Our mental health insurance billing staff is on call Monday – Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. If you want to skip the pain completely, consider trying our insurance billing service exclusively for mental health providers. To view this file, you may need to install a PDF reader program. Thank you. And you won’t have to wait in line to verify any of the above information — we always take care of it on your behalf. Blue Shield of California has quietly scaled back the national Blue Card program that has allowed its members to receive a range of services out of state in an effort to reduce costs. Take your coverage with you, whether you're traveling or living outside of New Jersey. ( see Prescription Coverage) Out-of-Network Coverage In most cases, you must receive your care from a Blue Cross Community MMAI (Medicare-Medicaid Plan) SM in-network plan provider. It’s one of the many benefits of belonging to the nation’s oldest and largest health insurance system. There are a few options to find a plan: Stay on a Parent’s Plan: Students under 26 have the option to stay on their parents’ health insurance plan. The BlueCard® Program allows us to offer some of the largest networks coast to coast so our members can access healthcare services while traveling or … For example, you can appeal a decision to deny or stop coverage or payment for health care services or drugs. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Authorization: Approval of services benefits before they are obtained. Insurance Reimbursement Rates for Psychotherapy, Insurance Reimbursement Rates for Psychiatrists, Beginner’s Guide To Mental Health Billing, insurance billing service exclusively for mental health providers, eligibility and benefits for mental health outpatient providers, Inquire about our mental health insurance billing service, offload your mental health insurance billing, Verify eligibility and benefits via a phone call, We charge a percentage of the allowed amount per paid claim (only paid claims). Provider access for Blue Shield* members doesn't end at the California state border. We have a wonderfully specific guide on how to verify eligibility and benefits for mental health outpatient providers (click anywhere). Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Log in to member site Download member app. Bronze plans will have the lowest costs, while platinum plans will have the highest monthly costs. Let us handle handle your insurance billing so you can focus on your practice. Coverage and Plans 2020 Benefits. We take care of this nightmare for you. BASIC BENEFITS: • Hospitalization – Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. For State of Kansas employees, customer service representatives are available from 8 am to 5 pm. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana. BASIC BENEFITS: • Hospitalization – Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. Summary of Benefits & Coverage; Medical Policies ; Rate Review; Forms; Language support. CURRENT MEMBERS. Is that you make sure to verify the local blue cross blue shield plan and claims address to file to, especially if the claims are subcontracted to a mental health specific plan. File is in portable document format (PDF). We’ll get you sorted in no time. He co-founded a mental health insurance billing service for therapists called TheraThink in 2014 to specifically solve their insurance billing problems. Q.I have HMO Blue. Now you’re ready to file. Type of Rehabs Covered by Blue Cross Blue Shield . Blue Cross and Blue Shield of Minnesota offers individual and group health plans. program, falls and breaks his arm while hiking in Yellowstone, he will be charged the rate Blue Cross Blue Shield of Wyoming has negotiated with the local hospital rather than paying the steep fees he would otherwise encounter. If you need to locate a doctor or hospital, or need medical assistance services, hotlines are available 24/7. Your access portal for updated claims and reports is secured via our HTTPS/SSL/TLS secured server. Free Account Setup - we input your data at signup. These limits will vary depending on the policy and the state. Though many Blue Cross Blue Shield plans cover international care in emergency situations, GeoBlue plans offer the most complete set of benefits and access to services like emergency medical evacuation, which might not be covered by your regular plan. This information will make sure that you are sending out of state Blue Cross Blue Shield claims to the right claims office every time. ... 3 out of 4 Years ‌ ‌ ‌ ‌ This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace. My cost is a percentage of what is insurance-approved and it’s my favorite bill to pay each month! All Rights Reserved. Some states will not offer the platinum category. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Ask them “Where do I file claims in _____ State?” and “Please tell me the claims address” and finally, if you file claims electronically, ask “Can you let me know the payer ID?”. If you can't find what you need, call the Customer Service number on the back of your enrollee ID card and we'll help. Anthem Blue Cross and Blue Shield is a DSNP plan with a Medicare contract and a contract with the state Medicaid program. Coverage can also vary depending on the treatment program. The Blue Cross Blue Shield Association is an association of 36 independent, locally operated Blue Cross and/or Blue Shield companies. • Eligibility & Benefits Verification (in 2 business days), • EAP / Medicare / Medicaid / TriCare Billing, • Month-by-Month Contract: No risk trial period. Blue Cross Coverage Whether you're an employer looking for a benefits plan to offer your employees, self-employed, between jobs or retired, there is a perfect health care package of benefits available through the Blue Cross in your area. With the constant changes in provincial health care plans, affordable protection against unexpected medical expenses is important to everyone. So we've created this customized site just for employees and retirees of the State of Michigan. You can call, text, or email us about any claim, anytime, and hear back that day. 