Contact your auto insurance agent with questions and to learn more about your options. 0000039800 00000 n 0000017479 00000 n 0000030483 00000 n 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. 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. Thank you for viewing. You can use the money if you leave the company, change your plan, or retire. Links to all provider websites can be found on our Benefit Carrier Contact Information page. %PDF-1.7 % Give us a call to discuss your plan options. 0000026163 00000 n The HSA Plan is available to you at no cost. 0000007421 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. 0000030241 00000 n 0000058981 00000 n Demographics |Electronic Data Interchange (EDI) | Recoveries, Need help with Provider Connection: Blue Shield Provider Connection Guide Provider Connection training. If you are new to an HMO, that HMO may ask you to select your primary care physician. An important note regarding the State Health Plan PPO deductibles: You have the freedom to see both in-network and out-of-network providers. Follow the instructions on the page to have your letter created. www.bcbsm.com/som, State High Deductible HealthPlan (HDHP) withHealth Savings Account (HSA)- HDHP administered by Blue Cross Blue Shield of Michigan (BCBSM),HSA administered by HealthEquity. All rights reserved. Utilize the Insurance Planspage to review plan summaries or contact the HMO that interests you to request their benefit booklet. For the HSA Plus Plan, her yearly contributions, which is her cost to have the plan would be $3,300. You must be in pay status to receive this payment. 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. 0000048349 00000 n 0000019432 00000 n Detroit, MI 48243. NO - YES - Please complete entire form, sign at the bottom and return sign at the bottom and return . startxref Both plans include a health savings account HSA. MSU Student Health Insurance Plan. 0000020133 00000 n Effective January 1, 2023, MSPTA-represented (To1) employees are eligible for this benefit, DROP employees and OEAIs and the dependents remain ineligible. Member logins offer many on-line tools, such as access to claims information, viewing Explanation of Benefits, printing replacement ID cards, etc. 0000020798 00000 n Learnyour requirements, deadline dates and more about your coverage. 0000006680 00000 n 0000014041 00000 n 1200 N. Telegraph Road SECTION 2 OTHER HEALTH COVERAGE INFORMATION . Access tools to prescreen, submit and check the status of submitted claims. Blue Cross Blue Shield of Michigan. Automobile No-Fault Insurance Changes: Prior to July 2, 2020, Michigans Automobile No-Fault Insurance Law required individuals to purchase unlimited Personal Injury Protection (PIP) through their auto insurer. To help you compare and select your 2021 medical plan, Ford has provided Benefits Mentor powered by IBM Watson Health. %PDF-1.7 % Please provide the following information about the policy holder of the other health coverage. 119 0 obj Preventive care benefits are covered 100 percent when received from a TRUST PPO network provider. You're now aware you have a choice between two HSA eligible medical plans in 2021. Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. hm6?ZqJ!nv+E 0000013667 00000 n 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. 0000036634 00000 n 0 0000026660 00000 n We appreciate your understanding. 0000010545 00000 n Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. 0000018771 00000 n 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. This contribution will be prorated for employees who enroll mid-year. 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. em4MVRpH ~*.V%s^5h}R,uJXP;6s@bH{{J 4aWS8r *W~oKMwSV-Kl^voIb #TY^hAP38HUR{mv8azF`lAQm8yiKm77!}1nW 0000036168 00000 n Take a look at what Blue Cross plans offer, then choose the one that's right for you. PIP pays for services that health insurance may or may not cover. 0000047030 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. endstream endobj startxref Please enable JavaScript in your browser for a better user experience. Log in to get your questions answered by a live representative, Monday through Friday, 6 a.m. to 6:30 p.m. #G:&#WeKo]b287X]4 fd!n>X3jG[)GW%0.{1,JqA]Vf,fyf#Ji+OvDUpe!K|\"e2{g3ePW?/p 0000033229 00000 n 800-229-2210 Use the Find-a-Doctor tool to verify provider participation in one of our plan networks. 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. 0000031798 00000 n Qualified health coverage is health or accident insurance that doesn't exclude or limit coverage for injuries from auto accidents. Co-insurance is a percentage of the cost you share with the plan. Log in to continue with member verification. 0000008045 00000 n It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. For the best experience, use the latest version of Google Chrome or Microsoft Edge. An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. 0000014702 00000 n 0000031112 00000 n db4H@g& C Try again later. 