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We're here for you. Now more than ever.

How Blue Cross Blue Shield of Michigan
is responding to the coronavirus (COVID-19)

At Blue Cross Blue Shield of Michigan and Blue Care Network, we're committed to caring for Michigan and everyone who calls it home – like we've done for 81 years. We're proud of what we've done to support our members, customers and communities throughout this pandemic. Learn more about our response to COVID-19 (PDF).

As we continue to navigate this together, you can still count on us to be your trusted advisor. A partner for care. A concerned employer. And a committed member of the community.

BCBSM ID Card

We're in this together

The world may feel different now, but we're doing what we can to help you feel more secure. That includes offering no-cost care options, so you can focus on your health, instead of worrying about copays and deductibles. We've also put together the following information to answer questions you might have. If you need more help, please don't hesitate to let us know. You can reach us by calling the number on the back of your Blue Cross ID card.

Member

$0 COVID-19 vaccine for members

We're committed to keeping you and our community safe. Blue Cross Blue Shield of Michigan and Blue Care Network members won't have to pay to receive the vaccine.

Michigan residents now eligible to get the vaccine include:
Health care workers
Those in long-term care facilities
Those who are 65 and older
Police officers
K-12 teachers
Prison and jail officers
Child care providers

If you're in any of these groups in Michigan, the state is asking that you make an appointment at your local health department to get the COVID-19 vaccine. You can learn more about how to do this on the State of Michigan website. Information from local health departments will be added to the site as it becomes available. Members living outside of Michigan should contact their state's health department for information.

Other helpful Blue Cross Blue Shield of Michigan resources:
Vaccine FAQs
Recent press release
corona virus

Flu season and COVID-19

Staying healthy this flu season is more important than ever. While we don't yet have a vaccine for COVID-19, we do for the flu.

See where to get a flu shot and if it's covered.
Medicare members, learn more.
Non-Medicare members, learn more.

Care Options for COVID-19

We offer different ways for you to see a health care professional from the comfort of your home, so you can keep yourself and others safe.

Primary Care Physician

Primary Care Physician

If you don't have a primary doctor yet, log in to your online member account to find one. Then, give them a call.

Many doctors are offering telehealth visits, which are visits done online or over the phone.

Log in to find a doctor

24-Hour Nurse Line

24-Hour Nurse Line

You can speak with a registered nurse if you have questions about the coronavirus or would like free health care advice.

Blue Cross Blue Shield of Michigan PPO:

1-800-775-BLUE (2583)

Blue Care Network HMO and HMO-POS:

1-855-624-5214

Blue Cross Medicare Supplement and Legacy Medigap:

1-844-278-6316

TTY users, call 711.

Blue Cross Online Visits

Blue Cross Online VisitsSM

You can have a face-to-face, virtual visit with a U.S. board-certified doctor - anytime, day or night. You can also make an appointment to see a therapist or psychiatrist.

Start an online visit

Make sure to include your Enrollee ID when you sign up so your coverage applies correctly.

Mental Health Support

Mental Health Support

Help is just a phone call away if you're feeling anxious or need support.

COVID-19 Crisis Hotline:

1-833-848-1764

For information and referral to providers offering online group therapy and support, contact:

Blue Cross Blue Shield of Michigan PPO:

1-800-762-2382

Blue Care Network HMO:

1-800-482-5982

Medicare Plus Blue PPO:

1-888-803-4960

BCN Advantage HMO and HMO-POS:

1-800-431-1059

corona virus

Check your symptoms and risk for COVID-19

The CDC has a prevention tool you can use. Simply answer a few questions about your current health and learn more about next steps.

Start CDC assessment

In general, people who are 65 or older, and anyone with certain underlying medical conditions might be at a higher risk. Read about what the CDC recommends for these high-risk groups.

Member

How lab testing for COVID-19 works

If you're concerned you may need a coronavirus test, please keep the following in mind.

Start with a health care provider

A health care provider should be a licensed physician, pharmacist or clinician operating within the scope of their license.

For Blue Cross to cover the cost of a COVID-19 test, it needs to be:
Ordered by a licensed health care provider;
Considered medically necessary by the provider; and
Approved by the U.S. Food and Drug Administration.

This is in accordance with the Families First Coronavirus Response Act and the CARES Act.

