When you visit your doctor for a check-up, your doctor submits a claim to your insurance company. Your insurance company reviews the claim, and after approving the claim, pays your doctor.
Normally, your health care professionals take care of your claims. However, if you visit a doctor outside of your network, you may have to submit the claim yourself.
In those situations, you’ll pay for the service in full. Let us show you how to submit a claim so you get reimbursed you for the portion covered by your health care plan.
Select a topic below to learn more.
Frequently asked questions
- Claims FAQ
Individuals who are planning on visiting out-of-network health care professionals can learn how to submit their own claims.
- How can I resolve a problem with my Blue Cross Blue Shield of Michigan claim?
Learn how to report a problem with a claim and the appeals and grievance process.
Plan documents and forms
- Claim Forms
Use these claim forms to ask for reimbursement for out-of-network doctors or other health care services you've paid for yourself.