0000022361 00000 n Plan: Blue Care Network (BCN) Premium Cost: Summer 5/16/20 - 8/15/20 $474.00 (approx. 0000008905 00000 n There are several ways you can request a QHC letter. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, Important Information About MedicarePlans. California Physicians Service DBA Blue Shield of California 1999-2023. 0000049042 00000 n 0000008674 00000 n 0000048277 00000 n Those costs include increased copay and deductible amounts. hb```5,|z cbD{600T|txGyG{T8"W3\baah4p1$$ v3Kx4@6@ 1 0000041020 00000 n To obtain a coordination of benefits letter, call the number on the back of your Enrollee ID card. Individuals attempting unauthorized access will be prosecuted. 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. If you have additional BCBSM contracts, pleas e include this as other coverage. See your 2023 Benefits-at-a-Glance (PDF) for more plan details. Callers to our phone lines are currently experiencing long wait times. And you don't have to use the money by the end of the year, your account balance will not expire. 0000048755 00000 n The state will make an annual HSA contribution of $750 for an eligible individual employee enrolled in the State HDHP or $1,500 for an eligible employee who enrolls with one or more eligible dependents in the State HDHP,* effective January 1. You don't need to wait until your new plan year starts to see your doctor. 0000009279 00000 n 0000026478 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. Available for commercial, Shared Advantage, and BlueCard. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. 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. Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health The deductible is the amount you pay before your plan contributes to your costs. You may enroll in an authorized HMO plan serving your residential area. The HSA Plan is still the less costly option for Mary because the total cost to have and use the plan is lower in the HSA Plan. 500 Renaissance Center. There are different levels of PIP coverage that you can choose from. 0000010919 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. This plan didn't cover prescription charges, office visit charges, medical equipment, psychiatric services, or other major medical services. 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 141 0 obj <>/Metadata 11 0 R/Pages 138 0 R/StructTreeRoot 21 0 R/Type/Catalog/ViewerPreferences 160 0 R>> endobj 142 0 obj <>/MediaBox[0 0 612 792]/Parent 138 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 143 0 obj <>stream James has arthritis, so he needs to take a higher cost maintenance drug. New SHP PPO membership ID cards will be mailed in September 2019. Be sure to turn off pop-up blocker and private browsing prior to opening your Auto Health verification letter. Simply . Physician Qualification Form (PDF) Healthy Blue Achieve Form hb``a`` -mY8PE!u[dCC#W6,j.Fvtl,s fb`p;CT3j Don't have a member account? You can call the number on the back of your member ID card. 0000023941 00000 n 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. 0000024839 00000 n 0000049102 00000 n 0 State Health Plan PPO - Administered by Blue Cross Blue Shield of Michigan (BCBSM). 0000029757 00000 n 140 0 obj <> endobj 0000024311 00000 n *Blue Shield of California member plans only. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. %%EOF <<674A7177E0417F4590EC384E93D00AED>]>> 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. After that deductible is met, out-of-network charges are paid according to the plan design. Create an account now. 93gpm},|P gaToY%+IzO96`%n'`Pll@BJa 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. 0000016814 00000 n 1tv To file a Blue Cross Blue Shield Global Core eClaim online, log in with your username and password or register for access. This tool provides side-by-side medical plan comparisons and personalized cost modeling. This means you have the option to increase your payroll contributions so you can reach the maximum contribution amount earlier in the year. For all other claims, choose your health plan on this page to find the form and instructions for sending it in. 0000048207 00000 n A QHC letter must contain the following: The full names and dates of birth of all individuals covered under the policy or plan; and A statement that includes whether the coverage provided constitutes "Qualified Health Coverage" as defined in MCL 500.3107d (7) (b) (i), or that the coverage: Does not exclude coverage for motor vehicle accidents, and Look for the chat icon at the bottom right corner of the screenon any page of this website. When you combine Mary's cost to have and use the HSA Plus Plan, her total cost is $5,306. 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. And for the HSA Plus Plan, it's $1,020. We'll accept a qualification form from an office visit that occurred up to 180 days before the start of your plan year. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. 