If your provider determines that you need a test, you can find one by:
Getting a recommendation from your provider on where to get one.
Using the COVID-19 Test Finder, even if you live outside of Michigan.
Be sure to bring any documentation from your provider with you to the test site.

If you have more questions about COVID-19 tests, please visit our testing FAQs.

If you're diagnosed with COVID-19

We want you to stay focused on getting better. If you need treatment for COVID-19 symptoms between now and March 31, we'll take care of the cost.

The coverage applies to most commercial PPO, Medicare Advantage PPO and HMO plans*. For care that's not related to COVID-19 symptoms, regular benefits apply.

Please see our press release for more information.

*State of Michigan and Michigan Public School Retirees: This page offers helpful resources but should not be a substitute for what your specific plan covers. Please refer to either bcbsm.com/som or bcbsm.com/mpsers for your benefits related to COVID-19. Medicare Supplement members: If you've purchased a Medicare Supplement plan outside of an employer, please log in to see your out-of-pocket costs. Other Medicare Advantage members: Please visit the senior COVID-19 site that we've created, just for you.

Guidance on prescription drugs

Have Blue Cross pharmacy coverage? We're taking precautions to make sure you can get the prescription drugs you need. No matter if you've been exposed to the coronavirus or not.

Helping members get access

If your medication isn't available because of a shortage, you can still get a similar one at no extra cost. You can continue to get your prescriptions filled at your local pharmacy or by mail. Whichever is most convenient for you.

Remember to take the right precautions if you plan to visit your pharmacy. Using the pharmacy drive-thru is also a good option.

Don't have pharmacy coverage with us? Reach out to your pharmacy carrier to see what options they may have available to you.

90-day mail-order prescriptions

If you need a medication to maintain your health, a 90-day mail-order prescription through Express Scripts® might be the right choice. It can help you have enough on hand, so you don't run out. Simply contact your pharmacy to transfer your prescription to mail order. You can also log in to your online member account or call Express Scripts at 1-800­-778-­0735. TTY users should call 1-800­-759-1089. Just note that some controlled substances may have limits on the daily supply.

Member

If you have questions about your health plan and benefits

You have options to get the support you need when it's convenient for you.

Online support:

You can access your plan information, like coverage and claims, anytime. Just log in to your online member account.

Phone support:

Our Customer Service Representatives are here to help. You can call the number on the back of your Blue Cross ID card to speak with a representative and get your questions answered. Please note: Because of the impacts of the COVID-19 public health emergency, our phone lines will likely have longer wait times than usual.
corona virus

Where you can get more information

Visit our blog to stay up to date on the latest coronavirus news and guidelines. We take the health of our community seriously and are reporting on breaking news, as it develops.

Get coronavirus updates by email or text. Just register for an account with us.

For recent coronavirus cases and statistics, please visit the State of Michigan site.

If you're still feeling stressed or concerned

The coronavirus pandemic can feel overwhelming, even when you're armed with the facts. We want you to know, we're here to help.

Mental health and well-being services are available to you, even if you haven't been exposed to the virus. We can help with these options:

Blue Cross Online Visits

Blue Cross Online Visits

You can have a face-to-face, virtual therapy or psychiatry visit.

Schedule an appointment

Include your Enrollee ID when you sign up so we can make sure your coverage applies correctly.

Mental Health Support

Mental Health Support

Help is just a phone call away if you're feeling anxious or need support.

COVID-19 Crisis Hotline:

1-833-848-1764

For information and referral to providers offering online group therapy and support, contact:

Blue Cross Blue Shield of Michigan PPO:

1-800-762-2382

Blue Care Network HMO:

1-800-482-5982

Medicare Plus Blue PPO:

1-888-803-4960

BCN Advantage HMO and HMO-POS:

1-800-431-1059

Blue Cross Virtual Well-Being

Blue Cross Virtual Well-Being

View free, weekly webinars designed to help you during these challenging times.

Topics include resiliency, working from home and preparing healthy meals from pantry items.

Register to attend

Frequently Asked Questions

Still have questions? We have answers. Explore our Frequently Asked Questions to learn more about how we're addressing the COVID-19 pandemic.

What are the different types of COVID-19 tests?

