December 2021
2022 member ID cards to display deductible, out‑of‑pocket maximum
Effective Jan. 1, 2022, ID cards issued to Blue Cross Blue Shield of Michigan and Blue Care Network commercial members will display their deductible and out-of-pocket maximum. This change applies to both the physical and electronic ID cards. The Consolidated Appropriations Act of 2021 requires us to provide this information on the ID cards issued to participants, beneficiaries or enrollees.
The new CAA mandate requires that issued ID cards contain the following:
- In-network and out-of-network individual and family deductibles
- Out-of-pocket maximums
The following is a sample card image:
Providers should continue to use webDENIS and PARS for benefit information.
In some cases, where member deductibles or out-of-pocket maximums aren’t available on the card, the card will show “See Benefits.” Members will be directed to access their benefits on bcbsm.com or the BCBSM mobile app.
In addition, for commercial members with prescription drug coverage, their ID cards will also show a new RxBIN to reflect our pharmacy benefit manager change from Express Scripts to OptumRx. This was announced in an article in the September 2021 Record and on Page 26 of the September-October 2021 BCN Provider News. |