0000016284 00000 n 0000003382 00000 n Claims | Benefits | Member eligibility | How to use Provider Connection | Contracts | Credentialing | 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 After the deductible and coinsurance are applied for the HSA Plus Plan, James will be responsible for $3,480. The BlueCard Program links Blue plans across the United States and abroad through a single electronic network for claims processing and reimbursement. 0000004148 00000 n View detailed plan information in this document. Even though this law has to do with your auto insurance, a lot of people have questions about what it means for your. 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. 0000012767 00000 n 0000060102 00000 n Uses standard Blue Cross ID card. 0000018397 00000 n .r~'J ms-oA&@i 9k2 J4T{Yt;cu6J_Fs"6r|(Z? 0000029999 00000 n 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. 577 0 obj <>stream a health reimbursement arrangement which helps members pay for qualified medical expenses. The document must: 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 Now let's look at what a single person with relatively few healthcare needs might experience. 0000034422 00000 n Thank you for viewing. 0000027783 00000 n Verify eligibility of Blue Shield of California, Blue Shield of California Promise Health Plan, other Blue plan and Federal Employee Program members, and access associated benefits information. SM. But, if you receive services from a provider not in the PPO network, you may be responsible for paying additional out-of-pocket costs. 0000034448 00000 n 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). With the HSA Plan, you pay 100% of medical and prescription costs until your deductible is met. First, let's look at the cost to have a medical plan. 0000020507 00000 n &yw}.$7eIw You may look up HMOs in your residential area using the zip code tool. Questions About Your Benefits? 0 141 0 obj 0000025874 00000 n 606 0 obj <>stream 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. They are responsible for the out-of-network deductible. 0000006930 00000 n For auto insurance policies issued or renewed after July 1, 2020, Michigan's Automobile No-Fault Insurance Law will change. K4[WYV5pL@=>QBuD 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. 0000048683 00000 n 0000012102 00000 n The network covers all 83 Michigan counties and is the largest PPO network in Michigan. 0000028187 00000 n Once logged in, navigate to the QHC letter in the Proof of Insurance section at the bottom of the page. The State Health Plan PPO provides reimbursement for medical care expenses when you need treatment for an illness, injury, or disease. We can help. 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. For the HSA Plus Plan because Mary met her deductible and a portion of her service costs are paid at the 20% co-insurance, she would be responsible for $3,006 out of pocket to use this plan. 0000048472 00000 n For more information about the State of Michigan's eligibility requirements for employee health insurance coverage, . For the HSA Plan, your deductible and out-of-pocket maximum amounts for in-network services are the same. hbbd```b``z"@$D2e5A$)e,H^0 0000027945 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. endstream 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. 0000026320 00000 n After your deductible is met, co-insurance applies to medical and prescription costs until your out-of-pocket maximum is met. 0000007258 00000 n Visit myfordbenefits.com and make your plan selection for 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. Employees can now get a Health Care Plan Verification letter through Wolverine Access by selecting Employee Self-Service > Benefits > Health Care Plan Verification. endstream 'TMjZ}dM`V;hO0 45o` T@> $0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz View the Telemedicine Benefit Summary to see your State-sponsored health insurance carrier's telemedicine coverage. trailer BlueCard Program home page. 0000019721 00000 n 0000009570 00000 n 0000059965 00000 n If you don't have a Provider Connection account, you will need to register before logging in. An HMO provides necessary hospital and medical treatment when you are sick or injured, prescription medicine services, substance abuse treatment, short-term mental health care, and routine preventive health maintenance services such as immunizations. This is the amount taken from your pay each month. 0000004052 00000 n View the eGuide to see the Ford resources available all year long. Health Insurance Marketplace Check out information about the Marketplace, especially if you are not eligible for coverage through LCC. An HMO is a managed care plan that provides medical care through its network of physicians, pharmacies, contracted hospitals, and medical care suppliers. This copay is waived if Mary or her family member is admitted as a result of the ER visit. 0000014332 00000 n If you absolutely need to call, please try again at a later date. You still have the freedom to go out-of-network to see any physician, hospital or other provider of your choice. \8/$z Detroit, MI 48226-9942. 