These drugs are listed in the formulary search. Customer Care Representatives are available Monday through Friday from 7 a.m. to 9 p.m. Eastern Time, and Saturday & Sunday from 8 a.m. to 6:30 p.m. Eastern Time. Medical policy statements contain conclusions about whether a technology, procedure, treatment, supply, equipment, drug or other service improves health outcomes for the health plan's population and therefore is covered or not covered. © 2020 Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. If you have questions, please contact Member Service at the number on the front of your ID card. and the amount the provider charged for the service. Call the National Information Center for information about your benefits and services, FEP incentive programs, our supplemental dental and vision plans, to speak with the MyBlue Contact Center or for assistance with our online tools. A grievance specialist will be assigned to your case and will guide you through the process. This allows your PCP to ensure good communication and coordination among all the providers involved in your care. Each covered member of your family may choose his or her own primary care provider (PCP), and choosing the right one is important. After an Emergency Room (ER) Visit, Whom Should I See for Follow-up Care If the ER? I received a Form 1099-HC, but my health care coverage through Blue Cross Blue Shield of Massachusetts was canceled before December 31. If you were insured through Blue Cross Blue Shield of Massachusetts for all 12 months of the tax year, the "Full Year Coverage" box is checked off. These are features of health plans, and basically have the member share in some of the cost of their health care. Why do I need to select a primary care provider (PCP)? Because of their size, PBMs can negotiate discounted prices from drug companies. What is the difference between emergency and urgently needed care? Box 1590 What is your policy on drugs newly approved by the FDA? Is there a medical difference between a brand-name drug and its generic equivalent? You are looking up Blue Cross Blue Shield (SC) customer care, so you probably already know who they are. What is the Pharmacy & Therapeutics Committee? By coordinating your care through a PCP, you can develop a relationship with a trusted health care provider who will become familiar with your health care concerns. If it's time for a new doctor, we can help! Please contact your Human Resources department to ensure that they have your new address on file. ATANSYON: Si ou pale kreyòl ayisyen, sèvis asistans nan lang disponib pou ou gratis. Blue Choice® and Blue Choice New EnglandSM members have the option to self-refer for covered services at a higher out-of-pocket cost. Your most recent Explanation of Benefits also shows deductible amounts met for the current year. He or she collaborates with our team of trusted specialists to be sure you’re getting the care you need. You won't receive a form if you: If you still have questions about whether you're eligible or excluded, please refer to your tax advisor or the Massachusetts Department of Revenue or call 1-800-392-6089. What do I do when I get married or have a baby? In general, generic drugs will save you money. Posted online to your MyBlue account on January 31, You're a subscriber younger than 18 years of age, You have a dental-only or vision-only plan through Blue Cross Blue Shield of Massachusetts, You're a member of one of our Medex®' or Medicare Advantage plans. For general inquiries and questions about the Service Benefit Plan, our overseas and pharmacy coverage or fraud assistance, you can call us toll-free nationwide. ΠΡΟΣΟΧΗ: Εάν μιλάτε Ελληνικά, διατίθενται για σας υπηρεσίες γλωσσικής βοήθειας, δωρεάν. What's the role of my primary care provider (PCP)? : Nếu quý vị n.i Tiếng Việt, c.c dịch vụ hỗ trợ ng.n ngữ được cung cấp cho quý vị miễn ph.. Gọi cho Dịch vụ Hội vi.n theo số tr.n thẻ ID của quý vị Cuộc gọi 1-800-472-2689 (TTY: 711 ). Call the Member Service number on the front of your ID card during the next business day. There are several ways to learn about your plan's referral requirements: check your subscriber certificate provided by your health plan or call Member Service at the number on the front of your ID card. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. If your doctor believes you need to see a type of specialist not included in the network, he or she may refer you to one outside the network and those services will be covered.

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