hb``a`` -mY8PE!u[dCC#W6,j.Fvtl,s fb`p;CT3j You can keep your unlimited PIP coverage. To obtain a coordination of benefits letter, call the number on the back of your Enrollee ID card. State Health Plan PPO - Administered by Blue Cross Blue Shield of Michigan (BCBSM). %PDF-1.6 % PDF Frequently asked questions for customers about Public Acts 21 and 22 For the HSA Plan, your deductible and out-of-pocket maximum amounts for in-network services are the same. 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. ^0} SX XD00{03pi`p. lo%x9d,oqM lzgw'TK6oB~+d; {qi.B/ R`]Hcq6~s_]=y&|9]Fl2b\o9Vp"(5Z9lb.dx;@? *Mii lkSW+0XI~'kT`C>?wlvR When you see a PPO network provider for covered services, your out-of-pocket costs are limited to deductibles, co-insurance, and copays. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. 0000049042 00000 n Qualified health coverage is health or accident insurance that doesn't exclude or limit coverage for injuries from auto accidents. 0 They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. Behavior Health/Substance Use Disorder Administrator. 0000041020 00000 n 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. No-fault auto insurance changes in Michigan bcbsm.com Health (6 days ago) WebThere are several ways you can request a QHC letter. 0 0000048834 00000 n 0000029999 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. 0000010306 00000 n 1tv 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 . TVxZOEhL5wV/yZP^',UP1ko}87M@p_[8Sq^R/ {07 N_Bdk 0000007421 00000 n 0000047030 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. 1-313-225-9000. GradCare Member Reimbursement Form U-M Premier Care Member Reimbursement Form 0000059656 00000 n 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. h1aMXk* Q)DDJjH$*F First, let's look at the cost to have a medical plan. 0000027945 00000 n 0000027006 00000 n 0000029515 00000 n Visit Federal No Surprises Act (michigan.gov)for more information. For auto insurance policies issued or renewed after July 1, 2020, Michigan's Automobile No-Fault Insurance Law will change. Physician Qualification Form (PDF) Healthy Blue Achieve Form xref %PDF-1.7 % 0000025213 00000 n Health Benefit Plans | Oakland County, MI Be informed about all your Blue Cross plan has to offer. 0000027473 00000 n Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health 0000016814 00000 n 0000048976 00000 n For all other claims, choose your health plan on this page to find the form and instructions for sending it in. 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. 0000034448 00000 n There are different levels of PIP coverage that you can choose from. Access commonly requested forms for patient care activities, credentialing, and more. SM. Once logged in, navigate to the QHC letter in the Proof of Insurance section at the bottom of the page. bcbsm.com. 0000045752 00000 n John's annual paycheck deduction for the HSA Plan is zero. To help your savings grow even more, when your HSA balance reaches $1,000, you can choose a variety of investments. 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. 0000048349 00000 n 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. Once they've been met, the plan generally pays the full amount of your in-network medical and prescription costs. 0 0000022361 00000 n California Physicians Service DBA Blue Shield of California 1999-2023. PIP pays for services that health insurance may or may not cover. 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. PDF Sample Qualified Health Coverage Documentation - Michigan Thank you for viewing. 0000024311 00000 n We provide health insurance in Michigan. 0000032096 00000 n 0000048540 00000 n 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 0000029225 00000 n Now let's imagine Mary and her family had a year with a lot of medical and prescription expenses where they meet the out-of-pocket maximum for both plans. 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. We're redirecting you to Blue Shield of California's Find a doctor search. 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. 0000006389 00000 n %PDF-1.6 % 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. 800-229-2210 $"mY_%Be66y=\"QI PIP coverage can include items like attendant care, housing modifications and lost wages. If you are 55 or older, you can make an additional catch-up contribution of $1,000 per year until you are enrolled in Medicare. Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. 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. 0000013137 00000 n %%EOF These plans also allow you to set aside tax-free funds that you can use for qualified medical expenses. [Narrator] Hello again, and welcome to Blue Cross Blue Shield of Michigan. Preventive care benefits are covered 100 percent when received from a TRUST PPO network provider. Qualified Transportation Fringe Benefits (QTFB). 0000058981 00000 n Try again later. Mary would pay nothing from her paycheck to have the HSA Plan. Under the plan documents section, click Michigan Auto Reform to request a letter be mailed to the subscriber's address. 