Blue Cross Blue Shield Mri Copay
Posted : admin On 1/29/2022Blue Cross Blue Shield of Massachusetts provides a Summary of Benefits and Coverage (SBC) with online access to the corresponding coverage policy to all of our fully insured members and accounts. To view your coverage policy document, select the size of your employer group, then the plan name listed at the top of your SBC. If you aren't part of. Once you pay $1,500: Generic. Health Insurance Alabama Blue Cross and Blue Shield of Alabama. Recent tornadoes have caused widespread damage and adversely affected many Blue Cross and Blue Shield of Alabama members. If you have been affected by these tornadoes and have questions, you can call customer service at. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies.
Dear Kansas City Community,
The recent coronavirus developments have been a whirlwind for our community and our country at large. The rapid changes with COVID-19 have made it difficult to keep up with the news and latest developments. Many of you are feeling the direct impact with changes at work, home, school and other communities. These are extraordinary times, and Blue KC is here to help. We are committed to keeping our members informed and providing support during this national public health pandemic.
The physical and mental health of our employees, members and community is always our top priority. Blue KC has already put measures in place to protect our workforce while ensuring our business operates as usual and members get the critical care they need. This includes taking precautions to prevent the spread of the virus. Blue KC has facilitated remote workspaces for our employees and has waived fees for 24/7 access to virtual care for our members. By taking these steps, we are helping our members stay home with the goal of keeping them and others well.
We are in communication with many of our partners across the healthcare industry. In times like these, collaboration across the healthcare community is critical to providing better information and care for the people who live and work in our region.
If you are a Blue KC member and worry you might have COVID-19, you should contact your primary care physician or healthcare provider to discuss criteria and availability of COVID-19 testing before visiting a healthcare facility. Members should also reference the CDC website for best practices if they are experiencing symptoms.
I encourage you and your families to do what is necessary to safeguard your own health and the health of others. We know, for some, drastic changes especially in a short amount of time can be unsettling. It’s important everyone be mindful of their mental health and take steps to reduce stress and anxiety.
We will continue to actively monitor the development of COVID-19, especially in the Kansas City metro area. For information about symptoms, precautions and testing, please visit https://www.bluekc.com/consumer/covid/index.html.
Sincerely,
Erin Stucky
President and CEO, Blue KC
Blue Cross Blue Shield Mri Copay Policy
| In-Network (PPO benefit) - You pay: | Out-of-Network (Non-PPO benefit)* - You pay: | |
|---|---|---|
| Preventive Care | Nothing for covered preventive screenings, immunizations and services | 35% of our allowance† |
| Physician Care | $25 for primary care | 35% of our allowance† |
| Virtual Doctor Visits by Teladoc® | $0 for first 2 visits | N/A |
| Urgent Care Center | Accidental Injury: $0 Medical Emergency: $30 copay | Accidental Injury: $0 Medical Emergency: 35% of our allowance† |
| Prescription Drugs | Preferred Retail Pharmacy: Tier 1 (Generics): $7.50 copay1 Tier 2 (Preferred brand): 30% of our allowance Tier 3 (Non-preferred brand): 50% of our allowance Tier 4 (Preferred specialty): 30% of our allowance Tier 5 (Non-preferred specialty): 30% of our allowance Mail Service Pharmacy: Tier 1 (Generics): $15 copay1 Tier 2 (Preferred brand): $90 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy2: Tier 4 (Preferred specialty): $65 copay Tier 5 (Non-preferred specialty): $85 copay | Retail Pharmacy: 45% of our allowance Mail Service Pharmacy: Not covered Specialty Pharmacy: Not covered |
| Maternity Care | $0 copay | Pre-/postnatal professional care: 35% of our allowance† Inpatient hospital: $450 per admission copay for unlimited days, plus 35% of our allowance Outpatient facility care: 35% of our allowance† |
| Hospital Care | Inpatient (Precertification is required): $350 per admission Outpatient: 15% of our allowance† | Inpatient (Precertification is required): $450 per admission copay, plus 35% of our allowance Outpatient: 35% of our allowance† |
| Surgery | 15% of our allowance† | 35% of our allowance† |
| ER (accidental injury) | $0 within 72 hours | Nothing for covered services |
| ER (medical emergency) | 15% of our allowance† | 15% of our allowance† |
| Lab work (such as blood tests) | 15% of our allowance† | 35% of our allowance† |
| Diagnostic services (such as sleep studies, X-rays, CT scans) | 15% of our allowance† | 35% of our allowance† |
| Chiropractic Care | $25 per treatment; up to 12 visits per year | 35% of our allowance†; up to 12 visits per year |
| Dental Care | The difference between the fee schedule amount and the Maximum Allowable Charge (MAC) | 35% of our allowance† |
| Rewards Program | Earn $50 for completing the Blue Health Assessment.3 Earn up to $120 for completing three eligible Online Health Coach goals.3 | Earn $50 for completing the Blue Health Assessment.3 Earn up to $120 for completing three eligible Online Health Coach goals.3 |