Sign in to MyBlue and check your plan details. Yes, these services must be ordered by your PCP. This approval is called "prior authorization." The site may also contain non-Medicare related information. Our Estimate Medical Costs tool provides cost estimates for common treatments and procedures. Like going out for a run, working around the yard, even taking the stairs. Blue Cross and Blue Shield of Louisiana and its subsidiaries, HMO Louisiana, Inc. and Southern National Life Insurance Company, Inc., comply with applicable federal civil rights laws and do not exclude people or treat them differently on the . Blue Cross and Blue Shield is one of the most trusted names in the world. Good thing, because look what you can save on: Cardiovascular and strength-training equipment for fitness that is purchased for use in the home, such as stationary bikes, weights, exercise bands, treadmills, fitness machines. Additional workplace benefits . Or, if you would like to remain in the current site, click Cancel. Box 1609. Estimates are based on what your plan covers, so you are able to have a better picture of what you would pay. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue . See the BCCHP Blue KitSM or MLTSS Blue KitSM for details on benefits and services. They are passionate about serving our members. Please note that these forms are to be used by Federal Employee Program Members only, Referral Requirements for Services Not Related to COVID-19, Pre-Certification/Prior Authorization requirements for Post-Acute Facility Admissions, Telemedicine Cost Share Waiver for Non-COVID-19-Related Services to End, Telemedicine Cost Share Waiver for Non-COVID-19-Related Services to End for Self-Insured Health Plans, Submitting Pharmacy Claims for COVID-19 Vaccinations, Reminder: Select one method for COVID-19 and Influenza Testing, Antibody testing: FDA and CDC do not recommend use to determine immunity, June 2021 Updates: COVID-19 treatment cost share waiver, Reminder: Use correct codes when evaluating for COVID-19, Submitting claims for COVID-19 vaccines delivered in non-traditional medical settings, For Essential Workers, COVID-19 Treatment Covered Under Workers Compensation Benefits, COVID-19 vaccine administration reimbursement at UCCs, COVID-19 vaccines will be covered at 100%, Reminder to 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Information, Initiating Demographic Updates: Participating Providers, Supporting Documentation Requirements for Practice-level Demographic Updates, Supporting Documentation Requirements for Practitioner Demographic Updates, Supporting Documentation for Ancillary Provider Demographic Updates, Initiating Demographic Updates: Nonparticipating Providers, Time Limits for Filing Inquiries/Complaints, Appeals of Non-Utilization Management Determinations, Appeals of Utilization Management/Medical Management Determinations, Appeals of Post Service Medical Necessity Determinations, Allowable Practice Locations for Pathologists, Appointment Availability Access Standards for Primary Care-Type Providers, ObGyns, Specialists and Behavioral Health Providers, Credentialing and Recredentialing Policy for Ancillary and Managed Long Term Support Service (MLTSS) Providers, Credentialing and Recredentialing Policy for Participating Physicians and Healthcare Professionals, Diagnostic Imaging Privileging by 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Life (W30), Policies, Procedures and General Guidelines, Programs Administered by eviCore healthcare, Participating Physician and Other Health Care Professional Office Manual, Behavioral Health Network Specialist Assignments, Eligibility and Benefits Cost Share Estimator, Womens Health Results and Recognition Program, Provider Guidelines: Non-Standard (Medical Record) Supplemental Data for HEDIS Gap Closure, How to Submit Supplemental Data to Horizon, Health Outcomes Survey: How You Can Drive Results, Radiation Therapy Medical Necessity Determination, Treat Knee, Back, and Hip Pain with Orthotic Device that Helps Avoid Invasive Procedures, Horizon Neighbors in Health Program Supports Struggling Families, Bariatric Surgery Value-Based Program Helps Members with Weight Loss, Dental Providers Benefit from Dedicated Horizon Liaisons, Connecting with parents on the importance of early childhood health screenings and vaccinations, Episodes of Care Program Gives Cancer Patients the Care They 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We have been providing health care coverage for more than 80 years and will be there for you when you need us. You are not required to obtain a prior authorization for standard non-emergency transportation services. Described as: "Get up to $150 back when you join an eligible gym or participate in a virtual fitness app and work out regularly. The information you're accessing may not be provided by Excellus BCBS. PDF File is in portable document format (PDF). Blue Cross has developed reimbursement policies to provide ready access to coding and reimbursement information, subject to all terms of the Provider Service Agreement as well as changes, updates and other requirements of coding rules and