![]() ![]() Written authorization given by the student health center (SHC) to seek care outside of the SHC for medically necessary services.When a non-Anthem Blue Cross physician is used, the patient is responsible for payment of all charges in excess of the Anthem Blue Cross C&R payment. which include emergency care, mental health and substance use. If you get a bill from a doctor or hospital you feel you shouldn’t have to pay, use this form to send us the bill. A Customary and Reasonable charge, as determined annually by Anthem Blue Cross, is a charge which falls within the common range of fees billed by a majority of physicians for a procedure in a given geographic region, or which is justified based on the complexity or the severity of treatment for a specific case. Let Excellus BCBS help you understand the basics of common health insurance terms.You’ll typically pay more and may need to file a claim for payment. Health care professionals, hospitals, clinics, and labs that do not belong to the Anthem Blue Cross Prudent Buyer network.Coughs, colds, sore throats, flu and most fevers. UC SHIP contracts with Anthem Blue Cross to provide access to its extensive network of hospitals and providers, including UC Family facilities and provider groups. Visit urgent care for a wide range of concerns, including: Broken bones. You’ll usually pay less when you use a network healthcare provider. For routine, in-network care the average urgent care patient will be charged 20-60 of co-payment, regardless of additional services. However, in most cases insurance providers will cover urgent care, but patients will be expected to pay a co-payment and/or co-insurance. A group of healthcare providers and facilities-including doctors, hospitals, and labs-that contract with your healthcare plan to provide services at negotiated discount rates. Each insurance provider determines if it covers urgent care centers or not.After you meet the maximum, UC SHIP covers 100% of all eligible costs for the rest of the plan year. You could save on medical costs by choosing to go to an Urgent Care Center (UCC). The maximum amount of money you’ll have to pay for health care in a year. Going to an ER for nonemergent services can be very costly.(IMPORTANT: Blue Care Network of Michigan is assuming that your coverage. If you receive services from an out-of-network provider, the provider will bill you the difference, if any, between their charges and the maximum allowed amount. share the cost for covered health care services. It is the claims administrator’s payment toward the services billed by your provider, combined with any deductible or coinsurance you may owe. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association TX-G-H-NCC-SOC-BH-21 1 Blue Advantage Gold HMO SM 822 Blue Advantage HMO SM Network The following chart summarizes the coverage available under the offered HMO Plan. The total reimbursement payable under your plan for covered services you receive from in-network and out-of-network providers.An illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe harm or death.The amount you have to pay toward medical costs before UC SHIP starts paying part of the bill.For example, you might pay 20% of the cost for a particular service, and the insurance company or plan will pick up the tab for the remaining 80%. The slice of a medical service you’re responsible for. In-network insurance plans Aetna Alliance Health & Life Insurance BCBS of Michigan (Blue Cross) Beaumont Employee Health Plan Blue Care Network Cigna.For example, you might pay a $15 copay to see a primary care doctor or specialist. The flat fee you pay for covered services, usually due at the time you receive care.FIRST HEALTH/CCN (Community Care Network).Allwell – Louisiana Healthcare’s Medicare product Preventive and routine health care such as doctor visits, vaccines and more Medical supplies, like diabetes test strips Urgent and emergency care Medicines.We offer: Traditional Care Network (TCN) health plan for Medicare members. Thank you for choosing Blue Cross Blue Shield of Michigan. Healthy Blu (formerly known as Amerigroup) You have many options when it comes to choosing health care.We strive to improve access to healthcare services by delivering excellent care to people in the communities we serve. We accept most major insurance plans and are always adding more. ![]()
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