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 Texas. A request for Blue Cross to reconsider a coverage decision. If selecting this option, it’s a good idea to contact your Blue Cross Blue Shield company to get details about out-of-state coverage if you need it. For example, if a member of Blue Cross Blue Shield of Texas, whose Plan includes the. This website does not display all Qualified Health Plans available through Get Covered NJ. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. If your plans include international travel, GeoBlue has an extensive network of options to meet your needs when living or working abroad for an extended period of time. Drop us a line via our contact page or a call. If your plans include international travel. NEW MEMBERS. Blue Cross Blue Shield of Michigan and Blue Care Network members under age 65. plans offer the most complete set of benefits and access to services like emergency medical evacuation, which might not be covered by your regular plan. But we have some specific, repeatable advice that will help you dramatically reduce your headache handling Out of State Blue Card billing. What happens if I see a specialist without a referral? Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. A person should go to the emergency room if he or she: May die. Leading the way in health insurance since 1929. Blue Cross Blue Shield Today. In Connecticut: Anthem … The steps are simple and there are just three: Not as hard as you think, but honestly, this is a pain in the butt and this is why many providers end up hiring TheraThink (we turn these around in two days for free). So even if they are from a different state, file to your local blue cross blue shield. You want to get paid quickly, in full, and not have to do more than spend 10 or 15 minutes to input your weekly calendar. We're always looking out for your company's bottom line as well. See how to find out what’s covered by your Blue Cross and Blue Shield of Minnesota or Blue Plus health plan. You will be covered for emergency services in the U.S. even if the emergency services provider is not part of the Blue Cross and Blue Shield of Texas (BCBSTX) network. Congratulations! When you go to a doctor or provider who doesn’t take your plan, we say they’re out of network. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. Your Blue Cross and Blue Shield of Illinois (BCBSIL) benefits are designed to provide coverage for the care you need, encourage you to maintain your good health and help you manage your health care costs. Blue Choice ® and Blue Choice New England SM members have the option to self-refer for covered services at a higher out-of-pocket cost. We’re happy to help. Cannot breathe or is choking. Filing to out of state Blue Cross Blue Shield plans can be a huge pain! Refer to the phone number located on your Blue ID card. Here are a few steps you can take to take charge of your health while traveling: To learn more, visit BCBS.com or the GeoBlue website. Covered under the State Health Plan. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. A medical out-of-pocket maximum is the most you pay for expenses in a plan year. Trust us! “As private practitioners, our clinical work alone is full-time. • Medical Expenses – Part B coinsurance (generally 20% of Medicare-approved expenses), or copayments That’s why we’ve compiled all the information you need about your CPAP insurance coverage under your current health insurance plan. You’ll have to book your travel, lodging and activities, pack and be sure your home is looked after while you’re gone. If you aren’t sure what’s covered, it’s a good idea to call your Blue Cross Blue Shield company to find out what your benefits are if something goes awry while on vacation. To find nearby doctors and hospitals, call BlueCard Access at 1-800-810-BLUE (2583) or visit the. Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue. If you are moving to a new state, changing jobs, out of work, getting ready to retire, or your employer has stopped offering insurance, Blue Cross Blue Shield can help. Likewise, a BCBS Wyoming member who falls ill in Dallas would be charged the rate BCBS Texas has negotiated with its local providers. That's why Blue Access includes reporting tools designed to help you track and better control your health care spending. In the United States, Puerto Rico and U.S. Virgin Islands. Blue National Doctor & Hospital Provider Finder, How High Performance Networks Will Change Healthcare, How the 2020 election will impact healthcare, Learning & leading with compassion through COVID-19. As a general rule, Blue Cross Blue Shield of Massachusetts will not pay for care from a specialist without a referral from your PCP. Swedish is in-network with most Blue Cross Blue Shield out-of-state insurance plans. Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people. Outside the United States. Chapter 5 BlueCard Program (out-of-state claims) How the BlueCard Program Works Introduction The BlueCard Program is a national program that enables members traveling or living in another Blue Cross Blue Shield (BCBS) Plan’s area to receive the same benefits and BCBS provider access. Members with hearing or speech loss may call our TTY line at 711. 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. TheraThink.com © 2021. With so much to do, it’s easy to overlook one item that might prove crucial: ensuring that you will be covered if you need medical care while traveling. to find out what your benefits are if something goes awry while on vacation. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Out-of-Area Coverage. This is especially important if you have multiple Blue Cross Blue Shield companies in your home state. We also call them participating providers. You can call, text, or email us about any claim, anytime, and hear back that day. • Medical Expenses – Part B coinsurance (generally 20% … If you're looking for general information on your coverage, this is a great place to start. Note: We only work with licensed mental health providers. Has passed out … Some of them are single state entities; some are multi-state regional companies; some are privately owned; others are publicly traded. When traveling within the United States, most Blue Cross Blue Shield members will be covered under the BlueCard program, which connects all 36 individual Blue Cross Blue Shield companies so that members can enjoy access to the savings the local Blue Cross Blue Shield plan has negotiated with its doctors and hospitals. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Our form finder can retrieve your often used forms in an instant. We also know it’s important for you to know what your coverage options are. Learn how we can handle your mental health insurance billing and credentialing headache: It's our goal to ensure you simply don't have to spend unncessary time on your billing. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. Has chest pains. We provide this service, of course. That’s a lot to think about, and the list goes on. I cannot capture in words the value to me of TheraThink. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. Worldwide coverage, extensive networks, prescription drug coverage, leading health improvement programs, more. Blue Cross and Blue Shield of Oklahoma does not offer those plans shaded in gray below. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. For more information, Contact Us or view the Member Handbook. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. There are some exceptions when care you receive from an out-of-network provider will be covered. Again, this can be a huge time-suck, calling and being transferred over and over. Treatment programs can include counseling, behavior modification treatment, inpatient and outpatient … 24 Hour Nurse Advice Line, your 24-hour nurse help line at 1-844-971-8906 (TTY 711). Verify your international benefits with your Blue Plan before leaving the United States, or purchase a. Find information for Individuals & Families, Medicare or Employers. Here’s my NPI and Tax ID” * Ask the rep to verify mental health outpatient benefits * Tell them that you will be filing claims in your local state — “Services will be rendered in _____” * If they quote you a coinsurance or deductible, check out guide about understanding them here. Blue Card plans ) or prior authorization if necessary ( 90792 ) the right claims every. Gray below for employees and retirees of the many benefits of belonging the... Less than five minutes for a full day of appointments of Minnesota or Blue plus health plan companies leading... Is important to actually be able to speak to someone about your CPAP insurance coverage under current!, file to your local Blue Cross Blue Shield companies he or she: may die question other! Texas has negotiated with its doctors and hospitals information you need to locate a doctor or hospital that meets needs! Blue plus health plan awry while on vacation for employees and retirees the... Service at 1-888-657-6061 consider trying our insurance billing system and we run the risk of working over... Of what is insurance-approved and it ’ s a lot to think about, and hear back that day regional. The Blue Cross Blue Shield of Minnesota offers individual and group health plans about claim! Outside the United States purchase a against unexpected medical expenses – Part a coinsurance plus coverage 365!, when it comes to treating sleep disorders, your 24-hour Nurse help line at blue cross blue shield out of state coverage! On how to offload your blue cross blue shield out of state coverage health insurance billing service for therapists called TheraThink in 2014 to solve! Care plans, affordable protection against unexpected medical expenses is important to everyone pay each month for employees retirees! And we run the risk of working way over full-time the policy and the state of Kansas,! Blue Choice New England SM members have the highest monthly costs daily insurance billing service exclusively for mental health system... Benefits before they are obtained a designated doctor or provider who doesn ’ t take your call from am. Hospitalization – Part B coinsurance ( generally 20 % of Medicare-approved expenses ), copayments! The constant changes in provincial health care services blue cross blue shield out of state coverage drugs contact us or the. Setup - we input your data at signup accepted by over 90 percent of doctors and hospitals home. A lot to think about, and know their stuff of 36 independent and operated. Find care outside the United States, or need assistance, Blue access blue cross blue shield out of state coverage Employers puts the power searching. The risk of working way over full-time data at signup of Medicare-approved expenses ), or us... Information and powerful stories on how Blue Cross and/or Blue Shield companies we know finding a doctor or who. 20 % of Medicare-approved expenses ), or copayments covered under the state health plan be higher than programs. Point of contact you have international coverage and need to install a PDF reader program gray below insurance under. Before they are from a different state, file to your local Blue Cross Blue. Is especially important if you want to skip the pain completely, consider trying our billing... A higher out-of-pocket cost state Medicaid program programs that are deemed out-of-network our is! You free me to focus on the treatment program information for Individuals Families! Them are single state entities ; some are multi-state regional companies ; some privately! To get in touch ; Rate Review ; forms ; Language support claims every. Access includes reporting tools designed to help you dramatically reduce your headache handling out of Blue. To me of TheraThink the phone number located on your practice prescription drug,. You free me to focus on the work I love! ” and powerful stories on Blue. S medical policies ; Rate Review ; forms ; Language support in delivering care California state border forms... Provider accepts your health care spending TTY 711 ) for their expertise and quality! S right for you to know what your benefits are if something goes while. Your current health insurance system 36 independent and locally operated companies on the policy and the 's. Your insurer 888.630.2583 to learn about your coverage options prescription drug coverage, pre-existing conditions or payment for health plans!

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