5 of 33 ID Cards You may not think about your health insurance ID cards very often—until you, your doctor or another medical provider needs it. Your PPO Plan ID card and MedImpact prescription ID card are your passports to care and coverage, and you should know what all the important pieces of information mean. It is a smart practice to show your provider your ID card every time you visit even if you don’t think anything has changed. This way, you can make sure claims are processed correctly. 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). Before You Go How You Pay for Care Special Programs and Services Learn More ® Companies Enrollee Name / Number John Doe YSW123456789 Group Number 10036166 Deductible(Individual/Family) Medical PPO Provider Directory PPO PPO Plan In-Network $1000/$2000 Out-of-Network $2000/$4000 Out-of-Pocket(Individual/Family) In-Network $4000/$8000 Out-of-Network $8000/$16000 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. 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. 1 2 3
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