There are two kinds of tests:

  • A diagnostic test, which determines if a person has an active COVID-19 infection. A diagnostic test includes at-home tests.
  • An antibody test, which determines if a person already had a COVID-19 infection. So, the person may have some level of immunity.

How accurate are the tests?

Diagnostic tests are generally considered accurate if given by a clinician within five to 10 days after the initial infection. Antibody tests are generally considered accurate if given by a clinician seven or more days after COVID-19 symptoms begin.

You should talk with your health care provider to learn which test may be right for you and what the results mean.

What happens during a COVID-19 diagnostic test?

The test involves inserting a swab through the back of the nasal passage to detect genetic material specific for the virus.

A positive result confirms the presence of the virus that causes a COVID-19 infection. A negative result means that the virus wasn't detected at the level needed to confirm infection. It does not rule out infection.

Can you tell me more about at-home, COVID-19 diagnostic tests?

The accuracy of at-home testing is still uncertain, because it relies on how well each person performs the swabbing to get a good sample of the virus. If it's not done properly, it may produce a negative result (a false-negative) in a person who is contagious with the virus.

Blue Cross will cover for the cost of an at-home test if:

  • It's ordered by a health care provider*;
  • The provider says it's medically necessary**; and
  • The test is approved by the FDA.

At-home tests are not yet widely available. We recommend you contact and work closely with your health care provider to determine which type of test, if any, is best for you.

Will Blue Cross cover a test for me if I don't have symptoms?

Yes, if a health care provider* orders an FDA-approved test and believes that the test is medically necessary**.

You should talk with your doctor about the need for a test if you don't have symptoms, or if you haven't been exposed. The CDC doesn't prioritize testing asymptomatic, low-risk or non-exposed individuals.

Will you cover multiple tests for the same person?

Yes, if a health care provider* determines that multiple tests are medically necessary**, and they're approved by the FDA.

Do you cover tests from drive-through sites? And is cost sharing waived for those, too?

Yes, if it's FDA-approved and a health care provider* thinks it's medically necessary**.

Will I be charged for a COVID-19 test offered at certain locations?

Several counties and municipalities are offering COVID-19 tests for community residents. They're covering the cost of tests, so your health plan shouldn't be billed.

We recommend you check with these sites before going for a test, as each site may have different requirements regarding appointments, physician orders, symptoms and residence.

I received a bill for COVID-19 testing. What should I do?

Please call the customer service number on the back of your ID card.

What if I go to a testing facility but I don't get a test? Will I get a bill?

It depends on the services received and diagnosis recorded on the claim if you'll get a bill for your visit. If it's a COVID-19 diagnosis, you won't be responsible for any cost share.

I'm a BCN member. Can only my primary care physician order a COVID-19 test?

Not necessarily, but you do need an order from a health care provider*.

Do you cover workplace screening tests for COVID-19?

No, Blue Cross doesn't cover the cost of workplace or occupational screening tests for COVID-19. However, we do cover the cost of testing if a health care provider* orders an FDA-approved test and determines that the test is medically necessary**.

Do you cover other screening tests for COVID-19?

No, Blue Cross doesn't cover the cost of other screening tests for COVID-19, such as testing to participate in sports or admission to the armed services, educational institution, workplace or residential facility. However, we do cover the cost of testing if a health care provider* orders an FDA-approved test and determines that the test is medically necessary**.

*A health care provider should be a licensed physician, pharmacist or clinician operating within the scope of their license. They should use their best judgment in accordance with accepted standards of medical practice. This is in keeping with the Families First Act and CARES Act of 2020.

**Test orders must show medical necessity and the ordering provider should have resources to act on test results. This is in keeping with the Families First Act and CARES Act of 2020.

What can you tell me about a COVID-19 vaccine?

There are currently two different vaccines that the FDA considers to be the best candidates for emergency use authorization. They were developed by Moderna and Pfizer/BioNTech. Both require two doses. There are other vaccines in Phase III trials, including ones from AstraZeneca, Novavax and Janssen.

When will a COVID-19 vaccine be available?