guidelines. You cannot enroll directly with the fitness center.) External links open in new windows to websites Blue Cross and Blue Shield of Louisiana does not control. The Illinois Long Term Care Ombudsman Program, An appointment with another health care provider, One (1) eye exam every 12 months per member, Every two (2) years for member age 21 and older, Replaced "as needed" for members under 21, Additional reimbursement toward a pair of upgraded eyeglass frames, Cosmetic surgery or treatment that are not medically necessary, Procedures that are still being tested or experimental, Drugs and supplies without a prescription, Services in an emergency room for health issues that are not emergencies. The Horizon name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey. Your doctor should know which services need approval and can help with the details. This new site may be offered by a vendor or an independent third party. Our Customer Care teams live and work in your community. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. Some of these services may require a Prior Authorization (getting an OK from BCCHP). 24/7 Nurseline: If you have questions, our nurses have answers. One option is Adobe Reader which has a built-in reader. Internet Explorer is out of date and is not a supported browser for this website. (TTY/TDD: 711) They are passionate about serving our members. 100% of hospitals and 99% of doctors in our area accept our plans. All codes are also subject to federal HIPAA rules, and in the case of medical code sets (HCPCS . For J.D. Blue Cross and Blue Shield is one of the most trusted names in the world. This website does not display all Qualified Health Plans available through Get Covered NJ. Our Customer Care teams live and work in your community. With the ExerciseRewards Program subscribers and their spouse or domestic partner can receive up to $600 a year to help pay for their fitness facility memberships. The $400 reimbursement and any amounts paid out-of-pocket for health club reimbursement do not count toward your maximum out . To learn more about Prior Authorizations, visit the Prior Authorization page. You can also enroll by phone by calling (888) 242-2060, Monday through Friday, 8 a.m.- 8 p.m., Eastern Time. So, I have independence blue cross blue shield (work for a major national media company) and they do reimbursements thru a program on BCBS. *Taxes may apply. Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield name and symbols are registered marks of the Blue Cross Blue Shield Association. Copyright 2022, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. Component Title: Answers at Your Fingertips. You can contact a nurse by phone anytime 24 hours a day, seven days a week. Blue Cross Blue Shield does reimburse some members for their gym membership and some group fitness classes like yoga, pilates, spin, and more. For a more in-depth list of covered services and services that require Prior Authorizations see page 3 of the Certificate of Coverage. Links marked with an (external site) icon indicate you're leaving ExcellusBCBS.com. It is not the intention of Peloton to provide specific reimbursement advice, but rather to provide users with information to better understand general reimbursement policies and procedures. P.O. External link You are leaving this website/app (site). We have been providing health care coverage for more than 80 years and will be there for you when you need us. To view this file, you may need to install a PDF reader program. You are leaving this website/app (site). We will also reimburse fees paid for exercise classes taken at a qualified fitness facility (e.g., yoga, Pilates, spinning). Weve got you covered. Well exam must be done by your Primary Care Provider (PCP) or Womens Health Care Provider (WHCP). You can also fill a prescription while traveling, using our National Pharmacy Network. Our members have access to the HealthwiseKnowledgebase, which features thousands of consumer-friendly pieces of content about medical conditions, symptoms, tests, and treatments. In addition, some sites may require you to agree to their terms of use and privacy policy. *. Designed for older adults, Silver&Fit members can join a fitness facility for as low as $25 per year and meet new people at social events like trips to the zoo or museum at no cost. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jerseys Health Insurance Marketplace. Get 30% off virtual yoga, fitness and meditation courses. This new site may be offered by a vendor or an independent third party. