00084 – Magnetic Resonance Imaging for Detection and Diagnosis of Breast Cancer Alternative Dental Procedure Payment Responsibility Form 00760 - glatiramer acetate (Copaxone, Policy No. If you’re a new member, you will receive a New Member Welcome Kit with your Blue Cross and Blue Shield Service Benefit Plan member ID card approximately 10 business days from the date we receive your enrollment information. Certain tribal organizations are able to enroll in the Federal Employees Health Benefits Program. 日本語 | 00762 - emtricitabine/tenofovir Branded Products (Descovy, Policy No. If you need cards for additional covered family members, you can request them via your MyBlue® account or by calling the customer service number on the back of your member ID card. 00509 - Treatment of Hepatitis C with elbasvir and grazoprevir (Zepatier, Policy No. Policy No. Picking a primary care doctor is an important step to staying healthy and saving money. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. 00603 - Pharmacologic Treatment of Off Episodes in Parkinson Disease, Policy No. BlueCare lets you see doctors 24/7 for minor health issues or schedule appointments for behavioral health needs. We, like other insurers, determine which coverage is primary according to the National Association of Insurance Commissioners’ (NAIC) guidelines. Anthem Blue Cross and Blue Shield: Bronze HRA Coverage for: You, You+Spouse or Child(ren), You + Family | Plan Type:HRA . We require credentialing for both professional and facility providers. Is there a pre-existing condition limitation? Spouse Equity allows certain former spouses of civil service employees, former employees and annuitants to continue coverage. Providers may offer telehealth services as long as they are contracted and credentialed by Blue Cross Blue Shield of Massachusetts. 00758 - teriflunomide (Aubagio®) Could I need both a prior approval and a precertification? Authorization Form If you do not get prior approval (also known as prior authorization), we may reduce or deny your benefit. FEP Blue Focus does not offer dental benefits. Dental Blue 65 Preventive is the lowest priced plan of BCBS, at under $24 per month, but only covers diagnostic and preventative services like cleanings and X-rays. Set up and manage your electronic payments from Blue Cross. In most cases, your doctor or facility will submit approval requests. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Some examples of medical services and treatments that may need prior approval before you receive care include: Precertification is the process of approving an inpatient admission before you receive care. iLinkBlue Agreement Packet, Professional Initial Credentialing Packet You can receive up to 25% off laser vision surgery if you have a Blue Cross Blue Shield vision plan. 日本語 | Policy No. 00514 - Treatment of Hepatitis C with sofosbuvir/velpatasvir (Epclusa®, Authorized Generic) 中文 | Found inside â Page 3... COVERED DENTAL SERVICES CHAMPUS does NOT cover preventive , routine , restorative , prosthodontic and emergency dental care . Preauthorization may be needed for dental care . Providers should contact : Blue Cross / Blue Shield of. As of March 17, the PDF versions of these forms are no longer available. Does the Service Benefit Plan offer vision benefits? Found inside â Page 99Just present your Blue Cross card at the hospital when your doctor admits you . . . and we take care of the rest. Basic Blue Shield Coverage Have you heard about the best Blue Shield coverage? It pays doctors' Usual, Customary and ... Whether you want to quit smoking or find the right doctor, we have many programs to help. We use cookies on this website to give you the best experience and measure website usage. Found inside â Page 192The surgical procedures involved are such that postoperative management , the use of intravenous fluids , is common and ... In fact , ven the extended program such as Blue Cross / Blue Shield , Medex in our State , will not cover . Does the Service Benefit Plan offer dental benefits? Policy No. More Information, English | If you have claims or customer service questions, you can call the customer service number on the back of your member ID card. 한국어 | The only difference in the enrollment types is the number of people eligible to be covered under each one. Policy No. Talk to your Tribal Benefits Officer to be sure you are eligible for FEHBP coverage. Policy No. Found inside â Page 44Other examples include fillings, oral surgery and periodontics, 90%; dentures and orthodontics, 50%. ... About 10% of the patients covered by dental insurance are under separate, nonprofit Blue Cross and Blue Shield plans. ไทย, Alternative Dental Procedure Payment Responsibility Form, Behavioral Health Provider Clinical Profile Form, Consumer's Right to Know Facility Reporting Form, Electronic Remittance Advice (ERA) Enrollment Form, How to Request Reimbursement During Credentialing, Release of Protected Health Information Form, Utilization Management Approval and Denial Fax Form, Professional Initial Credentialing Packet, Policy No. Français | 00759 - Beta Interferons for the Treatment of Multiple Sclerosis, Policy No. If I lose coverage, is there a way to keep my FEP plan? Blue Cross and Blue Shield Service Benefit Plan: Basic Option Coverage for: Self Only, Self Plus One or Self and Family | Plan Type: PPO 1 of 7 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. For assistance, you can contact your local BCBS company at the number on the back of your member ID card or found here. Box 551, Minneapolis, MN 55440-0551. I am leaving federal government service, but I would like to keep Blue Cross Blue Shield coverage through my local BCBS company. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. Policy No. No, we will cover conditions you had prior to enrollment. Found inside â Page 2467While it it true that Blue Shield plans do not yet cover all of the services rendered by physicians that are apt to be expensive , the gap ... and on September 1 , 1950 , benefits for dental surgery in the hospital were also included . The Blue Cross and Blue Shield Service Benefit Plan is the number one choice of federal retirees in the Federal Employees Health Benefits Program. Found inside â Page 116These dentists were in Washington attending the first Inter - American Orthodontic Congress and were welcomed by ... BLUE CROSS AND MEDICAL SERVICE The Society has discussed with Blue Cross and Blue Shield officials the providing of ... Members enrolling in TCC are responsible for both the employee and employer share of the premium, plus an additional 2% administrative fee. Found inside â Page 13Yes , if he does work due to an accident on the natural teeth . Mr. WALDIE . ... No , not oral surgery of that kind . Mr. WALDIE . ... The routine services of dentists are not covered under the Blue Cross / Blue Shield Mr. Waldre . Inpatient care that may need approval includes inpatient hospital stays, inpatient residential treatment center care and/or skilled nursing facility care. For just $29 a month, you'll have access to 10,000 participating fitness locations around the state and nation. Postal rates apply to certain United States Postal Service employees as follows: Non-Postal rates apply to all career non-bargaining unit Postal Service employees and career bargaining unit employees who are represented by the following agreements: APWU, IT/AS, NPMHU, NPPN and NRLCA. 00760 - glatiramer acetate (Copaxone®) External links open in new windows to websites Blue Cross and Blue Shield of Louisiana does not control. Found inside â Page 289Dental insurance Method of financial assistance (provided by a dental benefits service) that helps to pay for specified procedures and services concerning dental ... Examples include Delta Dental Plans and Blue Cross/Blue Shield. This plan does not cover some dental services such as: Cosmetic dentistry; Tooth bleaching and whitening; Implants; To learn more about dental benefits, see the Member Handbook. 00462 - Treatment of Hepatitis C with ombitasvir, paritaprevir, ritonavir, and dasabuvir (Viekira Pak™) Certain medical services and treatments need approval before you receive care. Is FEP considered Minimum Essential Coverage (MEC)? For the full list of services and treatments, including rules and exceptions, see section 3 of the Standard and Basic Option brochure. If you are a new employee to the federal government or need to make changes to your current plan and are currently eligible to update or enroll in coverage, visit our How to Enroll page to get started. 00693 - Select Levothyroxine Products, Policy No. Electronically send your submissions to Blue Cross. If you want to enroll or change your enrollment in this Plan, be sure to put the correct enrollment code from the cover on your enrollment form. You can also learn more about the Health Insurance Marketplace at www.healthcare.gov. Read manuals, speed guides, tidbits, presentations and more. Local Provider Directory - New Name! Português | Policy No. Our SmartShopper tool lets you compare the costs of common medical procedures based on price and location. Learn more. Postal Category 1 rates apply to career bargaining unit employees who are represented by the following agreement: NALC, Postal Category 2 rates apply to career bargaining unit employees who are represented by the following agreement: PPOA, Employees and/or their eligible family members when the employee separates from federal service, except an involuntary separation due to gross misconduct, Individuals who experience a change in circumstance that results in their being ineligible to be considered a dependent (e.g., divorce or annulment from a federal employee or children who reach 26), Former spouses who do not remarry before age 55, Former spouses who were enrolled as a dependent any time during the 18 months preceding the divorce, Former spouses who currently receive, or have future title to receive a portion of the annuity payable to the employee upon retirement. For more information, visit the Compare Our Plans page or review the Blue Cross and Blue Shield Service Benefit Plan brochures. More importantly, patients should contact the issuing company for precise answers. Policy No. Certain services require prior review and certification from Blue Cross NC before they can be covered by your health insurance plan. 