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Employee Benefits » FAQs

Employee Benefits FAQ Contents

Medical Questions

Q.  What is the website address of BCBSM?
Q.  How do I find a BCBSM PPO doctor?
Q.  How do I get a benefit booklet that summarizes my health coverage?
Q.  Why did I have to pay a $10 office visit co- payment, when this is supposed to be benefit of my medical insurance plan?
Q.  Which of my dependents are covered by my health insurance?
Q.  Who do I call if I have a question on my health insurance?
Q.  How do I find a BCBSM PPO doctor out-of-state?
Q.  How does the medical referral process work?
Q. 

How does the BCBSM mail order prescription plan work?
Q.  How do I get an extra BCBSM or SET SEG ID card?
Q. 

How do I add or remove dependents from my medical plan?
Q.  Why was my Blue Cross Blue Shield of Michigan (BCBSM) claim denied?
Q.  Can out-of-network medical deductibles be submitted to SET for reimbursement?
Q.  How do we submit a claim for co-payments for in- network office visits, emergency room treatment, or mental health services under my Community Blue plan, with supplemental benefits?
Q.  When is a pre-certification necessary for a medical procedure?
Q.  What is the Blue Cross Blue Shield of Michigan mailing address for claim submission?
Q.  What is the status of my Hospital Indemnity claim?
Q.  How can I contact Associated Mutual Hospital Service of Michigan?
Q.  How can I appeal my BCBSM denial of benefits?
Q.  I have the Community Blue plan with supplemental medical benefits. Why did Blue Cross Blue Shield of Michigan pay only 80 percent of my mental health visit when my coverage is for 90 percent?
Q.  Do I have to pay the deductible when an out-of- network anaesthetist is used?
Q.  Is a colonoscopy included in the medical preventive care coverage?
Q. 

Is hearing care covered by my medical plan?
Q. 

When can my 22-year-old child be added to my health insurance, now that the health insurance reform law has been signed?

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Dependent Eligibility Questions
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