You can also call the number on the back of your ID card. The best way to see if the cost of the vaccine is covered for you is to log into your member account at or check the BCBSM mobile app. The only employer plans that don't have to cover the cost are employer plans that are not subject to the Affordable Care Act’s requirements, but they may choose the cover the cost anyway. If you buy your own health care coverage or get it through your employer and they are subject to the Affordable Care Act’s requirements, then there will be no change to what you pay for the Covid-19 vaccine when the vaccine is administered by an in-network provider. However, please note, vaccines received from an out-of-network provider will be subject to your out-of-network benefit, which may include out-of-pocket expenses. This is because the Covid-19 vaccines have been added to the Affordable Care Act’s list of preventive benefits. While we recommend this site, we're required to let you know we're not responsible for its content.How will the end of the public health emergency affect Covid-19 vaccines?įor most people, the cost of the Covid-19 vaccine and the administration of the vaccine will continue to be covered at 100% in-network even after the end of the public health emergency. * Clicking this link means that you're leaving the Blue Cross Blue Shield of Michigan and Blue Care Network website. Vascular embolization or occlusion of hepatic tumors (TACE/RFA) Radiofrequency ablation (RFA), cardiac treatment for preexcitation syndrome or WPW syndrome Radiofrequency ablation (RFA), cardiac sustained (more than 30 seconds) ventricular tachycardia Radiofrequency ablation (RFA), cardiac suspected AVNRT, AVRT or focal atrial tachycardia Radiofrequency ablation (RFA), cardiac nonsustained ventricular tachycardia Radiofrequency ablation (RFA), cardiac frequent monomorphic premature ventricular contractions Radiofrequency ablation (RFA), cardiac atrial fibrillation or atrial flutter Radiofrequency ablation (RFA), cardiac, trigger Enter a procedure code in the Policy/Topic Keyword field to search for the pertinent policy.Įndovascular intervention, peripheral arteryĮndovenous ablation for treatment of varicose veins To view a medical policy, open our Medical Policy Router Search page on.If there isn’t a link to an authorization criteria document, we’ll use the pertinent medical policy to make the determination. To view authorization criteria, click the “Authorization criteria” link to the right of the service below.Utilization management criteria – Blue Cross commercial and Medicare Plus Blue Surgeries: For decision support and authorization determinations (PDF) - Includes information about our care management and utilization management programs.Post-acute care: For skilled nursing, rehabilitation and long-term acute care facilities (PDF) - Includes information about our utilization management programs.Inpatient medical admissions, acute care (hospitals): For authorization determinations (PDF) - Includes information about our utilization management program.Inpatient authorization requests: Tips for using the e-referral system – Blue Cross PPO (PDF).Submitting acute inpatient authorization requests: Frequently asked questions for providers (PDF).Durable medical equipment and prosthetics and orthotics: For authorization determinations (PDF).Diabetes: For coaching, management, behavioral counseling and supplies (PDF) - Includes information about care management and utilization management programs.Holiday closures: How to submit authorization requests for inpatient admissions (PDF).
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