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 For Medicare Members: No-fault auto law changes Health (Just Now) WebThere are several ways you can request a QHC letter. This provides cost and other information related to your plan options. 'TMjZ}dM`V;hO0 45o` T@> $0,Tkpp9~#@="-toen7=u-J 3P6sO1v 0IA||$IRs3R6o'j*vU#;B!FL5O,hBtA7|$xVv)*09KTOM8Gh6CAIT,[*6a8 wz For the HSA Plus Plan, Ford contributes $1,000 towards Mary's health savings account, which further reduces her cost to use this plan. 0000007100 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. 13 151 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. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 120 0 obj Follow the instructions on the page to have your letter created. 0000008674 00000 n 0000032373 00000 n | _1S}9M{T=o9B^>.!a8Znpk9(6_ We provide health insurance in Michigan. Mary would pay nothing from her paycheck to have the HSA Plan. Two letters confirming you have MESSA coverage that are often requested by your auto insurance carrier can be found in your MyMESSA member account. You can also take a closer look at your current plan to help you make the best choice for your 2021 plan. 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 Visit myfordbenefits.com and make your plan selection for 2023. To help you compare and select your 2021 plan based on your personal needs, Ford has provided Benefits Mentor powered by IBM Watson Health. 258 0 obj <> endobj There are different levels of PIP coverage that you can choose from. 0000004052 00000 n And with the HSA Plus Plan, Ford will also contribute to your HSA. Claims | Benefits | Member eligibility | How to use Provider Connection | Contracts | Credentialing | View detailed plan information in this document. 0000004937 00000 n 0000048916 00000 n 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 $3,006 out of pocket to use this plan. 0000008905 00000 n SECTION 2 OTHER HEALTH COVERAGE INFORMATION . We appreciate your understanding. endobj h1aMXk* Q)DDJjH$*F 0000034422 00000 n The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). Effective January 1, 2023, MSPTA-represented (To1) employees are eligible for this benefit, DROP employees and OEAIs and the dependents remain ineligible. After that deductible is met, out-of-network charges are paid according to the plan design. 172 0 obj hbbd```b``z"@$D2e5A$)e,H^0 0000021457 00000 n Or, call the number on the back of your member ID card. Benefits under this plan were payable only after you had paid expenses equal to one month's basic salary (your deductible). If your auto insurance is requesting a QHC letter to issue or renew a policy, you may request a QHC letter by contacting yourhealth carrier. 0000013667 00000 n Once logged in, navigate to the https://www.bcbsm.com/index/health-insurance-help/faqs/topics/other-topics/no-fault-changes.html The out-of-pocket maximum does not include monthly paycheck contributions, copayments, or any expenses not covered by your plan. 0000012476 00000 n 0000012767 00000 n After the deductible and coinsurance are applied for the HSA Plus Plan, James will be responsible for $3,480. If you absolutely need to call, please try again at a later date. 193 0 obj <>stream 0000019062 00000 n 0000003382 00000 n If you have additional BCBSM contracts, pleas e include this as other coverage. {07 N_Bdk 0000048173 00000 n Plan: Blue Care Network (BCN) Premium Cost: Summer 5/16/20 - 8/15/20 $474.00 (approx. Look for the chat icon at the bottom right corner of the screenon any page of this website. Michigans new auto no-fault insurance law went into effect July 1, 2020. 0000031415 00000 n You can choose your own primary care physician who will provide direct care or make referrals from within the network. (MSPTA-represented only) Links to all provider websites can be found on our Benefit Carrier Contact Information page. Try again later. Visit myfordbenefits.com and make your plan selection for 2023. 0000029225 00000 n 0000028187 00000 n 0000030483 00000 n What's qualified health coverage under the new law? 0000031798 00000 n startxref 0000026478 00000 n 0000037572 00000 n 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. 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. Standard Qualification Form If you have a Blue Cross Blue Shield of Michigan plan other than Healthy Blue Achieve that requires a qualification form, please use the form below. Blue Cross Blue Shield of Michigan. TVxZOEhL5wV/yZP^',UP1ko}87M@p_[8Sq^R/ 0000015623 00000 n Enroll when you're ready. 119 0 obj James has arthritis, so he needs to take a higher cost maintenance drug. 0000019892 00000 n Thank you for viewing. PIP coverage can include items like attendant care, housing modifications and lost wages. 0000010017 00000 n They areresponsible for the deductible, then the hospital is reimbursed according to the plan design. [Instructor] Hello, and welcome to Blue Cross Blue Shield of Michigan. These scenarios are simple, and there are many other ways you can consider managing your out-of-pocket costs with your health savings account. 