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Healthy Blue Living and Healthy Blue Living HMO Basic offer you lower out-of-pocket costs when you learn more about your current health status, and then take action to improve it. These plans have two levels of benefits: standard and enhanced.
Prior authorization is a requirement that a health care provider obtain approval from Medicare to provide a given service. Prior Authorization is about cost-savings, not care. Under Prior Authorization, benefits are only paid if the medical care has been pre-approved by Medicare.
please call 1-877-469-2583. When you write to us, please include the following: The group and contract numbers on your subscriber ID card, also known as enrollee ID. Your daytime phone number, including your area code.
Automation of prior authorization for medications is referred to as electronic prior authorization. Step therapy is an insurance protocol that requires patients to try one or more insurer-preferred medications prior to a physician recommendation. This practice is also known as \u201cfail first\u201d and can take weeks or months.
Requests for authorization for BCBS Michigan members can be submitted directly through your local Blue plans electronic portal via the Electronic Provider Access system (EPA). BCBSM encourages the use of the Electronic Provider Access system (EPA) to effectively and efficiently respond to your request.
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People also ask

Blue Care Network of Michigan is a nonprofit health maintenance organization. We're owned by Blue Cross Blue Shield of Michigan. We've been around since 1998.
Blue Care Network (BCN) is a health plan option available to faculty, staff and retirees. BCN is a Health Maintenance Organization (HMO), meaning that enrollees will select and work closely with a primary care physician to manage care.
Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. BCBS companies provide coverage to people across every ZIP code in all 50 states, the District of Columbia and Puerto Rico.
BCN Advantage doesn't require a referral for you to make an appointment with an in-network specialist. Some in-network specialists may need to confirm with your primary care physician that you need specialty care.
Lab, preventive care, DME/P&O, diabetic supplies, PCP office visits, urgent care, allergy injections, outpatient mental health and substance use services This plan covers some items and services even if you haven't yet met the deductible amount. But a copayment or coinsurance may apply.

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