Does Blue Cross and blue shield of Alabama offer health plans?
Federal Employee Program (FEP) Additional Plans Health & Dental Plans Vision Travel Dental Home> Claims Payment Policy & Other Information Claims Payment Policy & Other Information Listed below are claims payment policies and other information for Qualified Health Plans offered by Blue Cross and Blue Shield of Alabama.
Where can I find more information about Blue Cross Medicare plan options?
For more information on Blue Cross’ Medicare Plan options, go to bcbsalmedicare.com . Blue Cross and Blue Shield of Alabama has insured Alabamians for nearly 80 years. Blue Cross offers coverage plans to corporations, individuals and the senior market. For more information about Blue Cross, visit AlabamaBlue.com.
Can I use any doctor in Alabama for Medicare?
Use network doctors when you're IN Alabama: More than 90% of all Alabama doctors are in our network along with 100% of Alabama hospitals so it's easy to get in-network care close to home. If you're TRAVELING outside of Alabama: You're free to use any doctor or hospital that accepts Medicare — anywhere, anytime.
How do I Find my Local BCBS company?
The most accurate way to find your local BCBS company is with the Identification Number from your member ID card. If you don't have your card, follow these steps to search for your local BCBS company by ZIP code or state:
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Is Blue Cross Blue Shield Alabama the same as Blue Cross Blue Shield?
About Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association.
Does Blue Cross Blue Shield of Alabama pay for Covid test?
BCBS companies will cover, with no cost share to the member, the appropriate medically necessary diagnostic testing for COVID-19, where it is not covered as part of the Public Health Service response.
Is Blue Cross Blue Shield of Alabama PPO or HMO?
Birmingham – Blue Cross and Blue Shield of Alabama's Blue Advantage PPO Plan, a Medicare Advantage Plan, is the only statewide plan in Alabama to receive a four-star quality rating from the Centers for Medicare and Medicaid Services (CMS).
What is the timely filing limit for BCBS Alabama?
Claims must be submitted and received by us within 24 months after the service takes place to be eligible for benefits.
Does Medicare pay for Covid testing?
For people covered by original fee-for-service Medicare, Medicare pays for COVID-19 diagnostic tests performed by a laboratory, such as PCR and antigen tests, with no beneficiary cost sharing when the test is ordered by a physician, non-physician practitioner, pharmacist, or other authorized health care professional.
How much does a Covid test cost in Alabama?
The tests are completely free. Orders will usually ship in 7-12 days. Order your tests now so you have them when you need them.
Can you use BCBS Alabama in another state?
Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists.
Does Alabama have Medicare Advantage plans?
Alabama offers three general Medicare Advantage plan types: Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Private Fee-for-Service (PFFS). Health Maintenance Organizations, or HMOs, are a type of health insurance plan that includes a network of approved providers.
Does Alabama have free health insurance?
Quick Info. Medicaid provides free or low-cost health coverage to eligible needy persons.
How do I file a claim with Blue Cross Blue Shield of Alabama?
How to File a ClaimCall Preferred Long-Term Care (LTC) Customer Service (1-888-331-4188) to complete the Claims Intake Form over the telephone.Blue Cross and Blue Shield of Alabama will send you a Claims Packet to be completed and returned to us.More items...
How long does a medical provider have to bill you in Alabama?
What is the time limit for filing a claim to Alabama Medicaid? Generally, Medicaid requires all claims to be filed within one year of the date of service; however, some programs have different claims filing time limit limitations.
Does BCBS of Alabama cover physical therapy?
Blue Cross – Blue Shield of Alabama has removed their requirement for physical therapists to obtain a physician referral prior to evaluation and treatment. Blue Cross – Blue Shield of Alabama has removed their requirement for physical therapists to obtain a physician referral prior to evaluation and treatment.
How to request exception for drug coverage?
If your drug is not covered and you think it should be, you may ask us to make an exception to the drug coverage rules by calling the Customer Service Department number on the back of your ID card. Your doctor or other prescriber must give us a statement that explains the medical reasons for requesting an exception. We will give you a response within 72 hours of receiving all information we need to make a decision for a standard review. If you or your doctor believe there are exigent circumstances that require an expedited review, an expedited exception request can be submitted, and we will give a response within 24 hours. If we deny your request, you may request an internal appeal and an external review by an impartial third party reviewer, known as an Independent Review Organization (IRO). We must follow the IRO’s decision. Additional details about this and other exception review details can be found in the Claims and Appeals section of your benefit booklet.
What is an EOB in Blue Cross?
An EOB is a statement that describes what medical treatments and/or services we paid on your behalf, what our payment was and your financial responsibility under the terms of the plan. It includes the date you received the service, the amount billed, the amount covered, the amount we paid and any balance you're responsible for paying the provider. It also tells you how much has been credited toward any required deductible and out-of-pocket maximums.
What is a COB plan?
Coordination of Benefits (COB) is a provision designed to help manage the cost of healthcare by avoiding duplication of benefits when a person is covered by two or more benefit plans . COB provisions determine which plan is primary and which is secondary. A primary plan is one whose benefits for a person's healthcare coverage must be determined first without taking the existence of any other plan into consideration. A secondary plan is one which takes into consideration the benefits of the primary plan before determining benefits available under its plan.
When are health insurance payments due?
If you purchased an individual plan through the health insurance marketplace and you are receiving advance payments of tax credits and/or cost sharing reductions in accordance with the Affordable Care Act, each of your monthly periodic payments is due on the first day of the month for that coverage period.
What is a qualified health plan?
A Qualified Health Plan is an insurance plan that has been certified by the Health Insurance Marketplace and provides essential health benefits, follows established limits on cost sharing and meets other requirements under the Affordable Care Act.
About Blue Cross Blue Shield Association
The Blue Cross and Blue Shield Association is a national federation of 35 independent, community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans.
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How much liability insurance do you need for an accident in Alabama?
Alabama car owners must carry a minimum amount of liability insurance. $25,000 per person and up to $50,000 in bodily injury coverage per accident. $25,000 in property damage coverage. While some responsible car owners carry larger policies, many people only have this minimum coverage. However, a catastrophic injury claim can quickly deplete even ...
Can you have multiple liability claims in Alabama?
Sometimes, you may have multiple liability claims arising out of a motor vehicle accident. For example, if a bar or restaurant overserved a drunk driver, you may have a dram shop liability claim against the establishment. An Alabama injury lawyer can help you evaluate your case and identify these more nuanced legal claims.
Does insurance cover medical bills?
Depending on your circumstances, a variety of insurance policies may cover your medical bills. However, without an experienced injury lawyer, you may overlook some of these policies, losing out on valuable compensation.
