e2{g3ePW?/p endstream For auto insurance policies issued or renewed after July 1, 2020, Michigan's Automobile No-Fault Insurance Law will change. Look for the chat icon at the bottom right corner of the screenon any page of this website. NO - YES - Please complete entire form, sign at the bottom and return sign at the bottom and return . 0000017479 00000 n Earnings on an HSA fund balance are tax-free, and you can withdraw your money tax-free anytime, as long as you use it for qualified medical expenses for yourself or your tax dependents. {07 N_Bdk Blue Shield/Blue Shield Promise network referrals. 0000014332 00000 n 0rtq]%g=z.#i0\*m(D2q;t2}$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=. endstream endobj startxref *Note: MSPTA-represented (T01) employees, DROP employees, and Other Eligible Adult Individuals (OEAIs) and their dependents are not eligible for this benefit. 0000013426 00000 n 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. %PDF-1.6 % Your co-insurance amount for in-network services is 20%. You can log in to your online member account to see if you have a QHC letter to download. Your explanation of benefits (EOB) statement has a new look. 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. Available for commercial, Shared Advantage, and BlueCard. The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). 0000004148 00000 n This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. Respond promptly to the carrier to complete the final phase of the enrollment process. 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. Representatives are available 8:00 a.m. to 5:00 p.m., Monday through Friday. This plan didn't cover prescription charges, office visit charges, medical equipment, psychiatric services, or other major medical services. If you have any questions, call the phone number on the back of your Blue Cross ID card and we'll help. Log in now myfordbenefits.com HELPS YOU: View personalized benefits Effective January 1, 2023, MSPTA-represented (To1) employees are eligible for this benefit, DROP employees and OEAIs and the dependents remain ineligible. }v".VrTAmk$NJ+ y{i-Y#gds7D We provide health insurance in Michigan. Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. a health reimbursement arrangement which helps members pay for qualified medical expenses. 0000021696 00000 n %%EOF An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. You can keep your unlimited PIP coverage. You can now file disputes, attach supporting documents, and retrieve letters for submitted disputes online! You can log in to your online member account to see if you have a QHC letter to download. endstream endobj 14 0 obj <. Thank you for viewing. Plan: Blue Care Network (BCN) Premium Cost: Summer 5/16/20 - 8/15/20 $474.00 (approx. Provided in a vehicle qualified as an ambulance and part of a licensed ambulance operation To help you compare and select your 2021 plan based on your personal needs, Ford has provided Benefits Mentor powered by IBM Watson Health. 0000034422 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. 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. Give us a call to discuss your plan options. The rule provides protection against balance or "surprise" billing under certain circumstances, and phases in new transparency requirements on most group health plans and health insurers. View the Telemedicine Benefit Summary to see your State-sponsored health insurance carrier's telemedicine coverage. 0000010919 00000 n For the best experience, use the latest version of Google Chrome or Microsoft Edge. 0000003914 00000 n endstream You have certain tasks to complete within specific . And you don't have to use the money by the end of the year, your account balance will not expire. 0000020507 00000 n You can also review your current plan to help make the best choice for 2021. 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? 0000005441 00000 n The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. And with the HSA Plus Plan, Ford will also contribute to your HSA. 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. 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. You can choose your own primary care physician who will provide direct care or make referrals from within the network. This tool provides side-by-side medical plan comparisons and personalized cost modeling. 13 151 This plan covered inpatient hospital expenses, as well as certain other services received at the hospital on an outpatient basis (including emergency room care). SECTION 2 OTHER HEALTH COVERAGE INFORMATION . HSA Plan and HSA Plus Plan. 0000048207 00000 n %PDF-1.6 % (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 (tJ)Dpdd5* 7YG1}[X3C=Yvou*tdU`{NRGqZy3Cv{c.W+5gE|7?)z They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. In the HSA Plus Plan, you're also responsible for all medical and prescription costs until your deductible is met. 0000033229 00000 n 0000005259 00000 n 866-503-3158 PIP coverage can include items like attendant care, housing modifications and lost wages. 0000048613 00000 n 0000026320 00000 n 0000016284 00000 n The HSA Plan is available to you at no cost. Thank you for viewing. This amount does not count toward the plan's out-of-pocket maximum. 0000020133 00000 n 0000015914 00000 n All rights reserved. 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. 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). Employees selecting the HSA Plan are responsible for a fixed amount copayment of $200 for each visit to the emergency room after your deductible has been met. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, Important Information About MedicarePlans. C.O.P.S. You may look up HMOs in your residential area using the zip code tool. 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 . 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 the HSA Plan, your deductible and out-of-pocket maximum amounts for in-network services are the same. Members enrolled in the HSA plan will be responsible for paying an ER copayment after the deductible has been met. 0000008243 00000 n The new Michigan No-Fault insurance law defines qualified health coverage in two ways: It is "health or accident coverage" that "does not exclude or limit coverage for injuries related to motor vehicle accidents" and its "annual deductible for coverage" must be "$6,000 or less per individual." (MCL 500.3107d (7) (b) (i)) Or it is Medicare coverage.
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