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September 2016

Blue Cross developing retail health center network

Did you know?

Retail health centers are a fast-growing national trend, with the number of locations expected to nearly double by 2017, according to Accenture Consulting.**

**Blue Cross Blue Shield of Michigan does not control this website or endorse its general content.

Blue Cross Blue Shield of Michigan is developing a retail health center network and creating a unique provider type for these centers. This network is effective Jan. 1, 2017.

What are retail health centers?
Retail health centers are health centers that treat uncomplicated, acute minor illnesses and injuries. They provide preventive health care services on a walk-in basis, offering convenient hours in a retail location.

Retail health center services are not meant to be a substitute for the ongoing, comprehensive health care services provided by a member’s primary care doctor.

Provider enrollment
If you’re interested in joining this network, enrollment information will be available in the Enrollment and Changes section of bcbsm.com./providers on Oct. 1. We’ll provide more details in the October Record and via web-DENIS.

You may need to sign a new agreement with us if you want to be designated as a retail health center but are currently contracted with us as another provider type.

Other information

  • All participating retail health centers will be considered in-network for our PPO members.
  • Contracted centers will be categorized as a “Retail Health Center” in the Find a Doctor search tool on bcbsm.com and on the Blue Cross and Blue Shield Association website at bcbs.com.
  • Blue Care Network has been contracting with retail health centers since late 2014. There aren’t any changes planned for BCN at this time.

Additional information about the network will be communicated in future Record articles.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2015 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.