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. IF YOU HAVE A MEDICAL EMERGENCY, IMMEDIATELY CALL 911 TO GET PROMPT MEDICAL ATTENTION. Magellan does not control or guarantee the accuracy, relevance, timeliness, or completeness of any information or privacy policies posted on the websites we link to. Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Anthem Blue Cross and Blue Shield and HealthKeepers, Inc. are Qualified Health Plans that offers such Plans through the Health Insurance Marketplace or your state exchange. If you qualify for financial help to lower the cost of health coverage, an on-exchange plan is your best option. Magellan is also one of one of only six EAP vendors in the US and Canada to hold joint accreditation with EASNA and COA. Linkage to other websites does not constitute or imply an endorsement, recommendation, or preference by Magellan and Magellan accepts no responsibility for the content, products and/or services provided at such websites and specifically disclaims same. Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Our health and wellness coverage is designed to help your employees be healthy and take ownership and accountability in using their benefits by making wise and cost-effective choices. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Provider Search - PCP BH Toolkit Then, select. PDF 2020 FORMULARY - Blue Cross Blue Shield of Massachusetts Registered nurses are available to answer your health questions at any time, every day. The myBlue Portal will not be available during this time. The Affordable Care Act (ACA) helps ensure that all Americans have access to affordable health insurance. Box 272540,Chico CA 959272540 Phone Number: (800) 541-6652. Magellan is always looking to offer expanded features and functions that make health care more efficient and accessible for their users. Log in to your accountto renew your plan or compare options. I cannot capture in words the value to me of TheraThink. The information contained on this website is not intended for individuals located outside of the United States. Health plans are offered by Blue Shield of California. 2023 Blue Cross Blue Shield Association. The MHSA network provides in-network services for the majority of Blue Shield of California plans* For behavioral health providers in the MHSA network, search by provider or location: Provider: Enter a name, license, or NPI (National Provider ID) Location: Enter a specific ZIP code and refine the search with gender or other search filters. Blue Shield of California, a different company than Anthem Blue Cross of California, handles most of their mental health insurance claims by subcontracting them out (a carve out) to Magellan. This website may contain specific health and medical information, none of which should be implied as specific to your personal medical or health condition. If you are a Blue Shield of CA credentialed provider, you might not be a Blue Shield MHSA provider. If you have questions or need assistance in locating a Network Provider near you, please call our Customer Service Team at 601-664-4590 or 1-800-942-0278 between the hours of 8:00am to 4:30pm, Monday . Except as expressly authorized by Magellan, you shall not modify, rent, lease, loan, sell, distribute or create derivative works based on Magellan's websites or the Software, in whole or in part. Current Condition: This refers to a holistic assessment of the member, taking into account the current Eligibility & Benefits Verification (in 2 business days), EAP / Medicare / Medicaid / TriCare Billing, Month-by-Month Contract: No risk trial period. Be asked to select a primary care physician (PCP) to coordinate your care and refer you to specialists and hospitals within their medical group. Learn more. This does not include costs for preventive services, which are covered regardless of the deducible when provided by a doctor in your plan network. Thank you. Otherwise, youll pay a certain amount for medications, depending on the coverage tier or class of drug. 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. Copays are fixed amounts (such as $10 or $20) that you pay out of pocket for visits to in-network healthcare providers. With a PPO plan, you can see any doctor you choose for most services. Network | Blue Cross Blue Shield The owners/operators of those websites do not necessarily endorse Magellan products or services, nor are they responsible for the content of this website. I'm an Employer. Magellan may revise and update this Disclaimer from time to time without notice. Katherine Regions, MHSA - Provider Compliance Specialist - Blue Cross Health plans are offered by Blue Shield of California. The easy-to-remember number provides those experiencing mental health-related distress a more accessible way to receive help. *, the landscape of emerging and evolving network solutions, how the most efficient network models are relying heavily on data, key considerations when evaluating the optimal network strategy. Only pay a fixed copayment for most services. By accessing, browsing and/or using this website, you accept and agree to be bound by this agreement, the Privacy Policy, Disclaimer and all other policies, restrictions, conditions and notices found by clicking on the links on the bottom of the home page and any page of this website, all of which are incorporated herein by reference. 988 Suicide & Crisis Lifeline. You'll always be able to get in touch. You can call, text, or email us about any claim, anytime, and hear back that day. Off-exchange Download summary of benefitsand plan disclosures by effective date. The amount you pay each year before your plan starts to pay for covered services. Then, select. Call(877) 263-9952. Some clients do have Blue Shield of CA and not MHSA, oddly. Thats why we offer Missouri plans across a range of price levels. Download Acrobat Reader to view PDF files. Ready to pick up where you left off? EAP, expert medical opinions, 24/7 physician access and free generic medications programs are not affiliated with Blue Shield of California. The information provided on this website does not replace the relationship that exists between patients and their physicians or other healthcare professionals. There are two kinds of individual health insurance plans available: on-exchange and off-exchange. Our Shield Advocate program offers short- and long-term support to optimize your benefits, health, and quality of life. Get vaccines for the flu, shingles, and more at a network retail pharmacy. Here are the differences to consider when selecting a plan: On-exchange You may not download or print any document or graphic for any other purpose and you may not modify any document before downloading or printing, unless you obtain written permission from the copyright holder(s). Blue Cross Blue Shield Login Plus, financial assistance to help cover health insurance costs is available for those who qualify, so its easier to stay on budget and on top of your health. URAC accreditation is an indication that a managed care organization has the necessary structures and processes to promote high quality care and preserve patient rights. Silver plans also offercertain cost reductions for those who qualify. Magellan is the mental health carve out of Blue Shield of California. Take charge of your health today Preventive care is key to finding possible health issues early. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Email from provider, 3/17/20: "I just wanted to let you know that I spoke with a rep from fepblue.org this morning and she told me that telehealth services are now covered for federal employees outside of Teledoc. Further, each party hereto certifies that no representative or agent of either party has represented, expressly or otherwise, that such a party would not in the event of such litigation, seek to enforce this waiver of right to jury trial provision. St Paul, MN Responsible for analysis of Medicaid dental policy and movement to an evidence based, access driven policy. URAC accreditation is an indication that a managed care organization has the necessary structures and processes to promote high quality care and preserve patient rights. Magellan periodically changes and updates the information on this website. E-mail that is sent to Magellan may not be encrypted and may be accessed and viewed by other Internet users without your knowledge when it is electronically transmitted to Magellan. Links to other websites are provided as internet navigation tools only. All rights reserved. All Rights Reserved. Magellan was the first MBHO to have a program included in this publication. Stay covered when you're away from home for extended periods. You should consult with a physician or other healthcare professional for any healthcare concerns including without limitation before you take any prescription or over the counter drugs. Magellan will not respond to any specific requests made about your own personal medical or health questions or concerns made through this website. The content of this website and all AlphaCare's websites is directed at adults. Our integrated approach can help improve your health, lower costs, and provide peace of mind. Magellan's 11 three-year-full NCQA-accredited sites include: Magellan Healthcare COVID-19 Response Page to access webinars, tip sheets and more. You must choose a primary care physician (PCP) for yourself and your covered dependents. PDF Health insurance plans | Blue Shield of California Amounts can vary depending on the provider (primary care or a specialist) you see or the services you receive (such as medications, labs, and diagnostic tests). Learn about your alternatives. All materials and information contained herein is provided "as is" and is for educational purposes only. The accreditation recognizes Magellan Health Services for meeting rigorous standards for professional performance in the delivery of high quality EAP services. Each of the parties acknowledges that this section is a material inducement for the other party entering into these Terms of Use, Disclaimer and/or Privacy Policy. Please see Terms and Conditions and Disclaimer for further information that governs your use of this website. LITIGATION AND THE LIKE, WHETHER BASED ON BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE), PRODUCT LIABILITY, OR OTHERWISE EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Electronic or hard copies of the information captured through this website system may be archived or retained in Magellan files or systems. Explore Medicare Plans Free Account Setup - we input your data at signup. 3 out of 4. The deductible is the amount you pay each year before your plan starts to pay for covered services. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Blue Cross & Blue Shield of Mississippi benefit plans give you and your covered employees access . This is for an external review of a denied claim, medical service or expense. HIPAA is the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA). If you reach the out-of-pocket maximum, your plan pays 100% of covered benefits. Blue Shield Medicare PPO. Blue Cross & Blue Shield of Mississippi The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Connects you to resources and tools to support your employees' whole-health. If you are under the age of 13, you should talk to your parents or guardians before registering. You free me to focus on the work I love!. We offer health plans in Missouri that fit a variety of healthcare needs, including special programs to support better health. As a standard practice, as described below, we collect general statistical information on the content viewed, which is used to help us provide better service to you. A range of security features protects the privacy of any individualized information you provide over a secure sign-in to the Magellan website. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. These guidelines require that your PHI be used for purposes of treatment, payment and health plan operations, and not for purposes unrelated to health care. Get support before, during, and after your pregnancy. We do not collect any personally identifiable information about you in the log files. If you are not sure which network provides in-network behavioral health services for your patient, you can find out by calling the Mental Health Customer Services phone number on the back of your patients member ID card. Join Blue Cross and Blue Shield companies for this complimentary webinar designed to help human resources and benefits leadersmaximize valuein their organizations' network strategies through understanding: Learn about the benefits of value-based care. This information is retained and periodically deleted from the site; no back-up copies are made. Home | Welcome to Blue Cross Blue Shield of Massachusetts BLUE CROSS BLUE SHIELD FEDERAL EMPLOYEES PROGRAM MENTAL HEALTH/SUBSTANCE ABUSE (MHSA) (see also Blue Shield of California FEP) 1. Enter your location details, select specialty and click. If you have questions or need help creating an account call 1-800-Teladoc (835-2362). The Substance Use Resource Center connects individuals as well as friends and family of individuals in need with . Call (877) 263-9952 to inquire about your network status with MHSA. How to bill Blue Shield MHSA becomes a problem when the clients coverage is not handled directly by the parent company, Blue Shield of CA. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. Here are the basics of how your plan covers expenses and which portions of your healthcare costs youre responsible for. When life changes, your health insurance should keep pace. Find a BCBS Company by Prefix. This does not include costs for preventive services, which are covered regardless of the deductible when provided by a doctor in your plan's network. Blue Cross. They're available in the Metro Detroit, Select, Preferred and Local networks. BCBS of Louisiana Promotes Mental Health Services, Telehealth Appointments Individual and Family Medicare . Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. My daily insurance billing time now is less than five minutes for a full day of appointments. California Physicians Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Magellan has had sites accredited by URAC since 1992. This the most you will pay for covered healthcare services during the coverage year. Call MHSA instead of Blue Shield first to inquire about the clients mental health benefits. Magellan Health is sharing information and resources on the new 988 Suicide and Crisis Lifeline. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands Outside the United States Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Plan benefits are available in all four networks, but costs may vary. Magellan holds more URAC Accreditations for Health Utilization Management than any other MBHO. Protecting your financial well-being is as important as protecting your health.

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