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. 866-503-3158 0000023276 00000 n %%EOF (tJ)Dpdd5* 7YG1}[X3C=Yvou*tdU`{NRGqZy3Cv{c.W+5gE|7?)z 0000049165 00000 n Learn More Questions? 0000023020 00000 n You keep what you dont spend on medical expenses, even if you retire or leave state employment. What's qualified health coverage under the new law? Your email address will not be published. Enroll when you're ready. lo%x9d,oqM lzgw'TK6oB~+d; {qi.B/ R`]Hcq6~s_]=y&|9]Fl2b\o9Vp"(5Z9lb.dx;@? *Mii lkSW+0XI~'kT`C>?wlvR 0 The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. 0000004500 00000 n 120 0 obj Since John has individual coverage, he gets a $500 HSA contribution from Ford if he selects the HSA Plus Plan, Ford doesn't make a contribution towards the health savings account for the HSA Plan. You have certain tasks to complete within specific . California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 172 0 obj startxref 0000027006 00000 n You are encouraged to visit your benefit providers' website and create free member logins. xref 0000025504 00000 n 0000025213 00000 n 600 Lafayette East. 0000012476 00000 n 0000021696 00000 n Behavior Health/Substance Use Disorder Administrator. 0000010017 00000 n As you can see, there are great benefits to having an HSA. 248-524-0454 %PDF-1.7 % When we look again at the total cost of having and using the plans, the HSA Plan is the lower cost option for John. 0000009647 00000 n 13 0 obj <> endobj Here's how these plans work. Later in the year, that same person needs an MRI and chooses an out-of-network provider. You can choose your own primary care physician who will provide direct care or make referrals from within the network. 0000034485 00000 n HSA Plan and HSA Plus Plan. 0000007100 00000 n 1-313-225-9000. endstream endobj 14 0 obj <. 0000016573 00000 n Government Human Resources Benefits Health Benefit Plans. For the HSA Plus Plan, Ford contributes $1,000 towards Mary's health savings account, which further reduces her cost to use this plan. To help your savings grow even more, when your HSA balance reaches $1,000, you can choose a variety of investments. 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 163 0 obj <>stream So in this scenario, the total cost to have and use the plans makes the HSA Plan the less costly option for Mary and her family. 0000005858 00000 n Under the plan documents section, click Michigan Auto Reform to request a letter be mailed to the subscriber's address. 0000048916 00000 n 0000060222 00000 n *Except for those employees in certain bargaining units who are hired on or after 1/1/00 who have a regular work schedule of 40 hours or less per bi-weekly pay period (not permanent-intermittent positions). 0000048540 00000 n 0000051836 00000 n 0000033132 00000 n You can also opt-out if you qualify for that provision. 0000014991 00000 n Because Mary's cost to have the HSA Plan is $0, her total cost is $3,030. *Blue Shield of California member plans only, Pre-service review for out-of-area members. 0000011869 00000 n Employees can also make pre-tax HSA contributions by payroll deductions. Blue Cross Blue Shield of Michigan: Understanding member ID cards 0000008446 00000 n TVxZOEhL5wV/yZP^',UP1ko}87M@p_[8Sq^R/ We provide health insurance in Michigan. In the HSA Plus Plan, you're also responsible for all medical and prescription costs until your deductible is met. Visit, Go to Qualified Transportation Fringe Benefits (QTFB), Active Employee State Health Plan PPO BCBSM Plan Booklet, Retiree State Health Plan PPO With Medicare Booklet, Understanding HMO Insurance Premium Rates. Benefits under this plan were payable only after you had paid expenses equal to one month's basic salary (your deductible). 0000008243 00000 n This amount does not count toward the plan's out-of-pocket maximum. %%EOF Providers and facilities that fail to comply will be suppressed from our directories. Once logged in, navigate to the https://www.bcbsm.com/index/health-insurance-help/faqs/topics/other-topics/no-fault-changes.html 0000038624 00000 n If you're asked to provide your auto insurer with a QHC letter, you will either need to contact your health plan (like Blue Cross) or your employer to request the letter. Submit and confirm authorizations and approval of medical and pharmacy services prior to services being rendered. If the provider you select doesn't participate at all with BCBSM (BCBSM has several different provider arrangements), you may also be required to pay additional charges. Or, call the number on the back of your member ID card. GradCare Member Reimbursement Form U-M Premier Care Member Reimbursement Form Be informed about all your Blue Cross plan has to offer. 0000059887 00000 n Learn about our tools and how to use them in our upcoming webinars. endobj hbbd``b`$WX@]@D0(, IH0@1% b Cu@\v d"3|` (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

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