中文 | Calling Blue Cross Blue Shield FEP Dental at 1-855-504-BLUE (2583), dial 711 for TTY relay services. People asking whether their Blue Cross Blue Shield (BCBS) medical insurance covers oral surgery should follow the guidelines noted above. Learn more here. Policy No. Through the precertification process we review: For more information about precertification rules and exceptions, see section 3 of the Service Benefit Plan brochures. More Information, English | External links open in new windows to websites Blue Cross and Blue Shield of Louisiana does not control. What is the difference between Standard Option, Basic Option and FEP Blue Focus? 00693 - Select Levothyroxine Products Blue Cross and Blue Shield took their partnership a step farther, by consolidating staff and operations, forming the Blue Cross Blue Shield Association in 1982. 2021 Behavioral Health - ABA, 2021 Provider Credentialing and Data Management, 2020 Provider Credentialing and Data Management, 2018 ABA WebPass Clinical Review Forms Webinar, 2018 Provider Self-service Initiative Webinar, Admissions and Recertifications Form We also offer a supplemental dental plan, Blue Cross Blue Shield FEP Blue Dental, if you ⦠By continuing to use this website, you consent to these cookies. Your eligible family member can include either a spouse OR a child up to age 26. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) offers affordable dental plans in addition to great health care coverage. العربية | Blue Cross Blue Shield of Massachusetts is committed to covering infused or injected medications under the medical benefit for our members in the most cost-effective, clinically appropriate setting. Found inside â Page 105Your Blue Shield Plan offers firms of 10 or more employees a wide choice of dental coverage. 4 Everything from routine check-ups, cleaning and X-rays, to fillings and extractions, oral surgery, new dentures and denture repairs â and a ... Found inside â Page 14Judge Greenberg held that the ruling that Blue oral - surgery coverage under the Massa Shield could not ... various Blue Shield plans do but by the adoption of a policy which denies not conform to what seems obviously Blue Cross ... Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the basis of race, color, national origin, age, disability or sex. The BlueCard® Program Provider Manual 2022, Automated Benefits & Claim Status (IVR Navigation Guide), A Guide for Understanding APTC Grace Periods, HEDIS Follow-up After Hospitalization for Mental Illness, Past Workshops For more information, please visit the Overseas Coverage page or consult the Blue Cross and Blue Shield Service Benefit Plan brochures. BCBS is a national federation of ⦠00188 - Human Growth Hormone NOTE: Information about the cost of this plan You may choose to pair a new or existing Blue Cross Medicare Supplement or Legacy Medigap plan with the Dental Vision Hearing Package that includes coverage for fillings, root canals, extractions, crowns and fluoride treatments. русский | Self Plus One covers the federal employee and one eligible dependent, such as a spouse. No matter which enrollment type you choose you receive the same benefits, coverage and overall value. Your request can take up to 90 days to process once all required information has been received. ไทย. ລາວ | With Basic Option, you can enjoy no deductible with care from in-network providers. Then go to the U.S. Office of Personnel Management (OPM) website to find out how to enroll. Are you planning a hospital stay? Policy No. Pilipino | We offer a series of disease and case management programs. For instance, Blue Cross Blue Shield BCBS FEP Dental will cover a percentage of your charges for services such as crowns, root canals, periodontal scaling, dentures, and orthodontic. 00462 - Treatment of Hepatitis C with ombitasvir, paritaprevir, ritonavir, and dasabuvir (Viekira Pak™), Policy No. Find out which plan is right for you. Found inside â Page 747doctory of dental surgery , we have doctor of podiatry or doctor of surgical podiatry . ... There are 19 States in which Blue Shield does pay for podiatric services that are covered in their schedule of payments . Senator CURTIS . Professional Liability Information Form Coverage remains in effect as long as the former spouse is eligible. 00720 - Select Fenofibrate Products, Policy No. For more information, review the Blue Cross and Blue Shield Service Benefit Plan brochures. Found inside â Page 87BLUE CROSS AND BLUE SHIELD DENTAL BENEFITS Although Blue Cross or Blue Shield certificates do not offer ... offered by 80 Blue Cross plans under basic certificates , October 1959 Inpatient Outpatient Type of case MCG MWH MCG MWH No. For more information about the differences between the three plans, you can: Whether you decide to enroll in Standard Option, Basic Option or FEP Blue Focus, please be sure to use the appropriate enrollment code: Yes, the Service Benefit Plan provides overseas coverage for you and your covered family members.
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