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. Plan coverage may vary. Find a plan that works in your service area. Please note: Blue Cross and Blue Shield of Minnesota has developed reimbursement policies to provide ready access and general guidance on payment methodologies for medical, surgical and behavioral health services.Coding and reimbursement processes are subject to all terms of the Provider Service Agreement as well as changes, updates and other requirements of coding rules and guidelines. You are leaving the Horizon Blue Cross Blue Shield of New Jersey website. Plus our BlueCard program gives you access to care when you travel in the United States and its possessions, Canada and Mexico. However, the reimbursement only applies to certain Blue Cross companies and plans, so you'll need to log into your Blue Cross . The Braven Health name and symbols are service marks of Braven Health. Limited to spinal manipulation for subluxation of the spine. Horizon Blue Cross Blue Shield of New Jersey. Go to the nearest hospital in an emergency. and healthy travel experiences with Blue365 a program for members of participating Blue Cross and Blue Shield Companies. Hospital Inpatient Services and Ambulatory Services. Yes, under certain circumstances, a Prior Authorization is required for non-covered benefits. Get Reimbursed in Three Easy Steps1 1. As a Blue Cross Community Health Plans member, you have access to medical, dental, vision, behavioral health, prescription drug coverage and more. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an . Some services need approval from your health plan before you get treated. Get discounts on fitness trackers, sneakers, weight loss programs, and more. With HealthyRewardsonline incentive program you can earn up to $1,000 per family each year for doing healthy stuff that fits into your day. All rights reserved. Please click Continue to leave this website. Most PDF readers are a free download. The site may also contain non-Medicare related information. All Rights Reserved. The call is free. Copyright YYYYHealth Care Service Corporation. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Some services that are not covered include: Use our Provider Finder to search for doctors and other providers. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. The aforementioned legal entities (excepting First Care, Inc. of Maryland), CareFirst BlueChoice, Inc., and The Dental Network, Inc., are independent licensees of the Blue Cross and Blue Shield Association. Qualified for Fitness Reimbursement: Blue Cross will reimburse your membership fees for up to three consecutive months (of one individual or family membership) or, alternatively . Get reimbursed up to $300 per family each year for programs or services that help you get and stay healthy, including health club memberships, childrens fitness activities, weight management programs and select adult fitness classes. What you must pay when you get these services: For eligible items under Fitness Benefit, you pay any balance in excess of the $400 limit. Some special benefits include: The table below contains someof the services covered under your BCCHP plan. *Services must be medically necessary. Easy Enrollment. To ensure you have the best experience, we recommend using the latest versions of these supported browsers below. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ. Our specially trained registered nurses can provide support and education for members with chronic or complex health conditions or answers to more general health questions. To get these fitness and meal deals, log in to your member account and select Member Discounts with Blue365 at the bottom of the page. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. . Get paid for working out. Newark, NJ 07101-1609. Power 2022 award information, visit jdpower.com/awards. Ease stress from COVID-19 with free virtual programs for 90 days. Excellus BCBS members have access to specially trained professionals who can provide support and education for members with chronic or complex health conditions or answers to more general health questions 24 hours a day. Depending on the plan you choose, Excellus BCBS offers different incentive programs to keep you healthy. Disclaimer: Peloton is not liable for any insurance or employer coverage or denials of coverage, which is strictly and solely the responsibility of the rider. Health Plans for Self-Employed Individuals. 1-877-860-2837 2022Horizon Blue Cross Blue Shield of New Jersey, Three Penn Plaza East, Newark, New Jersey 07105. As a Blue Cross Community Health Plans member, you have access to medical, dental, vision, behavioral health, prescription drug coverage and more. In addition, some sites may require you to agree to their terms of use and privacy policy. Peace of mind when you need it. Choose . Take advantage of a 15% discount on healthy food deliveries. Enroll and pay the $29 initiation fee and $29 monthly membership fee* (Note: Payment is made online when you enroll. Our reimbursement process is quick, easy, and online. to check your benefits booklet or speak to your benefits administrator to determine if this benefit applies to your coverage . Health savings accounts Health reimbursement accounts. Health and wellness deals that work for your lifestyle. The total reimbursement depends on your specific plan and eligibility. Members also save on health and wellness products and services as well as discounts on health and fitness clubs, weight-loss programs, healthy travel adventures and much more. Some special benefits include: Zero co-pays: You pay nothing ($0) when you go to a doctor or health care provider in the plan's network.
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