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. Learn about our tools and how to use them in our upcoming webinars. 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. This tool provides side-by-side medical plan comparisons and personalized cost modeling. 0000009647 00000 n 0000004937 00000 n Individuals attempting unauthorized access will be prosecuted. Mail Code 1112. 0000016284 00000 n You can now file disputes, attach supporting documents, and retrieve letters for submitted disputes online! 0000023650 00000 n %%EOF When you combine Mary's cost to have and use the HSA Plus Plan, her total cost is $5,306. 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. Ford offers an accelerated contribution option. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. lC]n8\! Blue Cross Blue Shield of Michigan, in partnership with Lucet This contribution will be prorated for employees who enroll mid-year. Uses standard Blue Cross ID card. 577 0 obj <>stream Providers and facilities that fail to comply will be suppressed from our directories. The HSA balance belongs to the employee and can be carried over from year to year. 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? 0000020133 00000 n 373 0 obj <>stream 0000007100 00000 n Contact your auto insurance agent with questions and to learn more about your options. em4MVRpH ~*.V%s^5h}R,uJXP;6s@bH{{J 4aWS8r *W~oKMwSV-Kl^voIb #TY^hAP38HUR{mv8azF`lAQm8yiKm77!}1nW startxref 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. 0 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. You're now aware you have a choice between two HSA eligible medical plans in 2021. %PDF-1.7 % There are several ways you can request a QHC letter. 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. He paid the full $800 cost of his medical services because the cost is less than the deductible for either plan. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Thank you for viewing. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. 0000014991 00000 n Its important to know that in order to opt-out of PIP coverage under the new Michigan law, you must have health insurance that is considered qualified health coverage. They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. You can log in to your online member account to see if you have a QHC letter to download. 0000010545 00000 n PDF Hospital Coverage Letter - Bcbstx 0000018397 00000 n Log in to continue with member verification. Submit and confirm authorizations and approval of medical and pharmacy services prior to services being rendered. Your Benefit Guide State Health Plan PPO 3 Visit BCBSM Customer Service Center 232 S. Capitol Ave. Lansing, MI 48933 . Federal No Surprises Act: The federal government issued the "transparency in coverage" final rule under the Federal No Surprises Act. 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. Your coverage is considered qualified if it: When making a decision, keep in mind that PIP has coverage that goes beyond traditional health insurance. trailer Pontiac, MI 48341. 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. 0000031112 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. 0000015914 00000 n hb```5,|z cbD{600T|txGyG{T8"W3\baah4p1$$ v3Kx4@6@ 1 119 0 obj What to Know About Changes to Michigan's Car Insurance Law 0000016573 00000 n If you absolutely need to call, please try again at a later date. Blue Shield/Blue Shield Promise network referrals. 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. Please enable JavaScript in your browser for a better user experience. %PDF-1.6 % .r~'J ms-oA&@i 9k2 J4T{Yt;cu6J_Fs"6r|(Z? Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. When we look again at the total cost of having and using the plans, the HSA Plan is the lower cost option for John. 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. 13 0 obj <> endobj PDF State of Michigan 0000017849 00000 n PDF BCBSM Master Medical Claim Form 0000012102 00000 n If you don't have a Provider Connection account, you will need to register before logging in. 0000028187 00000 n 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. 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 Health Plan Details 0000027625 00000 n 0000018771 00000 n What does PIP cover? 0000027316 00000 n To help you compare and select your 2021 plan based on your personal needs, Ford has provided Benefits Mentor powered by IBM Watson Health. Here's how these plans work. Access tools to prescreen, submit and check the status of submitted claims. 0000009279 00000 n 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. "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. For Medicare Members: No-fault auto law changes bcbsm.com Health (Just Now) WebThere are several ways you can request a QHC letter. 