How much can I get reimbursed for Medicare Part B premiums?
Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums. Not sure which plan is right for you? Our AskBlue SM FEP Medical Plan Finder tool can help you select the right option for your needs.
Are there any deductible or expenditure amounts for the service benefit plan?
But there are no deductibles or expenditure amounts you must reach before we pay our share. Want to see detailed benefits for this plan? Download the 2022 Blue Cross and Blue Shield Service Benefit Plan Brochure below. For a convenient summary of our three coverage options, download the 2022 Benefit Summary Book.
What are the benefits of the Medicare Part B Advantage program?
Benefits at a glance: 1 In-network care only 2 Preferred drug coverage 3 Medicare Part B Reimbursement 4 Access to Mail Service Pharmacy with Medicare Part B 5 No deductible
What BCBS plan allows patients to seek care while traveling and receive their own benefits?
BlueCard is a national program that enables members of one BCBS plan to obtain healthcare service benefits while traveling or living in another BCBS plan's service area.
Which BCBS program allows participating members to temporarily?
Review and QuizQuestionAnswerAllows the participating BCBS plan members who are temporarily residing outside of their home HMO service area for at least 90 days to temporarily enroll with a local HMO.From Home Care ProgramWhat is the most common coinsurance amount?20 or 25%208 more rows
Which is a special clause in an insurance contract that stipulates additional coverage over and above the standard contract?
Health Insurance today Chapter 11,QuestionAnswerWhich is a special clause in an insurance contract that stipulates additional coverage over and over and above the standard contract?riderProspective authorization or precertification is a requirement of the_____BCBS managed care planoutpatient pretreatment authorization33 more rows
Which is considered a voided claim?
Voided Claim: A claim that was originally paid, and then later was canceled and the payment taken back.
Which BCBS program allows participating members to temporarily access health care from participating providers while away from their home service area?
Access for Extended Stays (Temporarily Residing Away From Home) Blue Cross and Blue Shield of New Mexico (BCBSNM) HMO members may become guests of an affiliated Blue Cross and Blue Shield HMO when they are away from home for at least 90 consecutive days through the Away From Home Care program.
What is the blue card rule?
The BlueCard Program is a national program that enables members obtaining healthcare services while traveling or living in another Blue Plan's area to receive all the same benefits of their contracting Blue Plan and access to providers and savings.
What is Indisputability clause?
Indisputability clause This ensures that insurers do not arbitrarily dismiss claims on grounds of inaccurate declaration by the policyholder.
Which health policy clause specifies the amount of benefits?
Which health policy clause specifies the amount of benefits to be paid? "Insuring". In an Accident & Health policy, the insuring clause states the amount of benefits to be paid.
What is the basic definition of insurance?
Insurance is a contract, represented by a policy, in which an individual or entity receives financial protection or reimbursement against losses from an insurance company. The company pools clients' risks to make payments more affordable for the insured.
What is considered a corrected claim?
What is a corrected claim? A corrected claim is a replacement of a previously submitted claim (e.g., changes or corrections to charges, clinical or procedure codes, dates of service, member information, etc.). A corrected claim is not an inquiry or appeal.
What does claim amount mean?
Definition: Claim amount can be defined as the sum payable at the maturity of an insurance policy or upon death of the person insured to the beneficiary or the nominee or the legal heir of the insured.
Why are claims voided?
What is a Void or Cancel Claim? A voided or cancel claim is appropriate when a previously submitted claim needs to be eliminated in its entirety. This would be nec- essary if the claim submitted was completely erroneous and was not appropriate for submission for any reason.
Get the details
Want to see detailed benefits for this plan? Download the 2022 Blue Cross and Blue Shield Service Benefit Plan Brochure below. For a convenient summary of our three coverage options, download the 2022 Benefit Summary Book.
2022 Basic Option Rates
Use our National Doctor and Hospital Finder tool to see if your current doctor is in our Preferred provider network or to find a specialist, retail clinic or urgent care center near you.
Not sure which plan is right for you?
Our AskBlue SM FEP Medical Plan Finder tool can help you select the right option for your needs.
What is supplemental plan?
Usually covers the deductible and copay or coinsurance of a primary health insurance policy. supplemental plan. The legal business name of the practice.
What is a clinically appropriate service?
A well defined set of specific, clinically appropriate services, which include ongoing short-term treatment, assessment, and reassessment before a decision can be made regarding whether patients will require further treatment
What is observation care?
Answer. A well defined set of specific, clinically appropriate services, which include ongoing short-term treatment, assessment, and reassessment before a decision can be made regarding whether patients will require further treatment. observation care.