0000015249 00000 n Qualified Transportation Fringe Benefits (QTFB). Thank you for viewing. If you absolutely need to call, please try again at a later date. 0000016814 00000 n If you choose to do so, you will be responsible for both deductibles. 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). Mary would pay nothing from her paycheck to have the HSA Plan. No-fault auto insurance changes in Michigan | bcbsm.com To obtain a coordination of benefits letter, call the number on the back of your Enrollee ID card. Co-insurance is a percentage of the cost you share with the plan. PIP is the part of an auto insurance plan that covers the health care costs from a car . 0000027316 00000 n i' *eW %PDF-1.7 % Those costs include increased copay and deductible amounts. You don't need to wait until your new plan year starts to see your doctor. In our next scenario, James covers his wife on his medical plan. The HSA Plan is available to you at no cost. <. 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. 0000036634 00000 n Demographics |Electronic Data Interchange (EDI) | Recoveries, Need help with Provider Connection: Blue Shield Provider Connection Guide Provider Connection training. Health Insurance Coverage | Health Services | Michigan State University Members should direct specific questions about PIP coverage to their auto insurer. Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. 0000009647 00000 n 258 0 obj <> endobj 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. James wouldn't have to pay anything from his paycheck to have the HSA Plan. 172 0 obj Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. An important note regarding the State Health Plan PPO deductibles: You have the freedom to see both in-network and out-of-network providers. Look for the chat icon at the bottom right corner of the screenon any page of this website. 1200 N. Telegraph Road View the Telemedicine Benefit Summary to see your State-sponsored health insurance carrier's telemedicine coverage. They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. C.O.P.S. a health reimbursement arrangement which helps members pay for qualified medical expenses. Qualified Healthcare Coverage Letter (MSPTA-represented only) Respond promptly to the carrier to complete the final phase of the enrollment process. 0000022731 00000 n 0000033229 00000 n You can use the money if you leave the company, change your plan, or retire. 0000023650 00000 n 193 0 obj <>stream %PDF-1.7 % Employees can now get a Health Care Plan Verification letter through Wolverine Access by selecting Employee Self-Service > Benefits > Health Care Plan Verification. Coordination of Benefits | Human Resources University of Michigan trailer 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. SM. The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). 0000032373 00000 n 0000013137 00000 n 0000015623 00000 n 0000004937 00000 n To help your savings grow even more, when your HSA balance reaches $1,000, you can choose a variety of investments. In the HSA Plus Plan, you're also responsible for all medical and prescription costs until your deductible is met. All rights reserved. 0000012767 00000 n To get reimbursed for a flu or pneumonia shot, you'll need to fill out our Member Flu and Pneumonia Shots Reimbursement Form (PDF). When we look again at the total cost of having and using the plans, the HSA Plan is the lower cost option for John. Healthcare includes your Medical (ASR, BCBS, or HAP), Prescription (Navitus or HAP), Dental (Delta Dental), and Vision (NVA). 0000045752 00000 n General Inquiries. 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. 'TMjZ}dM`V;hO0 45o` T@> $0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz startxref 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. *Note: MSPTA-represented (T01) employees, DROP employees, and Other Eligible Adult Individuals (OEAIs) and their dependents are not eligible for this benefit. 0000006389 00000 n 0000034422 00000 n Enrollment in the State HDHP will also provide access to an HSA, which is a tax-advantaged savings account that can be used to pay onlyeligiblehealth, prescription, dental, and vision-related expenses incurred for services not covered by insurance (e.g., deductibles, copays, and coinsurance). 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 93gpm},|P gaToY%+IzO96`%n'`Pll@BJa 0000028187 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. 0000011869 00000 n Preventive care benefits are covered 100 percent when received from a TRUST PPO network provider. Once logged in, navigate to the QHC letter in the Proof of Insurance section at the bottom of the page. To file a Blue Cross Blue Shield Global Core eClaim online, log in with your username and password or register for access. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. Here's how these plans work. 0000034485 00000 n lC]n8\! 0000005441 00000 n See your 2023 Benefits-at-a-Glance (PDF) for more plan details. 800-229-2210 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. 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. 0000014332 00000 n 577 0 obj <>stream Effective January 1, 2023, MSPTA-represented (To1) employees are eligible for this benefit, DROP employees and OEAIs and the dependents remain ineligible. Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health You can log in to your online member account to see if you have a QHC letter to download. [Narrator] Hello again, and welcome to Blue Cross Blue Shield of Michigan. For the HSA Plus Plan, her yearly contributions, which is her cost to have the plan would be $3,300. Need a Health Care Plan Verification Letter for Your Auto Insurance 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. For Medicare Members: No-fault auto law changes Health (Just Now) WebThere are several ways you can request a QHC letter. 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. 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. We're making your EOB easier to understand. 0000030725 00000 n You can also opt-out if you qualify for that provision. 1-313-225-9000. This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. We're redirecting you to Blue Shield of California's Find a doctor search. Under the new legislation, residents may select different levels of PIP coverage. You have certain tasks to complete within specific . 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 Enter the three letters of your "Enrollee ID" found on your Blue Cross Blue Shield member ID card, and then click Go. Ready to enroll? Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. endstream Letters for your auto insurance carrier - MESSA Find information about Promise Medi-Cal and Cal MediConnect, our policies, procedures and programs. You still have the freedom to go out-of-network to see any physician, hospital or other provider of your choice. db4H@g& C The web Browser you are currently using is unsupported, and some features of this site may not work as intended. 0000037572 00000 n These plans also allow you to set aside tax-free funds that you can use for qualified medical expenses. For the HSA Plus Plan, Ford contributes $1,000 towards Mary's health savings account, which further reduces her cost to use this plan. 310 0 obj <>/Filter/FlateDecode/ID[<4C51D19B138643B1A2CB07133610D1D7>]/Index[258 116]/Info 257 0 R/Length 203/Prev 1461330/Root 259 0 R/Size 374/Type/XRef/W[1 3 1]>>stream An HMO is a managed care plan that provides medical care through its network of physicians, pharmacies, contracted hospitals, and medical care suppliers. For more information about the State of Michigan's eligibility requirements for employee health insurance coverage, . Visit myfordbenefits.com and make your plan selection for 2023. The deductible is the amount you pay before your plan contributes to your costs. 0000026320 00000 n For example: a single person chooses an in-network hospital for surgery. 0000060102 00000 n Be sure to turn off pop-up blocker and private browsing prior to opening your Auto Health verification letter. Mail Code 1112. Select Claims on the menu bar. (5 days ago) WebTo request a proof of qualified health coverage letter, contact Blue Cross' Customer Service department at 1-800-422-9146 from 8:30 a.m. to 5 p.m. Eastern time, Monday https://hwnr.bcbsm.com/content/dam/microsites/mpsers/2020/best-of-health-summer-nonmedicare.pdf Category: Health Show Health Filter Type: Treatment 0rtq]%g=z.#i0\*m(D2q;t2}$kX[-+G-0hdA9r*8!jcsfEdRyV0=bLzf']q[6F"h.wB)^wvDH =/OC; f'e$GVi]G}//xTw)9]y(kkxU*uXT) 0ajx[k jK`8P1(GU=. 0000027945 00000 n You can call the number on the back of your member ID card. 0000026478 00000 n xref #G:&#WeKo]b287X]4 fd!n>X3jG[)GW%0.{1,JqA]Vf,fyf#Ji+OvDUpe!K|\"e2{g3ePW?/p It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. Health insurance plans may contain auto exclusions (meaning they don't provide coverage for car accident-related injuries); may fail to cover the treatment, care and services needed by car accident victims; may limit such treatment, care and services in ways that No-Fault does not; and/or may involve managed care or HMOs which require `+DO>|5%Nqdws=0y';L a66[OIe,%EqtRS&54Qvw"E$iu3:G+x+II^ UTT"9W!4XuYS6Ly}l&!2 As you can see, there are great benefits to having an HSA. 0000031112 00000 n <<674A7177E0417F4590EC384E93D00AED>]>> When you see a HMO in-network provider for covered services, your out-of-pocket costs are limited to deductibles (starting October 12, 2014), and copays.
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