The Record - Insurance Card with the BCBSM/BCN Cross and Shield logo that reads, Blue Cross Blue Shield, Blue Care Network of Michigan. Tagline: Confidence comes with every card. Image of Note boards with paper that has the letters RX on it accompanied by a stethoscope

Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
January 2017

Here’s a refresher on our new Blue Cross® Personal Choice PPO product; new webinars scheduled

More than 1,000 members have enrolled in Blue Cross® Personal Choice PPO, which we wrote about in the September Record. Members who enrolled have coverage that began as early as 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 physician through our Organized Systems of Care program. It also offers access to the broader PPO network.

Here’s a recap of 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 to seek a referral from their primary care doctor to stay at the Level 1 cost share.

Managing referrals electronically
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:

Requesting access to e-referral process

Submitting 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.

Additional webinars, other training
We continue to offer health care providers training opportunities to learn or to refresh their understanding of Blue Cross Personal Choice PPO:

  • Watch a one-hour webinar in January 2017. If you haven’t already seen the webinar, click here to access the invitation.
  • Access an online training presentation, called Brainshark, 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.

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 2016 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.