Use the "Ask Customer Service" feature to send a confidential email to the right person to help you. Need to request a prior authorizationbut don't know where to start? BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. Member & Guest Services Here are National Imaging Associates' reference materials about this radiation oncology program: Effective November1, 2016, BlueCross BlueShield of South Carolina and BlueChoiceHealthPlan require precertification for nuclear cardiology services through National Imaging Associates (NIA). The company sells health insurance to individuals and families and has around 31 different plans through the Blue Option that includes bronze, silver, gold, and catastrophic coverage. WebBlueChoice HealthPlan offers Blue Option to individuals and families seeking health coverage in South Carolina. Contact your tax or legal professional to discuss details regarding your individual business circumstances. P.O. Enrollment in any plan depends on contract renewal. Thosecompaniesare solely responsible for the contents and privacy policies on their sites.). Drugs with a site-of-care requirement may only be approved in certain sites of care or if the patient is under 18 years of age. Access your digital ID card, check claims status, view plan details and check your benefits. Compare affordable BlueChoice HealthPlan health insurance plans and save money. Access your digital ID card, check claims status, view plan details and check your benefits. 10121 BlueChoice HealthPlan South Carolina Medicaid 13554 BlueCross Medicare Advantage 11177 Bluegrass Family Health. You can call us at 800-868-2528 8:30 a.m. until 5 p.m. Log in to My Health Toolkit. As technology improves, the cost and utilization of these services increase. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Oxygen and respiratory equipment Need information about our products, quotes or how to use My Business Manager? Learn about qualifying eventsto see if you qualify. Do you have a question about your own personal claims, eligibility or benefits? Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. Copyright 2023 BlueChoice HealthPlan. Get a quote and enroll your clients! Visit with a doctor anytime, anywhere with Blue CareOnDemand. January 1, 2016, we introduced a program that will improve the quality and reduce the cost of laboratory services our members receive. It provides very low-cost health insurance coverage for individuals and Copyright 2023, BlueChoice HealthPlan. WebBlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. P.O. Blue Option Please select "BlueChoice HealthPlan" followed by the study desired. Columbia, SC WebBlueChoice HealthPlan is a wholly-owned subsidiary of Blue Cross and Blue Shield of South Carolina. P.O. You have access to comprehensive services such as after-hours care including 24-hour nurse advice line, video visits, convenience care clinics, and urgent care visits. Home health services View the Cardiac Services Checklist and Cardiac Services Tip Sheet to learn more about prior authorization requirements. 2023 HealthMarkets Insurance Agency. Get Healthy with the FOCUSfwd Wellness Incentive Program. Call the Plans customer service phone number for more information. Januar PAYER ID PAYER NAME BlueCard lets you take your health care coverage wherever you go. Blue365 gives you exclusive access to health information and more! NIA Magellan is an independent company that provides utilization management services on behalf of BlueChoice HealthPlan. Sources: Feel The cost of health care is rising for everyone and we have an obligation to ensure that our members receive the highest quality of care at the most affordable cost. Updates usually occur quarterly but can happen at any time. WebLearn all the ways you can save, just because you're a BlueChoice HealthPlan member! Note: Prior authorizations for medical specialty drugs have always been a requirement for BlueChoice HealthPlan members. Do you have a question about QuickBillSM, QuickEnroll or other general questions about administering your company's BlueChoice HealthPlan coverage? Kaiser Family Foundation (2019). Non-Discrimination Statement and Foreign Language Access, Your Rights and Protections Against Surprise Medical Bills. Access your digital ID card, check claims status, view plan details and check your benefits. (If it's your first time, you'll have to create a simple profile first.) Ancillary Services BlueChoiceHealthPlan directly manages prior authorizations, claims and network management processes for ancillary services, including: All rights reserved. We also require prior authorization for lumbar and cervical spine surgery in an inpatient and/or outpatient location. Any information we provide is limited to those plans we do offer in your area. Home physical therapy There are open access plans through BlueChoice Advantage and BlueChoice Advantage Plus, which allows members to visit doctors and specialists without a referral. You can also view their radiology policies. Health care is complicated. Average