$0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz 0000027625 00000 n Members should direct specific questions about PIP coverage to their auto insurer. PPO. 0000004148 00000 n You may look up HMOs in your residential area using the zip code tool. 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 0000005858 00000 n James has arthritis, so he needs to take a higher cost maintenance drug. 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. Follow the instructions on the page to have your letter created. 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 0000012767 00000 n db4H@g& C 0000049042 00000 n So when we consider the total cost to have and use the plans, the HSA Plus Plan is the less costly option. 0000006680 00000 n 0000029999 00000 n You have certain tasks to complete within specific . Thank you for viewing. Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. No-fault auto insurance changes in Michigan bcbsm.com Health (6 days ago) WebThere are several ways you can request a QHC letter. California Physicians Service DBA Blue Shield of California 1999-2023. An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. He paid the full $800 cost of his medical services because the cost is less than the deductible for either plan. With the total of all her family services and prescriptions, the HSA Plan costs $3,030 to use. Please refer to www.bcbsm.com/som for the list of providers. 0000016814 00000 n Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. For more info, visitwww.mi.gov/AutoInsurance, emailAutoInsurance@mi.gov, or call 833-ASK-DIFS (275-3437). This copay does not apply to the out of pocket maximum for the HSA Plan, so Mary will be responsible for this copay each time she or a family member visits the ER, after the deductible is met. The HSA balance belongs to the employee and can be carried over from year to year. We can help. The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). 0000034485 00000 n 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. Look for the chat icon at the bottom right corner of the screenon any page of this website. 0000013137 00000 n %PDF-1.7 % Thank you for viewing. 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. These plans also allow you to set aside tax-free funds that you can use for qualified medical expenses. Please provide the following information about the policy holder of the other health coverage. This contribution will be prorated for employees who enroll mid-year. The HSA Plan is available to you at no 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=. This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. Your co-insurance amount for in-network services is 20%. 0000033132 00000 n 0000026848 00000 n Log in to get your questions answered by a live representative, Monday through Friday, 6 a.m. to 6:30 p.m. 0000022361 00000 n 0000027945 00000 n 0000019892 00000 n 0000048613 00000 n If you have additional BCBSM contracts, pleas e include this as other coverage. 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. The account and money are yours. 0000016573 00000 n 0000028562 00000 n Preventive care benefits are covered 100 percent when received from a TRUST PPO network provider. Mary would pay nothing from her paycheck to have the HSA Plan. Access commonly requested forms for patient care activities, credentialing, and more. 0000023941 00000 n HSA Plan and HSA Plus Plan. Access tools to prescreen, submit and check the status of submitted claims. 0000003914 00000 n Take a look at what Blue Cross plans offer, then choose the one that's right for you. 0000019432 00000 n Click My Plan and Spending. 0000029225 00000 n View the Telemedicine Benefit Summary to see your State-sponsored health insurance carrier's telemedicine coverage. If you have any questions, call the phone number on the back of your Blue Cross ID card and we'll help. 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, Important Information About MedicarePlans. 0000031798 00000 n Detroit, MI 48243. This tool provides side-by-side medical plan comparisons and personalized cost modeling. 0000030241 00000 n 0000007100 00000 n SECTION 2 OTHER HEALTH COVERAGE INFORMATION . 193 0 obj <>stream 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"). For the HSA Plus Plan, Ford contributes $1,000 towards Mary's health savings account, which further reduces her cost to use this plan. 0000027316 00000 n 0000032777 00000 n 0000047030 00000 n You can call the number on the back of your member ID card. 0000034448 00000 n 0000060222 00000 n Be sure to turn off pop-up blocker and private browsing prior to opening your Auto Health verification letter. Your doctor will submit the form by following the instructions on the back. 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. And with the HSA Plus Plan, Ford will also contribute to your HSA. 0000008905 00000 n "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. There are several ways you can request a QHC letter. In 2021, you'll have a choice between two HSA eligible medical plans, HSA Plan and HSA Plus Plan. 0000037572 00000 n 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. 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). Demographics |Electronic Data Interchange (EDI) | Recoveries, Need help with Provider Connection: Blue Shield Provider Connection Guide Provider Connection training. Do I Need To Return License Plates In Va, Articles B
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