We are calling to: We also check to make sure the information we have is correct, such as the names of everyone on your plan, your address and other details. Be sure the MG you select is accepting new patients. Can I receive my monthly premium bill in Spanish? Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Your policy information is available through your Blue Access for Members account once your plan is in effect. Finding the right health insurance is easy! Know the name of your plan and choose it from the dropdown box "Select network type". If you missed open enrollment, you may be able to enroll during the special enrollment period. Outside the United States. Can I get another ID card with their name on it? The information we are requesting is important. Your member ID cards will only have the primary subscriber's name on them, but they can be used by all of the dependents (in this case your spouse) enrolled under your policy. Contact Guide has the phone numbers and instructions you’ll need. For a better experience, please update or consider using a different browser. On Oct. 1, 2020, we alerted you that the utilization management vendor that processes prior authorizations for some of our commercial members is changing. Your first premium payment activates your coverage, so you can start using your health plan within 1–2 days of making your payment, depending on how you pay. We have corrected the error in our system, so this should not happen again. When will I get my money back? A policy will also automatically be cancelled for nonpayment if you don't pay the premium. VICTOR: I'm Victor, and I'm meeting with a Blue Cross and Blue Shield customer advocate to discuss changing my primary care physician. How do I cancel one? This may be your best option. It contains helpful information for accessing health care at home or away. If you want to cancel your Marketplace plan, you can call the Marketplace at 800-318-2596. When you join an HMO, you selected or were assigned a primary care physician (PCP) and a medical group (MG) to coordinate all your health care services. You can learn more by looking in your benefit book, or calling the customer service number on the back of your ID card. Your PCP will provide you with a referral to a specialist, if you need to see one. In order to process this payment, you will be redirected to Alacriti's secure payment site, OrbiPay. You will need your member identification number and group number to log in to Blue Access for Members. If you don't see it soon, please give us a call. If you have any questions about the products or services provided by such vendors, you should contact the vendor(s) directly. If you have any problems with your payment, please contact BCBSIL customer service at 800-538-8833. What can I do? Find the change you’d like to make, then learn where to get started. Remember, you will still need a referral from your PCP or WPHCP before seeing a specialist. For non-emergencies, some HMO plans allow you to get health care services from a Blue Cross and Blue Shield affiliated doctor or hospital when you are traveling. Address, phone, fax, email and Hours of Operation are required. Most PDF readers are a free download. If you don't select your own, we will assign one to you. Individual and family PPO members will receive no more than 2 membership ID cards. Contact Blue Cross And Blue Shield Of Illinois customer service. To view this file, you may need to install a PDF reader program. In some circumstances, moving can also qualify you to be able to enroll in a new plan in your new location. Contact Customer Service at 1 … Call the telephone number on the back of the member's ID card or BlueCard Eligibility at 1-800-676-2583. Call us at the Customer Service number on the back of your BCBSIL ID card for more information. An HMO is different from other health care plans in a number of ways: The following doctors can be selected as a primary care physician: When you first sign up for an HMO, you choose, or are assigned, a PCP and an MG. If you applied weeks ago and have not received anything from us, it is possible your application has been held up for some reason. You can change your name or address in several ways: Complete Sections A and B of an Enrollment and Change Application available through Customer Service or your employer. You can call Blue Cross And Blue Shield Of Illinois at (866) 514-8044 toll free number, fill out a contact form on their website www.bcbsil.com, or write a letter to Blue Cross And Blue Shield Of Illinois, 300 East Randolph Street, Chicago, Illinois, 60601-5099, United States. The site may also contain non-Medicare related information. Once you are registered, log in to BAM. Not all drugs are covered. We provide health insurance in … How is it different from other health care plans? We'll work with you to provide coverage for the most appropriate care for your medical situation, especially if you are pregnant or receiving treatment for a