Community Blue is a Preferred Provider Organization (PPO) and allows you to choose whether you receive health care services from a Community Blue PPO physician (in-network) or to choose any physician (out-of-network). There is a nationwide network of participating PPO physicians and hospitals that allow you to choose any physician in the network without requiring a referral from a primary care physician. Show For questions about specific coverage details or to access a listing of PPO participating providers, go to bcbsm.com or contact your MSU Dedicated Customer Service Unit at 877-354-2583. Faculty, academic staff and executive management have to meet an in-network calendar year deductible of $100 individually and $200 per family. The out-of-network deductible and co-insurance responsibility appears below.
Support staff does not have an in-network deductible requirement. The out-of-network deductible and co-insurance responsibility appears below. Access coverage and eligibility information via the EBS Portal. Physician Search Questions About Your Benefits?Call the SSC Contact Center at 5-2000 from the Ann Arbor campus, (734) 615-2000 locally, or (866) 647-7657 toll free, Monday through Friday from 8 a.m. to 5 p.m. LimitationsThe University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend, or terminate them. Every effort has been made to ensure the accuracy of the benefits information in this site. However, if any provision on the benefits plans is unclear or ambiguous, the Benefits Office reserves the right to interpret the plan and resolve the problem. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. That means better service and better care for your patients. Whether you're interested in joining our network or have already partnered with us, we're here to help.
Why join our provider network?When you enroll, you'll partner with us to care for a large and diverse membership.
Already an enrolled provider?After you've enrolled, you can register for a provider portal account. Each account comes with tools that let you quickly and easily get your work done. Register for web tools
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Frequently asked questionsCredentialing is a verification process you'll need to pass before you can join our provider network. This helps us ensure you meet the state requirements for health care. It also verifies that you'll provide quality care to our members. To get credentialed, you'll need to visit CAQH.org. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. We offer two ways to find patient eligibility information — by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. Provider Inquiry is for registered, nonregistered and out-of-state providers.
While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an account. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Providers within MichiganIf you're within Michigan, you can use our e-Referral site to learn whether you need to submit a prior authorization. Providers outside MichiganIf you're practicing outside Michigan, use these documents to learn how to submit a prior authorization:
Is Blue Cross Blue Shield only in Michigan?The 34 independent and locally operated Blue Cross Blue Shield companies deliver health insurance coverage to one in three Americans across all 50 states, the District of Columbia and Puerto Rico.
Does Blue Care Network of Michigan work in other states?As a Blue Cross member, your health coverage goes with you when you travel. No matter what plan you have, you're covered for emergency care in Michigan, across the country or around the world.
Is Blue Care Network of Michigan an HMO?BCN is Michigan's largest HMO with access in all 83 counties to nearly 6,300 primary care physicians, over 26,400 specialists and 132 Michigan hospitals.
Is Blue Cross Blue Shield A Michigan company?Blue Cross Blue Shield of Michigan (BCBSM) is an independent licensee of Blue Cross Blue Shield Association.
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