When you join an HMO, your MG and PCP coordinate all your care, including referrals to specialists. 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. 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. Individual and family PPO members will receive no more than 2 membership ID cards. When will I get my member ID cards, and how many will I get? I need to change my home address. 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 also log in to your Blue Access for Members account and send us a secure email message. This information can be used by providers and pharmacies to verify your coverage until you get your member ID card. Legal Name 2. Should I respond to the letter? 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. All Rights Reserved. You will need your member identification number and group number to log in to Blue Access for Members. Here are convenient ways you can pay your bill. The site may also contain non-Medicare related information. When choosing your new plan, make sure the doctors and hospitals you want to use are all in the HMO's network. Change(s) may take up to 30 business days, so we ask that you always consider the impact of your change and the timeliness of your submission. PDF File is in portable document format (PDF). I received my ID cards in the mail but they only have my name on them and not my spouse's. The referral process has three easy steps: Your BCBSIL HMO benefits also cover prescription drugs. Blue Cross and Blue Shield of Illinois P.O. This new site may be offered by a vendor or an independent third party. Blue Cross Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas | HCSC Reviews To view this file, you may need to install a PDF reader program. 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. The information we are requesting is important. Starting Jan. 1, 2021, prior authorization requests for commercial Blue Cross and Blue Shield of Illinois (BCBSIL) members … A policy will also automatically be cancelled for nonpayment if you don't pay the premium. On Oct. 1, 2020, we alerted you that the utilization management vendor that processes prior authorizations for some of our commercial members is changing. 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. Customer Service will be happy to record your preference. 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. 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. Contact Guide has the phone numbers and instructions you’ll need. Use our Provider Finder tool to find network provider options in your area. We cannot process a cancellation request for a Marketplace plan. Without a referral, you could end up paying a large part, or all, of the bill. We receive new applications from the Marketplace every day. Once you are registered, log in to BAM. Within days of your application being accepted, you will receive a welcome letter from BCBSIL that includes your member identification number and group number. You may have received this error message during your registration for a number of reasons. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. How do I change my medical group (MG) or primary care physician (PCP)? Can I receive my monthly premium bill in Spanish? 03/18/20 Blue Cross and Blue Shield of Illinois Further Expands Telehealth in Response to COVID-19 03/16/20 Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2020 – Part 2 03/12/20 Three New ClaimsXten™ Rules to be Implemented in June 2020 Members can receive Explanation of Benefits (EOB) statements in Spanish. These numbers can be found on the new member welcome letter you will receive within days of enrolling.