Calltonotifyuswhenyouoraneligible dependent have a hospital inpatient admission. You should obtain prior authorization for certain hospital and non-hospital services. Failure to call may affect your benefits payment. Providers: Please file your claims with your local BlueCrossBlueShieldPlan.IfMedicare is primary, file Medicare claims with Medicare. For benefit and eligibility information, please call 1-866-482-2250. Blue Cross of Idaho provides Medical administrative claims payment services only and does not assume financial obligation for claims. Blue Cross of Idaho may reinsure some claims. Benefits are limited to emergency care at non-BlueHPN providers within BlueHPN product areas. Benefits are limited to urgent/emergency care at non-BlueHPN providers outside of BlueHPN product areas. For Customer Service, visit bcidaho.com or call the appropriate number below: Members: (855) 854-1412 Providers: (866) 482-2250 Prior Authorization: (800) 743-1871 TTY: (800) 377-1363 Guidance Resources (EAP): (877) 294-3271 Advanced Imaging Prior Auth: (866) 714-1105 BlueCard® Access: (800) 810-2583 (To find a provider) MedImpact*: (888) 402-1984 Teladoc*: (800) 835-2362 *Contracts directly with Group Blue Cross of Idaho P.O. Box 7408 Boise, Idaho 83707 An independent licensee of the Blue Cross and Blue Shield Association. 5 of 33 ID Cards Blue Cross of Idaho Medical ID Card Your medical ID card is your passport to healthcare. It’s a smart practice to show your healthcare provider your ID card every time you visit, even if you don’t think anything has changed. If you’re in the EPO HP-Network Plan, remind the staff that claims should be submitted to the Blue Plan that they contract with for the Blue High Performance Network. This helps ensure your claim is submitted correctly and your care is covered as it should be. What’s on My ID Card? FRONT 1 Your ID number and group number: Your healthcare providers need these numbers to verify your coverage and file claims for your doctor’s visits or other services. 2 Medical plan name: Here’s the official name of your medical plan. 3 Cost information: Your deductible and out-of-pocket maximum amounts are listed here. BACK The back of your ID card lists contact information for Blue Cross of Idaho, MedImpact (prescription drug coverage), Teladoc (telemedicine visits) and the Employee Assistance Program (free counseling and other support resources). ® Enrollee Name / Number John Doe YSW123456789 Group Number 10036166 Medical EPO EPO Network Plan Companies In-Network Office Visit $20 In-Network Specialist Visit $40 Deductible(Individual/Family) $1500/$4500 Out-of-Pocket(Individual/Family) $5000/$15000 ® Enrollee Name / Number John Doe ALH123456789 Group Number 10036166 Medical EPO HP EPO HP Network Plan Companies In-Network Office Visit $20 In-Network Specialist Visit $40 Deductible(Individual/Family) $1500/$4500 Out-of-Pocket(Individual/Family) $5000/$15000 Before You Go How You Pay for Care Special Programs and Services Learn More EPO Network Plan EPO HP-Network Plan 1 1 2 2 3 3
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