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April 2022

Some Meijer employees or their spouses aren’t required to pay primary care and specialist office visit copays or coinsurance

Meijer employees and their spouses with Blue Cross Blue Shield of Michigan plans who successfully completed a condition management program in 2021 are eligible for waived copays or coinsurance for primary care and specialist office visits in 2022.

Because this program is enacted at the member level, the waived copayment won’t show up when you look up their benefits. To help you identify which individuals are eligible for the waived copay, we’ve mailed the eligible Meijer employees and spouses a wallet card that they can present to you at the time of service. We ask that you don’t require the patient to pay the copay up front if he or she shows you the wallet card indicating they are eligible.

If the patient is eligible, you’ll receive the copay amount when the claim is processed. Additionally, if a member who is eligible for the waived copay does pay the copay up front, the provider will be responsible for reimbursing the member.

If the patient isn’t eligible and didn’t pay the copayment up front, please bill them.

For members enrolled in health savings account plans, the deductible applies and coinsurance is waived. For members enrolled in the health reimbursement arrangement plans, the flat dollar office visit copay is waived.

Note: This applies to Meijer group number 72625. The copay waiver can apply to either a subscriber or a subscriber’s spouse, or both. Dependents aren’t eligible for the waived copay.

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 2021 American Medical Association. All rights reserved.