bcbsm qualified health coverage letter

600 Lafayette East. 500 Renaissance Center. 0000059211 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. 0000028187 00000 n 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=. 0000007421 00000 n trailer After your deductible is met, co-insurance applies to medical and prescription costs until your out-of-pocket maximum is met. 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. Qualified health coverage is health or accident insurance that doesn't exclude or limit coverage for injuries from auto accidents. 0000060222 00000 n 1tv hb``b``f`c`Taa@ V(-) Q>hL)[ley|800pt Pn`K Al@8m@@3J31k=21@=3 F%&hWfpdbm]` 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. *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). 0000034422 00000 n 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. 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. 0000048916 00000 n 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. 0000049042 00000 n PDF Blue Cross Blue Shield of Michigan: Understanding member ID cards a health reimbursement arrangement which helps members pay for qualified medical expenses. endobj The account and money are yours. 0000048976 00000 n *Blue Shield of California member plans only, Pre-service review for out-of-area members. xref The web Browser you are currently using is unsupported, and some features of this site may not work as intended. 0000059656 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. For auto insurance policies issued or renewed after July 1, 2020, Michigan's Automobile No-Fault Insurance Law will change. 0000003914 00000 n California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Those costs include increased copay and deductible amounts. 193 0 obj <>stream 0000008674 00000 n Visit myfordbenefits.com and make your plan selection for 2023. We're redirecting you to Blue Shield of California's Find a doctor search. 0000015623 00000 n Give us a call to discuss your plan options. The maximum deductible for two or more covered persons in your family was limited to 1 months of your basic salary. hb``a`` -mY8PE!u[dCC#W6,j.Fvtl,s fb`p;CT3j James wouldn't have to pay anything from his paycheck to have the HSA Plan. (MSPTA-represented only) First, let's look at the cost to have a medical plan. In 2021, you'll have a choice between two HSA eligible medical plans, HSA Plan and HSA Plus Plan. This letter shows whether your health insurance plan meets the requirements to be considered QHC under the new no-fault auto law. 0000048277 00000 n 0000026478 00000 n You can also review your current plan to help make the best choice for 2021. 0000059965 00000 n This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Contact your auto insurance agent with questions and to learn more about your options. 0000031112 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 0000047030 00000 n It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. 0000031415 00000 n To obtain a coordination of benefits letter, call the number on the back of your Enrollee ID card. K4[WYV5pL@=>QBuD Federal No Surprises Act: The federal government issued the "transparency in coverage" final rule under the Federal No Surprises Act. 0000028562 00000 n Blue Cross Blue Shield of Michigan: Understanding member ID cards Under the plan documents section, click Michigan Auto Reform to request a letter be mailed to the subscriber's address. 0000006389 00000 n (tJ)Dpdd5* 7YG1}[X3C=Yvou*tdU`{NRGqZy3Cv{c.W+5gE|7?)z Or, call the number on the back of your member ID card. Learnyour requirements, deadline dates and more about your coverage. They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. Simply . 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 Please enable JavaScript in your browser for a better user experience. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, Important Information About MedicarePlans. We're making your EOB easier to understand. 163 0 obj <>stream Qualified Healthcare Coverage Letter 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. 0000006145 00000 n Once logged in, navigate to the https://www.bcbsm.com/medicare/help/faqs/other/auto-law.html Category: Health Show Health %PDF-1.7 % 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. And with the HSA Plus Plan, Ford will also contribute to your HSA. 0000026163 00000 n Field Service. Other costs to use the HSA Plan will vary depending on whether you select plan coverage for you or for your family. 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. 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). An HMO is a managed care plan that provides medical care through its network of physicians, pharmacies, contracted hospitals, and medical care suppliers.

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