Healthy Blue Outcomes℠: What providers need to know

Healthy Blue Outcomes, a Blue Cross Blue Shield of Michigan outcomes-based PPO product, ties a financial incentive, or Healthy Reward, to positive behavioral outcomes.

We've updated our Qualification Form (PDF). In order for a member to receive their Healthy Reward, they will need to bring their pre-populated qualification form to you and have you complete, sign and fax it to the phone number on the form. 

If the member needs a medical waiver

We've changed the process for a medical waiver to accommodate each of the wellness plans. If a member has a medical condition that makes it unreasonably difficult or inadvisable for them to meet the health measure requirements, please fill out the medical waiver portion of the new Physician Verification Form (PDF) on the patient’s behalf. We won't accept the old medical waiver request form.

If the member does qualify for a medical waiver, their physician must complete the Medical Waiver Follow-Up Form (PDF) and return it to us within 210 days of the benefit start date.

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