The BlueCard coordination of benefits questionnaire helps us determine if a member has coverage under multiple insurance plans and which plan is responsible for covering medical costs. Some Blue Care Network members have health care or prescription drug coverage from more than one source.
Https Www Bcbsm Com Content Dam Public Consumer Documents Help Calculators Tools Bcn Member Toolkit Pdf
Blue Care Network Customer Service.
Blue care network coordination of benefits. The claim is then submitted to a secondary or tertiary insurer. This plan from Blue Care Network works with Medicare to give you significant coverage beyond Part A and Part B benefits. Benefit payments are coordinated.
One plan becomes your primary plan and pays your claims first. But you will get additional Medicare Part A Hospital Insurance and Medicare Part B Medical Insurance coverage from Blue Care Network. Then the second plan pays toward the remaining cost.
When BCN commercial members who live in the East or Southeast region need specialty care their primary care physicians refer them to participating providers within their products network. About Blue Care Network coordination of benefits EDUCATE ENGAGE EMPOWER What is coordination of benefits. Continuity of Care is when a Member chooses in certain circumstances to continue receiving services from a physician who no longer contracts with BCN.
Blue Cross Blue Shield of Michigan and Blue Care Network members under age 65. The primary insurer must process the claim first. Before letting us know about coordination of benefits youll need to gather the following documents.
711 Business hours Monday Friday except holidays 8 am. Coordination of Benefits COB means a process of determining which Certificate of Coverage or policy is responsible for paying benefits for Covered Services first primary plan. In the case of health care you may also have accident or injury coverage.
I have individual coverage. BCN Advantage HMO ConnectedCare HMO is a 2015 Medicare Advantage Part C or MA Plan plan by Blue Care Network. Coordinating your benefits helps us process your claims faster and maximizes your benefits which can lower your out-of-pocket costs.
Please refer to the last section at the bottom of this page for additional information. 1-800-658-8878 UAW Medical Benefits Trust. Full name and birth date for everyone covered by other insurance.
Names of BCN-participating providers can be. Legal documents if anyone on your plan has other insurance. Always submit claims to your primary plan first.
Mailing address BCN Customer Service PO. The primary intentions of coordination of benefits are to make sure that individuals who receive coverage from two or more plans will receive their complete benefit entitlement and to prevent benefits from being duplicated when an individual has more than one policy in place. Benefits will be coordinated to provide maximum reimbursement for expenses covered under either plan without providing for duplicate payments.
If you decide to sign up for BCN Advantage HMO ConnectedCare HMO you still retain Original Medicare. For example a person may be covered under a spouses health plan or a child may be covered under the plans of both parents. When a member has more than one insurer covering his or her health care costs the insurers need to coordinate payment.
BCN offers a statewide network of specialty care providers. ID cards from all other health insurance plans. Coordination of Benefits will be consistent with medical care and insurance industry guiding principles and state laws.
1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. When you have dual. 1-800-662-6667 TTY for all members.
When you have dual coverage this allows the secondary plan to reduce its benefits so that the combined benefits of all plans do not exceed the total allowable fees. Accept assignment on covered equipment or supplies normally provided by the company to Blue Care Network Members. Sometimes two insurance plans work together to pay claims for the same person.
Have all out-of-area members complete this questionnaire prior to rendering services to ensure that each claim is paid quickly and properly. Coordination of Benefits COB means a process of determining which Certificate of Coverage or policy is responsible for paying benefits for Covered Services first primary plan. Provide covered equipment and supplies to Blue Care Network Members in the same manner quality and promptness as services that are provided to other customers including after-hours emergency servicing.