Vaccine distribution began in mid-December and will continue this year. People have the opportunity to get the vaccine in phases, prioritizing:

  • Phase 1A: Health care workers and people in long-term care facilities, like nursing homes (in progress)
  • Phase 1B: Essential workers and high-risk populations (in progress)
  • Phase 1C: Other critical populations
  • Phase 2: General population

The State of Michigan anticipates that the vaccine will be available to the general population by summer. The phases are guided by the CDC recommendation. Other states' vaccine plans may vary.

How much will a COVID-19 vaccine cost me?

You won't have to pay anything to get the vaccine. We're covering the cost to administer it, so our members have an opportunity to get vaccinated.

Can doctors prescribe medications during a telehealth visit?

Yes, doctors who offer telehealth services can prescribe medications. If you get your care through a Blue Cross Online Visit, the doctor will submit your prescription to your pharmacy of choice.

Is physical, occupational and speech therapy included in telehealth visits?

Yes, but costs apply per your plan's benefits. You should work with your doctor to develop a plan for online therapy.

How can I pay my premium bill if walk-in centers are closed?

That depends on your plan type.

If you have an individual plan, you can pay online, by phone or make payments at any Moneygram location in the state. You can also mail your payment to us. See individual plan mailing addresses.

Please note: If you have a Medicare Advantage PPO plan or a Prescription BlueSM PDP plan, you'll need to pay by mail. See Medicare mailing addresses.

You can pay:

  • Online. Subscribers can log in, look for "Pay your premium" and select "Pay now."
  • By phone. You can call the number on the back of your Blue Cross ID card.
  • By mail. Simply follow the instructions on your bill to send us your payment.

What if I can't pay my premium bill?

We're putting in safeguards to avoid coverage cancellation if your payment is delayed. You can always call the number on the back of your ID card if you have questions or concerns.

I've lost my job because of the coronavirus. What happens to my coverage?

If you had coverage through your employer, you can check with them about COBRA.

We also may be able to help you continue your coverage or move into a new plan. We can check to see if you qualify for federal subsidies, too.

To learn more:
Blue Cross Medicare Advantage members, call 1-888-803-4960.
BCN Medicare Advantage members, call 1-800-431-1059.
All other members, call 1-877‐610‐2583.
  • You can also learn about COBRA and other options, or job loss as a qualifying life event.

Are there any medications currently being used for COVID-19 treatment?

There are no FDA-approved treatments for COVID-19. We're monitoring all drugs or vaccines in development for prevention or treatment, and we'll make sure to keep you up to date on any new information. At this time, health experts estimate a vaccine will be available within 18 months.

What if there's a prescription drug shortage?

It's important to note that there are no prescription drug shortages currently, and there aren't any expected. However, things are changing rapidly, and we're constantly monitoring this situation.

Should we experience a state of emergency where drugs are in short supply, we'll do everything possible to make sure people have the medications they need. That includes being flexible about filling a medication that may not be on a preferred drug list.

In addition, you won't have to pay extra if there are additional charges for a medication that is on our nonpreferred list.

The prior authorization for my drug is about to expire. What should I do?

We want to make sure you have access to the medication you need. For the most part, if your drug's prior authorization expires between March 1 and June 1, we'll extend it until August 1. Some drugs aren't eligible for the extension, like Hepatitis C treatment drugs, gene therapy drugs and a few others. In those cases, we'll let you know by mail if we need a prior authorization from your doctor.

What about prescription exceptions?

We have several processes in place to help you in the event of an emergency or disaster situation. Our pharmacy providers know our guidelines to help you get your prescriptions in an emergency.

These emergency guidelines allow network pharmacies to bill a claim electronically and process it in real time.

Are there any steps being put in place for specialty pharmacy?

If you're interested in receiving your specialty medication through free mail delivery, you can transfer your prescription to AllianceRx Walgreens Prime. For more information, call them at 1-855-244-2555.

Where can I find additional resources if I'm feeling anxious about the COVID-19 pandemic?

We're offering ways to manage stress and anxiety related to the pandemic through our blog.

Are my Healthy Blue LivingSM plan requirements impacted by this?

If you have a Healthy Blue LivingSM plan, your plan requirements, such as your online health assessment, have been extended 90 days past the original due date.

If you have a Healthy Blue AchieveSM PPO plan, we've also extended your deadlines by 90 days.

Do I need a prior authorization for COVID-19 lab testing or services?

