0000049042 00000 n 0000022361 00000 n State Health Plan PPO - Administered by Blue Cross Blue Shield of Michigan (BCBSM). Federal No Surprises Act: The federal government issued the "transparency in coverage" final rule under the Federal No Surprises Act. 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. 0000029999 00000 n endstream SECTION 2 OTHER HEALTH COVERAGE INFORMATION . And for the HSA Plus Plan, it's $1,020. To get reimbursed for a flu or pneumonia shot, you'll need to fill out our Member Flu and Pneumonia Shots Reimbursement Form (PDF). endstream endobj startxref Provided in a vehicle qualified as an ambulance and part of a licensed ambulance operation %%EOF No-fault auto insurance changes in Michigan | bcbsm.com Learn about our tools and how to use them in our upcoming webinars. 0000035745 00000 n Blue Cross Blue Shield of Michigan: Understanding member ID cards 0000027625 00000 n 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. We can help. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. Health Trust 0000034448 00000 n Coordination of Benefits | Human Resources University of Michigan We'll accept a qualification form from an office visit that occurred up to 180 days before the start of your plan year. 0000010919 00000 n 1tv 0000048540 00000 n The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. 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). 0000013426 00000 n Blue Cross Blue Shield of Michigan. For the HSA Plan, your deductible and out-of-pocket maximum amounts for in-network services are the same. 0000026660 00000 n You can use the money if you leave the company, change your plan, or retire. If you don't have a Provider Connection account, you will need to register before logging in. trailer The HSA Plan is available to you at no cost. You still have the freedom to go out-of-network to see any physician, hospital or other provider of your choice. Government Human Resources Benefits Health Benefit Plans. <. 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. Or, call the number on the back of your member ID card. 0000051836 00000 n 0000014041 00000 n No-fault auto insurance changes in Michigan bcbsm.com Health (6 days ago) WebThere are several ways you can request a QHC letter. 0000021168 00000 n For Medicare Members: No-fault auto law changes bcbsm.com Health (Just Now) WebThere are several ways you can request a QHC letter. (MSPTA-represented only) 0000004052 00000 n Medical Insurance - Lansing Community College 0000025874 00000 n After your deductible is met, co-insurance applies to medical and prescription costs until your out-of-pocket maximum is met. 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. Click continue to proceed with verification. Now let's look at some helpful scenarios that show how these plans work, considering the costs to have and use each plan. Contact your auto insurance carrier for specific questions regarding PIP coverage. There are several ways you can request a QHC letter. endobj Employees can also make pre-tax HSA contributions by payroll deductions. 0000008045 00000 n We're making your EOB easier to understand. 0000030241 00000 n TVxZOEhL5wV/yZP^',UP1ko}87M@p_[8Sq^R/ 0000013667 00000 n Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. 1200 N. Telegraph Road We're redirecting you to Blue Shield of California's Find a doctor search. This contribution will be prorated for employees who enroll mid-year. 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. You can also take a closer look at your current plan to help you make the best choice for your 2021 plan. 1-313-225-9000. 0000044573 00000 n 0000012476 00000 n The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). lC]n8\! Available for commercial, Shared Advantage, and BlueCard. 0000048349 00000 n You can log in to your online member account to see if you have a QHC letter to download. In accordance with state and federal law, contracted providers and facilities must attest to the accuracy of their directory information at least every 90 days. endobj 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. Now let's look at what a single person with relatively few healthcare needs might experience. 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. xref For more information about the State of Michigan's eligibility requirements for employee health insurance coverage, . Detroit, MI 48243. Respond promptly to the carrier to complete the final phase of the enrollment process. The HSA balance belongs to the employee and can be carried over from year to year. 0000035230 00000 n Qualified health coverage is health or accident insurance that doesn't exclude or limit coverage for injuries from auto accidents. 800-229-2210 First, let's look at the cost to have a medical plan. Other costs to use the HSA Plan will vary depending on whether you select plan coverage for you or for your family. 0000048472 00000 n To request a proof of qualified health coverage letter, contact Blue Cross' Customer Service department at 1-800-422-9146from 8:30 a.m. to 5 p.m. Eastern time, Monday through Friday. 0000021696 00000 n Your coverage is considered qualified if it: When making a decision, keep in mind that PIP has coverage that goes beyond traditional health insurance. We appreciate your understanding. Blue Cross Blue Shield of Michigan, in partnership with Lucet To help you compare and select your 2021 medical plan, Ford has provided Benefits Mentor powered by IBM Watson Health. A plan is considered QHC if coverage for motor vehicle accidents is not excluded and the annual deductible is $6,000 or less per covered individual. `+DO>|5%Nqdws=0y';L a66[OIe,%EqtRS&54Qvw"E$iu3:G+x+II^ UTT"9W!4XuYS6Ly}l&!2 Utilize the Insurance Planspage to review plan summaries or contact the HMO that interests you to request their benefit booklet. Per state and federal law, providers and facilities must attest to accuracy of directory information to stay visible in find a Doctor. Employees can now get a Health Care Plan Verification letter through Wolverine Access by selecting Employee Self-Service > Benefits > Health Care Plan Verification. 0000058981 00000 n hbbd``b`$WX@]@D0(, IH0@1% b Cu@\v d"3|` 0000027161 00000 n They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. To help you compare and select your 2021 plan based on your personal needs, Ford has provided Benefits Mentor powered by IBM Watson Health. An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. 0000018771 00000 n Michigans new auto no-fault insurance law went into effect July 1, 2020. 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. 0000009570 00000 n The State Health Plan PPO provides reimbursement for medical care expenses when you need treatment for an illness, injury, or disease.
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