Single Premium per Enrolled Employee For Employer-Based Health Insurance. Agent cannot provide tax or legal advice. Blue Choice Option is a Medicaid Managed Care program sponsored by New York State. Certain self-administered drugs arent covered under the medical benefit. Explore BlueChoice HealthPlan with HealthMarkets today! WebBlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. Need help with your coverage,claims, eligibility or benefits? This plan allows members to visit specialists directly without referrals. It is a part of the BlueCross BlueShield group rating of A+ received by A.M. Best Company. The drugs on the Self-Administered Drug Listmust be billed under the pharmacy benefit. Prior Authorization for Services and Procedures Form. Create An Account. Here are reference materials about Avalon: BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Columbia, SC 29260-6170. To find providers in our individual Blue Option network, please visit www.BlueOptionSC.com. WebBlueChoice HealthPlan is a health maintenance organization in South Carolina and an independent licensee of the Blue Cross and Blue Shield Association. WebChoice by Select Health of South Carolina Humana Healthy Horizons@ in South Carolina Healthy Blue BlueChoice@ HealthPlan of SC BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. ET, Monday through Friday. You can video chat with a doctor anytime, anywhere through Blue CareOnDemand. BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. We do not qualify all laboratories. Forgot Password? This information is not a complete description of benefits. WebExplore tools to estimate and compare costs. Please note that Avalon doesn't manage services in an emergency room or hospital inpatient setting. Forgot Username? If an out-of-network laboratory services you or you have outpatient testing performed by a hospital, your patients out-of-pocket cost may be significant. Service and product availability varies by state. Member & Guest Services Here are NIA Magellan Healthcare Inc.s reference materials about this musculoskeletal (MSK) care management program: Beginning January 1, 2015, some groups will require National Imaging Associates (NIA) precertification for radiation oncology services when performed and billed in an outpatient or office location. Which Laboratories are In-network? HealthMarkets Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, PPO and PPFS organizations and stand-alone prescription drug plans. 2023 Blue Option. BlueChoice HealthPlan is an independent licensee of the Blue Cross Blue Shield Association. WebServing Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group WebFor log in problems: Please try the email address that you registered with as your user name. Members may choose to take part in our Away From Home Care program which allows you to take your plan benefits with you if youre in- or out-of-area for at least 90 days. Health Spending Account Access your digital ID card, check claims status, view plan details and check your benefits. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., First Care, Inc., The Dental Network and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association. With the My Health Toolkit app, you can: Find a doctor or hospital in your network. WebAbout BlueChoice HealthPlan From the mountains to the Midlands, across the state and down the coast, BlueChoice HealthPlan is truly South Carolina's health plan. With BlueChoice HMO Open Access-High Option, your primary care provider (PCP) provides routine care and coordinates specialty care. The centers of excellence are staffed by qualified clinical pathologists and genetic counselors prepared to answer your inquiries both before and after you perform testing. HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Access the user guide here. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion. 10121 BlueChoice HealthPlan South Carolina Medicaid 13554 BlueCross Medicare Advantage 11179 BMC HealthNet Plan 13151 Boon-Chapman Beneit Admin. Since 2010, HealthMarkets has helped enroll Americans in more than 4 million insurance policies. With Blue Option, you get more than just a great health plan. Summaries of benefits and coverage. No obligation to enroll. WebA proprietary health plan-specific indication of the type of provider being enrolled for EFT with spe-cific provider type description included by the health plan in its instruction and My Health Toolkit Access your digital ID card, check claims status, view plan Copyright 2023 BlueChoice HealthPlan. PDFs require Adobe Acrobat Reader to open. iy_2023; im_07; id_01; ih_00; imh_21; i_epoch:1.68819609332E+12, py_2023; pm_06; pd_08; ph_10; pmh_00; p_epoch:1.68624363537E+12, link-block; link-block_link-block; bodystr, pn_tstr:Thu Jun 08 10:00:35 PST 2023; pn_epoch:1.68624363537E+12, https://www.healthmarkets.com/company/blue-choice-health-plan/. Please use the Prior Authorization Request for Ancillary Services Form. Home occupational therapy
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