Requirements change for URMBT members receiving organ transplants

Members whose benefits are paid for through the UAW Retiree Medical Benefits Trust must adhere to the following requirements to receive coverage for organ transplant procedures and services.

As of  Jan. 1, 2012, the following requirements apply for URMBT non-Medicare members covered by Blue Cross Blue Shield of Michigan:

• Receive prior authorization from the BCBSM Human Organ Transplant Program for transplant procedures by calling 1-800-242-3504.
• Enroll in and participate in the BCBSM Case Management program from the time of authorization through the duration of transplant organ services. For information on enrollment, members can call 1-800-845-5982.
• Obtain transplant services through one of the Blue Distinction Centers for Transplants^®, part of the Blue Cross and Blue Shield Association’s Blue Distinction Centers for Specialty Care^®.

To confirm your BCBSA Blue Distinction Center for Transplant status, please call 1-800- 242-3504. 

Also, effective Jan. 1, 2012, URMBT members with Medicare primary coverage must:

• Be limited to Medicare-approved transplants only
• Enroll in and participate in the BCBSM Case Management program for the duration of transplant organ services
  

These requirements apply to all transplants except cornea, kidney and skin.

For more information about the Blue Cross and Blue Shield Association’s Blue Distinction Centers for Specialty Care^®, go to bcbsa.com.