0000015623 00000 n With the HSA Plan, you pay 100% of medical and prescription costs until your deductible is met. 0000048472 00000 n endobj 0000021168 00000 n 0000025504 00000 n 0000043394 00000 n 0000033229 00000 n The network covers all 83 Michigan counties and is the largest PPO network in Michigan. $158 per month) Eligibility: All MSU students, Law students, Visiting scholars, and more, including spouse and children of a student enrolled in the plan. Select Claims on the menu bar. db4H@g& C 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. a health reimbursement arrangement which helps members pay for qualified medical expenses. Blue Cross Blue Shield of Michigan. 0000004052 00000 n You can log in to your online member account to see if you have a QHC letter to download. 0000035230 00000 n You don't need to wait until your new plan year starts to see your doctor. hm6?ZqJ!nv+E BlueCard Program home page. You can use the money if you leave the company, change your plan, or retire. 0000006930 00000 n Questions About Your Benefits? Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Medicare | Claim Forms | bcbsm.com 0000049102 00000 n What's qualified health coverage under the new law? 0000030483 00000 n Visit myfordbenefits.com and make your plan selection for 2023. 600 Lafayette East. 0000048207 00000 n And with the HSA Plus Plan, Ford will also contribute to your HSA. endstream 258 0 obj <> endobj 0000024839 00000 n Be sure to turn off pop-up blocker and private browsing prior to opening your Auto Health verification letter. When asked to log in, choose Continue as a guest. 0000020507 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. SECTION 2 OTHER HEALTH COVERAGE INFORMATION . Or, call the number on the back of your member ID card. Your explanation of benefits (EOB) statement has a new look. You must be in pay status to receive this payment. 0000019721 00000 n The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. | _1S}9M{T=o9B^>.!a8Znpk9(6_ 0000005858 00000 n This tool provides side-by-side medical plan comparisons and personalized cost modeling. 0000014041 00000 n 0000011869 00000 n Employees can now get a Health Care Plan Verification letter through Wolverine Access by selecting Employee Self-Service > Benefits > Health Care Plan Verification. Look for the chat icon at the bottom right corner of the screenon any page of this website. For more info, visitwww.mi.gov/AutoInsurance, emailAutoInsurance@mi.gov, or call 833-ASK-DIFS (275-3437). 0000048683 00000 n Members should direct specific questions about PIP coverage to their auto insurer. 0000024600 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. *Note: MSPTA-represented (T01) employees, DROP employees, and Other Eligible Adult Individuals (OEAIs) and their dependents are not eligible for this benefit. <. Difs Qualified Health Care Letter And for the HSA Plus Plan, it's $1,020. Your co-insurance amount for in-network services is 20%. startxref Coordination of Benefits | Human Resources University of Michigan 0000026848 00000 n Other costs to use the HSA Plan will vary depending on whether you select plan coverage for you or for your family. 0000007628 00000 n And you don't have to use the money by the end of the year, your account balance will not expire. Now let's look at what a single person with relatively few healthcare needs might experience. If you have any questions, call the phone number on the back of your Blue Cross ID card and we'll help. 0000023941 00000 n Coordination of Benefits Questionnaire - BCBSM Enter the three letters of your "Enrollee ID" found on your Blue Cross Blue Shield member ID card, and then click Go. Bcbsm Qualified Health Coverage Letter Even though this law has to do with your auto insurance, a lot of people have questions about what it means for your. In our next scenario, James covers his wife on his medical plan. This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. 141 0 obj Now let's look at some helpful scenarios that show how these plans work, considering the costs to have and use each plan. After the deductible and coinsurance are applied for the HSA Plus Plan, James will be responsible for $3,480. 0000030725 00000 n 0000022731 00000 n In 2021, you'll have a choice between two HSA eligible medical plans, HSA Plan and HSA Plus Plan. 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. MSU Student Health Insurance Plan. You can also review your current plan to help make the best choice for 2021. %%EOF 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 866-503-3158 Log in now myfordbenefits.com HELPS YOU: View personalized benefits Visit myfordbenefits.com and make your plan selection for 2023. 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. 0000026660 00000 n Claims | Benefits | Member eligibility | How to use Provider Connection | Contracts | Credentialing | Telemedicine Benefit Summary:Telemedicine visits allow you to meet with a US board-certified doctor online using a video-chat tool. Please review directory information to ensure its accuracy before attesting. Both plans include a health savings account HSA. 0000010017 00000 n <> We can help. Michigan Qualified Health Insurance Letter