January 2013
Reminder: Refer MIChild members within network for preventive services
Preventive care services, including immunizations, are covered at 100 percent of our approved amount for BCBSM-enrolled MIChild members when the services are provided by a TRUST, or PPO, provider. If members need referrals for these services, they must be referred to health care providers in the TRUST PPO network.
When these services are provided outside the TRUST network – for example, at community health departments – the services are not covered, and members will have to pay for the services out-of-pocket. Promoting preventive care and making referrals to PPO providers ensures MIChild members receive covered services and the appropriate care they need.
If you have questions about the PPO referral process, please contact your provider consultant or Provider Inquiry.
|