0000033132 00000 n %PDF-1.6 % Blue Shield/Blue Shield Promise network referrals. Because Mary's cost to have the HSA Plan is $0, her total cost is $3,030. <<674A7177E0417F4590EC384E93D00AED>]>> 0000022361 00000 n 0000018138 00000 n No-fault auto insurance changes in Michigan bcbsm.com Health (6 days ago) WebThere are several ways you can request a QHC letter. Access tools to prescreen, submit and check the status of submitted claims. You are encouraged to visit your benefit providers' website and create free member logins. GradCare Member Reimbursement Form U-M Premier Care Member Reimbursement Form 0000008045 00000 n 0000049042 00000 n 0000027945 00000 n .r~'J ms-oA&@i 9k2 J4T{Yt;cu6J_Fs"6r|(Z? For the HSA Plus Plan, her yearly contributions, which is her cost to have the plan would be $3,300. 0000000016 00000 n 0000005858 00000 n <> 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. Provided in a vehicle qualified as an ambulance and part of a licensed ambulance operation 0000049102 00000 n If you choose to do so, you will be responsible for both deductibles. 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. 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. 0000022731 00000 n In 2021, you'll have a choice between two HSA eligible medical plans, HSA Plan and HSA Plus Plan. The plan covers inpatient hospital care, as well as other outpatient services received at a hospital including emergency room care. Simply Blue. What does PIP cover? Learn More Questions? 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. Your doctor will submit the form by following the instructions on the back. 0000014991 00000 n This amount does not count toward the plan's out-of-pocket maximum. 0000059656 00000 n If you need information about eligibility, benefits or claims, or want to submit or review an authorization, the best way to get up-to-date information is through our on-line resources. An HDHP offers a lower biweekly premium in exchange for higher deductibles and out-of-pocket limits. Later in the year, that same person needs an MRI and chooses an out-of-network provider. 0000009279 00000 n Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. You don't need to wait until your new plan year starts to see your doctor. 0000027316 00000 n You still have the freedom to go out-of-network to see any physician, hospital or other provider of your choice. 0000016814 00000 n You can also review your current plan to help make the best choice for 2021. 0000008446 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. 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. Your coverage is considered qualified if it: When making a decision, keep in mind that PIP has coverage that goes beyond traditional health insurance. We're redirecting you to Blue Shield of California's Find a doctor search. Let's say Mary and her family have a normal year with normal doctor visits. Even though this law has to do with your auto insurance, a lot of people have questions about what it means for your. In the HSA Plus Plan, you're also responsible for all medical and prescription costs until your deductible is met. Per state and federal law, providers and facilities must attest to accuracy of directory information to stay visible in find a Doctor. But, if you receive services from a provider not in the PPO network, you may be responsible for paying additional out-of-pocket costs. View the Telemedicine Benefit Summary to see your State-sponsored health insurance carrier's telemedicine coverage. Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. For Medicare Members: No-fault auto law changes bcbsm.com Health (Just Now) WebThere are several ways you can request a QHC letter. Telemedicine Benefit Summary:Telemedicine visits allow you to meet with a US board-certified doctor online using a video-chat tool. To help your savings grow even more, when your HSA balance reaches $1,000, you can choose a variety of investments. 0000011210 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). You can keep your unlimited PIP coverage. 0000051836 00000 n State and Federal Privacy laws prohibit unauthorized access to Member's private information. trailer Representatives are available 8:00 a.m. to 5:00 p.m., Monday through Friday. 0000017188 00000 n endstream endobj startxref It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan. An HSA is a smart way to save for your future qualified health expenses, including those that may come up in retirement. For auto insurance policies issued or renewed after July 1, 2020, Michigan's Automobile No-Fault Insurance Law will change. 248-524-0454 They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. Give us a call to discuss your plan options.
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