No. We're waiving prior authorizations for testing, and services related to testing. You also won't need one for a hospital stay that's due to COVID-19.

What is the Families First Coronavirus Response Act?

The Families First Coronavirus Response Act is a new law. It mandates that we cover and waive cost-sharing for test-related items and services during provider, urgent care and ER visits when they result in an order, or administration of, a COVID-19 lab test. As we continue to assess the requirements, more information may be coming.

What is the CARES Act and how does it impact me?

The Coronavirus Aid, Relief, and Economic Security, or CARES Act, is a $2 trillion federal coronavirus response package that was recently signed into law.

The CARES Act states:
High deductible health plans must cover telehealth services before the deductible.
Individual and group health plans must cover COVID-19 testing and vaccines.
Patients can use funds in Health Savings Accounts, Health Flexible Spending Accounts and Health Reimbursement Arrangements to pay for over-the-counter drugs without a prescription and for menstrual care products.

Will I be charged for my Fitness Your Way membership?

Tivity Health® previously placed a hold on Fitness Your Way memberships due to stay at home orders. However, since the state of Michigan reopened gyms on Sept. 9, membership fees are no longer waived. You may have received an email stating that charges to your account will resume.

You should contact your gym for information about safety precautions, hours and available services. If you have more questions about this program, please call 1-877-614-6313.

I'm a UAW member, what communications have you sent me about COVID-19?

Based on your communications preferences, you may have received emails or text messages. To see the communications that we sent you, download our zip file.

You can update your communication preferences anytime by logging in to your member account, choosing Account Settings, then Communication Preferences.

Because business has never felt more personal

To your employees, you're a listening ear and an expert guide. And we want to help keep it that way. We've created resources to help you answer your employees' questions about the coronavirus, while keeping them engaged in good health. Your employees count on you to be there for them. You can count on us to be here for you. It's part of our commitment to delivering smarter, better health care in Michigan, and beyond.

Employer Employer2

We've got you covered - all the way around

Over 80 years of experience has shown us just how personal health care is, especially in times like these. Here's how we're helping you stay prepared.

COVID-19 Employer Guide and Behavioral Health Information

Find the information you and your employees need to:

  • Stay informed about COVID-19 with our Employer Guide (PDF)
  • Explore the effects of Behavioral Health and the impact of COVID-19
  • Learn more about Social Determinants of Health and COVID-19 (PDF)

Have more questions about COVID-19?

We've made a list of the most popular ones that our employers and agents ask. And we're continuing to add more, like information on a COVID-19 vaccine. You can see the FAQs by logging in to your employer or agent secured services account.

Navigating Coronavirus: COVID-19 Vaccine Customer Forum

Watch on-demand here

We here at Blue Cross recognize the challenges the COVID-19 pandemic has created for you. With the recent authorization and approval of a COVID-19 vaccine, Blue Cross is here to guide you through the questions you may have around these developments.

During this recorded one-hour group customer forum, Blue Cross Blue Shield of Michigan's James Grant MD, MBA, FASA, chief medical officer, and Michelle Fullerton, BA, BSN, director of Group Customer Advocacy, gave an update on the COVID-19 vaccine and addressed what you need to know from a health plan administrator perspective.

Coronavirus Group Customer Forum

Register to get updates on the Blue Cross Blue Shield of Michigan approach to COVID-19. You'll learn what we've done in response to the crisis, what's underway and what resources are available to you. You can also submit questions and get them answered in real-time.

Watch the July 24 webinar now

Watch the June 11 webinar now

Educational master class series

The Blue Cross Master Class is specifically designed to guide you through the complexities of health care. Our webinars touch on a variety of business-critical topics, including COVID-19.

Sign up now

Watch the Financial Wellness Strategies webinar

Industry news and business articles

Following the news and staying up to speed on COVID-19 can be daunting. That's why we're making it easy for you. The MI Blues Perspectives blog covers health care issues that affect Blue Cross, our customers and our members. Learn about the issues that are most crucial during this crisis.

Read the blog

Blue Cross Virtual Well-being

Discover the importance of helping your employees find balance, especially during these challenging times. Topics include employee resiliency, staying productive at home and the importance of self-care.

See the webinars

Employer Secured Services

Everything you need to manage your business with us is in one place. Simply log in to Employer Secured Services anytime to edit your employee roster, make plan updates and order ID cards.