serious illness. Children all over the state of Illinois will soon experience this dilemma if the state and Blue Cross Blue Shield of Illinois continue to deny telehealth services to therapists to provide the necessary services. What if I'll be away for more than 90 consecutive days? You would simply pay the premium for the plan you want to keep and not pay the premium for the plan you want to cancel. HMO networks are not limited to doctors and hospitals. Once you’re ready to make your selection, click the Change MG or Change PCP option and follow the prompts to choose your new provider. And always remember to carry your current BCBSIL member ID card. Our call volumes are still very high, so you may have to hold for a long period before getting through. If you have any concern that the person calling you is not with BCBSIL, ask the caller for a number you can use to call us back. All Rights Reserved. Is this person with BCBSIL, and why are they asking these questions? What communications are available in Spanish? A Health Maintenance Organization (HMO) is a type of health plan that gives you access to certain doctors and hospitals that have contracted with the HMO, often called a provider network or just network. Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Illinois. Blue Cross Blue Shield of Illinois Non-PPO Reimbursement Rates Changing Starting January 1, 2012, Blue Cross Blue Shield of Illinois (BCBSIL) is changing its reimbursement rates for services by non-PPO/Non-Contracting (Non-PPO/Non-Par) providers in the PPO and CDHP plans to match Medicare reimbursement rates. This process is one of several tools used by BCBSIL to help control rising costs of health care. You can save quotes for later or apply now. Log in to our community to ask questions, rate articles, comment and more. You can also have your doctor check before writing a prescription. Box 805107 Chicago, IL 60680-3625. 9 Medicare Advantage Plans from Blue Cross Blue Shield of Illinois. One option is Adobe® Reader® which has a built-in reader. Hi Grace, If you could send us a private message, I can help you with that. Blue Cross and Blue Shield of Illinois (BCBSIL) or Authorized User (the "Notice Party"), as the case may be, shall deliver written notice to the other party (the "Receiving Party"), via certified mail, return receipt requested, of the existence of a Dispute (the "Initial Notice"), as follows: You can print a temporary ID card and request additional cards through your Blue Access for Members account. * BCBSIL has contracted with a third-party vendor, Alacriti Payments, LLC, to process your ACH/electronic check payment. If you want to change your MG, use our Provider Finder® online directory to find the HMO MG in the network that best fits your needs. Use the information on your BCBSIL member ID card to complete the registration process. If you have completed a Demographic Change Form, you can check the status of your application by entering the case number you received in your confirmation email in our Case Status Checker.Examples of information you can change include: 1. In addition, if you had overdraft fees as a result of the double billing, please contact us so we can refund these charges as well. You can visit our website to view the list of prescriptions your plan covers. The following phone and address information is for Illinois residents enrolled in Blue Cross and Blue Shield of Illinois individual, family, and medicare health insurance plans: Customer Service (800) 538-8833. After you've made your first payment and your coverage is activated, you can have health care expenses during that coverage gap applied to your deductible, or even get paid back for some services. HMO Individual and family plans will get a card for each member enrolled. How do I get a referral? Within days of your application being accepted, you will receive a welcome letter from BCBSIL that includes your member identification number and group number. It then takes us about 5-10 business days to process your enrollment in the BCBSIL system. You can also log in to your Blue Access for Members account and send us a secure email message. Please remember to have your group and member ID numbers handy when you register. We sincerely apologize for our error in drafting your bank account twice for your premium payment. File is in portable document format (PDF). Since you have new coverage with us, we want to make sure you understand your benefits and that we have the information we need to help you with your health care needs. How can I make changes to that account or profile? Yes, if your current doctor is a part of the HMO's network. When will I get benefit coverage information and the contract on the plan I selected? Even if you haven't received your ID card, you should have received a new member welcome letter within days of your enrollment being completed. We have been fighting the battle to get Alicia in to a reputable rehab facility for about 3 weeks