How do I submit a Master Medical claim?

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Michigan Health Insurance - Customer Service - How do I submit a Master Medical claim?

If you have a plan through your employer that includes Master Medical, use this information to submit a claim for reimbursement. 

If you have Master Medical added to your plan, that means you have additional coverage for some services that your plan doesn't cover. You just pay for these services in advance and then submit a claim for reimbursement.

If you get your coverage through a nonprofit organization that doesn't cover you for some essential health benefits, you can submit a claim for reimbursement. Below you'll find instructions on how to submit a claim to be reimbursed for these services as well.

Tip: Don't wait too long to file a claim. You have two years from the day you get care to submit a claim for reimbursement.

Master Medical claims process

We pay in-network doctors directly, so you don’t have to worry about submitting claims and waiting to get reimbursed. You only need to submit claims for prescription drugs and care you receive from out-of-network health care professionals. If you see a doctor who doesn't belong to your plan’s network, check to see if they will submit the claim for you. If not, you’ll need to submit the claim yourself.  

What you need to do when submitting a claim

If you must submit a Master Medical claim yourself, follow this reimbursement process:

  1. Pay for the health care service or prescription when you receive it.
  2. Fill out the Member Application for Payment form (PDF).
  3. Staple or paper clip your original receipts to the form.
  4. Mail the form to:

Blue Cross Blue Shield of Michigan
Member Claims Mail Code 0010
600 E. Lafayette Blvd.
Detroit, MI 48226-2998

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