Log in now

If you don't have an Employer Secured Services account, we can help you set one up.

Employer

Exclusively for our small group customers

If you have additional questions or concerns about COVID-19, you can call our helpline at 1-866-582-5052 from 8 a.m. to 5 p.m. ET, Monday through Friday, or send us an email.

The purpose of the helpline and mailbox is to assist you with Blue Cross policies, small business resources, requests for support and other issues connected to COVID-19.

Here's how we're helping your employees stay focused on their health*

Medical Care icon

Medical care

$0 FDA-approved, COVID-19 lab tests when authorized by a health care provider

$0 treatment of COVID-19 symptoms with medical diagnosis

$0 nurse line, available 24/7

Access to virtual medical visits and phone consultations for common services through network doctors or Blue Cross Online Visits℠

$0 initial cost of a COVID-19 vaccine for most people, once available.**

Mental Health icon

Mental health

Access to virtual therapy visits through Blue Cross Online Visits

24-hour mental health crisis hotline

Pharmacy icon

Pharmacy

No-cost substitutions if drugs are out of stock

Promotion of Free Home delivery through Express Scripts® Mail Order Pharmacy

Extending Prior Authorization for select medical and pharmacy drugs expiring before June 1 to Aug. 1

Dental icon

Dental

Expanded access to emergency dental care with teledentistry

Well being icon

Well-being

Weekly virtual well-being webinars to address mind, body and financial concerns during the crisis

Service and care support icon

Service and care support

24/7 online account and mobile app access - employees can manage their plan plus get questions answered with the MIBlue Virtual Assistant

Proactive outreach by care managers for the most at-risk members

Helpful blog content

*Changes to our plans and services are for the health and well-being of our members during this crisis. The changes are temporary and apply only to eligible members and groups.

**The cost will be handled by the government, employers and health plans like Blue Cross to make sure everyone has an opportunity to get vaccinated. For more information, please log in to your employer or agent secured services account and read our FAQs.

Employer3

COVID-19 resources to share with your employees

Employer toolkit

Download our COVID-19 toolkit for email templates, flyers and other materials - all designed to help your employees know their health care and mental health options.

Get the toolkit

Blue Cross Virtual Well-Being

Help your employees find mind, body and financial balance during these difficult times with our weekly, virtual well-being webinars.

Check out the webinars

MI Blues Perspectives blog

Your employees can see updates from Blue Cross Blue Shield of Michigan, the CDC and the State of Michigan anytime - and all in one place.

Share the blog

Blue Cross COVID-19 page

Tell your employees about the For Members tab of this page, so they can know their options. You can also share this easy-to-remember link with them: bcbsm.com/coronavirus.

You're our heroes on the front line

And for that, you have our gratitude. If you're a Michigan provider, Provider Secured Services is your best Blue Cross resource for the coronavirus. You'll find the most up-to-date information there.

Log in now Not yet registered? Learn how to get an account .

Read our list of temporary changes (PDF) to see how Blue Cross and Blue Care Network are supporting providers and protecting members during the COVID-19 pandemic.

Read our provider alerts for recent updates

We're committed to keeping you up to date on the changes we're making in response to the coronavirus pandemic.
You can find out what we've updated and when we've changed it with our provider alerts:

