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September 2016
New plan gives members ‘personal choice’ with lower out-of-pocket costs
Members who have enrolled in the innovative new product called Blue Cross® Personal Choice PPO will have coverage beginning Oct. 1, 2016.
The product gives members the opportunity to lower their out-of-pocket costs when they coordinate their health care with their primary care doctor through our Organized Systems of Care program. It also offers access to the broader PPO network.
Here’s how it works:
- Members who select a primary care doctor who affiliates with a Level 1 OSC and who use other health care providers associated with that OSC receive high-quality, coordinated care at the lowest out-of-pocket cost.
- Members who have selected a primary care doctor in a Level 1 OSC but who seek services from other doctors and hospitals outside of that OSC will need a referral from their primary care doctor to stay at the Level 1 cost share.
E-referral process
An e-referral process has been developed to help manage your referrals electronically. If you currently use the e-referral system for your Blue Care Network patients, you already have access to the new Blue Cross Blue Shield of Michigan e-referral system. If e-referral is new to you, here’s what you do:
Request access to e-referral
Submit referrals
- Go to ereferrals.bcbsm.com and click on Login.
- Click on BCBSM e-referral.
- Choose Submit Referral from the Referrals/Authorization drop-down menu at the top.
- Fill in all required fields.
- Click Submit.
Training opportunities
We’re offering health care providers a wide range of training opportunities to learn about this new product. Here are two of them:
- Attend a one-hour webinar in September or October. If you haven’t already enrolled, click here to access the webinar invitation.
- Access an online training presentation by clicking here.
For more information
If you have any additional questions after reviewing these resources, reach out to your provider consultant or other Blue Cross contact. | 