now, and unfortunately Alicia is left rotting in a hospital bed with no access to any therapy of value to her situation. These numbers can be found on the new member welcome letter you will receive within days of enrolling. Telehealth is a research base video platform that therapists have been using with their clients since 2005. BCBSIL drafted my bank account twice. Do I need a referral to see a specialist? What happens if I don't select a PCP or an MG? If you need to change existing demographic information, complete the Demographic Change Form . We will mail a refund check for the overpayment amount within 5 days of the error. Also, HMOs generally only cover health care services provided by a network of health professionals and hospitals that together provide a full range of health care services. Your medical records or claims details may have to be reviewed. Here are some commonly used forms and documents for conducting business with Blue Cross and Blue Shield of Texas (BCBSTX). Blue Cross ® , Blue Shield ® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. If you or a covered family member will be temporarily living outside of Illinois for 90 days or more, you may be eligible for guest membership in a Blue Cross and Blue Shield-affiliated HMO. Your member identification and group number listed on your welcome letter can be used by the pharmacy to verify your benefits. You can also call the Customer Service number on the back of your member ID card. Call Customer Service at 800-538-8833. If you or a covered family member will be temporarily living outside of Illinois for 90 days or more, you may be eligible for guest membership in a Blue Cross and Blue Shield-affiliated HMO. SPEAKER 1: Of course. The site may also contain non-Medicare related information. Use our Provider Finder tool to find network provider options in your area. Has my coverage started? Without a referral, you could end up paying a large part, or all, of the bill. In some circumstances, moving can also qualify you to be able to enroll in a new plan in your new location. When choosing your new plan, make sure the doctors and hospitals you want to use are all in the HMO's network. Most PDF readers are a free download. The call often only takes about 15 to 20 minutes. Office Physical Address/Telephone/Fax/Email/Hours of Operation (Note: When submitting changes, please indicate in t… See reviews, photos, directions, phone numbers and more for Blue Cross Blue Shield Of Illinois … Yes. Tell you about some of the services we offer to help manage your care and your coverage. To make sure a provider is in the HMO network, search Provider Finder®, our online directory. Shop for Insurance. In the United States, Puerto Rico and U.S. Virgin Islands. All Rights Reserved. I've gotten a call from someone asking me questions about my new coverage. Legal Name 2. We had two active policies for you in our system, which pulled your records twice when the automated drafts were processed. An HMO typically has lower monthly premium and lower copayment levels than other types of plans. National Information Center 1 (800) 411-BLUE; ... operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. The referral process has three easy steps: Your BCBSIL HMO benefits also cover prescription drugs. I missed the open enrollment deadline. December 2020 City of Chicago Benefit Change, Effective Jan. 1, 2021. Customer Service. If the doctor is not in your plan's network, you could pay more. X. I need to change my home address. Both of these numbers can be found on your welcome letter and your member ID card. To view this file, you may need to install a PDF reader program. If you want to change to another PCP within your MG, call your MG directly. You will need to pay your first premium payment before you can use your prescription benefits. To look for your medicines, you will need to know: While costs can vary depending on your benefit plan, you usually pay less for generic drugs and more for brand name drugs. Starting Jan. 1, 2021, prior authorization requests for commercial Blue Cross and Blue Shield of Illinois (BCBSIL) members … Some sites may require you to agree to their terms of use and privacy policy. Your plan may cover some of the costs of drugs not on your preferred drug list. In this case, the coverage gap would be the time between your requested effective date and the date you make your first payment. We will help you as quickly as possible. Hello, If you could send us a private message, I can check on the best way for you to do that. Blue Cross Blue Shield address for claims mailing of Illinois: Illinois: PO Box 805107 Chicago IL 60680-4112 Blue Cross Community Health Plans, c/o Provider Services: PO Box 3418 Scranton PA 18505 Blue Cross Community MMAI, c/o Provider Services: PO Box 4168 Scranton PA 18505 This information can be used by providers and pharmacies to verify your coverage until you get your member ID card. 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