Current Provider Alerts
New ICD-10-CM diagnosis codes to capture COVID-19 diagnoses (PDF)
Waiving of early medication refill limits for commercial products (PDF)
Medicare-covered telehealth services reminder (PDF)
Billing for COVID-19 vaccine administration (PDF)
Two percent sequestration suspension extended to March 31 (PDF)
Some temporary changes conclude Dec. 31, 2020 (PDF)
Medicare-covered telehealth billable for duration of PHE (PDF)
BCBSM will provide $0 cost sharing for vaccine coverage (PDF)
Autism spectrum disorder services telehealth update (PDF)
COVID-19 treatment cost share waived through March 31, 2021 (PDF)
Clinical review requirements suspended (PDF)
Clarification for billing (PDF)
11 new codes for telehealth services (PDF)
Coverage decisions announced for additional COVID-19 testing codes (PDF)
Time extension to complete cardiac and pulmonary rehabilitation visits (PDF)
Additional laboratory services covered (PDF)
Blue Cross and BCN clarify pre-operative COVID-19 testing guidelines (PDF)
Temporary claim submission extension concluded Sept. 30, 2020 (PDF)
Updates on temporary sequestration relief and DRG enhancement for MA (PDF)
Benefit period extended for authorized PT-OT-ST for BCN HMO members (PDF)
Temporary inpatient enhancement requires positive COVID-19 test (PDF)
Pharmacies can bill for COVID-19 testing (PDF)
Extended authorization end dates on select medical and pharmacy benefit drugs for Medicare Advantage members (PDF)
Extending global referrals for BCN HMO (PDF)
Telehealth update: Clarifying billing information for PPO members (PDF)
Telehealth update: Temporarily allowing direct-line ABA interventions (PDF)
Temporary authorization extension for select medical and pharmacy benefit drugs concludes Aug. 1, 2020 (PDF)
Two groups extending cost share waivers (PDF)
Temporary waiving of early medication refill limits ends July 14 (PDF)
Additional COVID-19 testing coverage information (PDF)
MESSA no cost telehealth extension update (PDF)
Webinar examines how some practices are coping (PDF)
Blue Cross and BCN will not pay cost share directly to providers (PDF)
Blue Cross and BCN waiving cost share for MA members (PDF)
Suggestions for reopening offices (PDF)
Ending 90-day extension to claim submissions (PDF)
Clinical review requirements return July 1 (PDF)
Updated patient testing recommendations (PDF)
Updated telehealth documents (PDF)
Clinical review required for acute care admissions with non-COVID-19-related diagnoses (PDF)
Waiving member cost share for telehealth originating site facility fee (PDF)
Update of temporary changes (PDF)
Billing Tips (PDF)
Updated patient testing and billing recommendations (PDF)
COVID-19 related utilization management changes (PDF)
Relaxation of HIPAA compliance requirements for telehealth visits (PDF)
Updated patient testing and billing recommendations (PDF)
CMS expands telehealth codes coverage (PDF)
Providers encouraged to use self-help tools (PDF)
COVID-19 webinars announced (PDF)
Telehealth billing changes and FAQs (PDF)
Waiving cost sharing for Medicare Advantage members (PDF)
Updates to patient testing recommendations (PDF)
List of COVID-19 temporary changes now available (PDF)
Temporary quantity limits (PDF)
Home-based substance use disorder treatments (PDF)
HIPAA compliance requirements extension (PDF)
Outpatient psychiatric centers change the order of modifiers (PDF)
Billing and cost share waivers (PDF)
Hospitals must notify naviHealth before transferring Medicare Advantage members to SNFs (PDF)
Sequestration relief and DRG enhancement for providers treating COVID-19 (PDF)
Tele-town hall for physicians on CARES Act (PDF)
MSMS Partnership for access to COVID-19 webinars (PDF)
Changes to authorization durations for elective and non-urgent procedures (PDF)
We're extending the benefit period for PT, OT and ST (PDF)
Blue Cross and BCN support outpatient behavioral health treatment delivered via telemedicine (PDF)
We've updated the Telehealth for behavioral health providers document (PDF)
We've updated the billing recommendations for COVID-19 testing, including drive through (PDF)
Blue Cross has extended authorization dates on select medical and pharmacy benefit drugs for commercial members (PDF)
Blue Cross has extended authorization dates on select medical and pharmacy benefit drugs for Medicare Advantage members (PDF)
Autism assessments and protocol modification during the COVID-19 crisis (PDF)
Blue Cross has extended authorization dates on select medical and pharmacy benefit drugs for Medicare Advantage members (PDF)
No-cost telehealth services to members expanded plus general telehealth clarifications (PDF)
New COVID-19 diagnosis code effective April 1, 2020 (PDF)
Changes to authorization durations for elective and nonurgent procedures, including PT, OT and ST, during the COVID-19 pandemic (PDF)
We're granting a 90-day extension to claim submission time limits (PDF)
How to submit a plan notification for acute care hospital facility admissions and request for post-acute care admissions (PDF)
We've updated the telehealth procedure codes for COVID-19 and our telehealth guides for providers (PDF)
COVID-19 testing and treatment covered at no member cost-sharing (PDF)
Finding a member's benefits for Blue Cross Online VisitsSM (PDF)
Outpatient psychiatric centers (PDF)
Clinical requirements suspended for acute care admissions, skilled nursing facility transfers (PDF)
No-cost telehealth services expanded to behavioral health, extended through June 30 (PDF)
Influenza testing now covered in the physician's office (PDF)
Diagnosis codes, PPEs and ensuring providers are available to care for members (PDF)
Autism services and telehealth (PDF)
Submit claims electronically during the COVID-19 pandemic (PDF)
State of Michigan announces temporary restrictions on non-essential procedures (PDF)
Telehealth billing changes for outpatient psychiatric centers (PDF)
COVID-19 updates from the Michigan Department of Health and Human Services (PDF)
Michigan Department of Health and Human Services guidance on testing (PDF)
ICD-10-CM coding guidelines (PDF)
Michigan Department of Health and Human Services guidance on testing (PDF)
Provider Doctor

Vaccines

COVID-19 Vaccine Information (PDF)
COVID-19 vaccine billing information at a glance (PDF)

Billing

COVID-19 Billing Tips at a Glance (PDF)
COVID-19 Billing Tips (PDF)

Changes we've made to utilization management

We've made it easier for providers to deliver coronavirus testing and treatment services.

Read about our recent changes and how they might help you expedite care:
COVID-19 Utilization Management Changes (PDF)

How to use telehealth services to see patients

Telehealth is an umbrella term that includes telemedicine, telephone and online visits which can be beneficial in reducing the need for in-person medical care.

Read through our medical policy to understand our requirements and general guidelines:
Telehealth Medical Policy (PDF)
These telehealth guides will help you learn which services you can use and when to use them:
Telehealth for Medical Providers (PDF)
Telehealth for Behavioral Health Providers (PDF)
Guidelines for autism interventions (PDF)
The following codes have no member cost-share during the COVID-19 pandemic:
Telehealth procedure codes for COVID-19 (PDF)
Frequently asked questions for providers
Frequently asked questions for providers (PDF)
To determine if your patient has telemedicine (provided by network providers) or Blue Cross Online VisitsSM access (conducted by Amwell), consult the following chart:
Determining members telehealth benefits (PDF)
Step-by-step instructions to find Blue Cross Online VisitsSM access (conducted by Amwell)
Finding a member's benefits for Blue Cross Online VisitsSM (PDF)

What you need to know about COVID-19 patient testing

Blue Cross is fully covering the cost of coronavirus testing from any Michigan lab for most members.

Use this document to learn the codes you'll need. You'll also see our testing recommendations from the Michigan Department of Health and Human Services as well as the Centers for Disease Control and Prevention:
Billing recommendations for COVID-19 testing including drive-through (PDF)
COVID-19 patient testing recommendations (PDF)
COVID-19 testing for pharmacies:
For commercial members (Blue Cross PPO and BCN HMO)
For Medicare Advantage members (Medicare Plus Blue and BCN Advantage)

Pharmacy updates

Stay up-to-date on how medication supplies are changing during the COVID-19 public health crisis. Find information on quantity limits, how to request authorization from the safety of your own home and more.

Temporary quantity limits (PDF)

General resources for coronavirus care

Looking for more information? Read through our general resources:
State of Michigan Memorandum (PDF)
Coronavirus updates from the State of Michigan
MDHHS letter regarding racial and ethnic disparities in COVID-19 cases and deaths (PDF)
MDHHS order directing regional hubs to limit acceptance of residents (PDF)
Important key points on vaccination services during and after the COVID-19 pandemic (PDF)
Resources from the State of Michigan for health care professionals
Information for health care professionals from the CDC
CDC resources for clinics and healthcare facilities
What Blue Cross is doing to protect employees (PDF)
Suggestions for reopening post COVID-19 while improving the Patient Experience (PDF)
Provider

We've got information that's just for you

If you're a Medicaid member, please visit the Blue Cross Complete of Michigan website. You'll see coronavirus information that's specifically for you, including your care options and other helpful resources.

Visit Medicaid site

Your health is more important than ever

We've created an online COVID-19 site that's just for Medicare members. It includes care options, articles, FAQs and more. It's our privilege to serve you – now, and always.

Get Medicare info

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