We can help you with issues beyond your medical care. Healthy Rewards is a no-cost, optional program for Healthy Blue members. When you need to see a doctor late at night or cant make it to your doctors office, LiveHealth Online can help. LiveHealth Online lets you visit a doctor through video chat on your computer, tablet, or smartphone. Representatives must complete an attestation form at the end of training. Model of Care training (PDF) 2021Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get your free personalized no obligation dental insurance quote for you, your family and business from Blue Cross and Blue Shield of North Carolina. Check-ups and cleaning are covered twice per benefit period. We work with CarelonRx to provide these benefits. What you get with Healthy Blue Doctor visits Prescriptions Vision care Medical care Pharmacy and prescription drugs Vision care Wellness care If youre already a member, you can log in to your account tosend us a secure message at any time. NC Department of Health and Human Services The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer. As a Healthy Blue member, you get all of your Medicaid benefits and services, including: See your member handbookfor a full list of benefits. You can cover yourself, your Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. 10802 Farnam Dr.
You can only change your dental plan within 60 days of a qualifying life event, like marriage, divorce, etc. Its an easy way to access care for you or your family without leaving home. You have a choice in your health care. This guide can help you know when to set up doctor visits and important screenings for you and your children. We want you to understand your benefits and receive the best possible care. You can also call us toll free at 1-844-594-5070 (TTY 711) to get connected with a care manager. stream
Choose comprehensive vision coverage with access to retail and private practice eye doctors. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield of North Carolina Dental Insurance We also support the states Care Management for High Risk Pregnancy (CMHRP) program. Health Plans | NC Medicaid That's why we've redesigned the website to make it more useful for you and easier to use. Healthy Blue + Medicare Customer Service
Welcome to BCBSNC Healthy Blue North Carolina Providers Welcome! You can look for your dentist by using our Find Care search tool. , SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. There are no changes to NC Health Choice copays. Dental and Orthodontic | NC Medicaid
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New member? x\[~_`"A&iZds&@@kiB# u~lZeup|3iwa~{i*wwo7}I\6xefyw5t~rKd.3J$_awg/Kxwwgs`Ar|ywo#v_~8? Get answers to your medical questions anytime, day or night.You can get advice about: 844-594-5076 (TTY 711) 24 hours a day, seven days a week. The program encourages you to get the care you need and rewards you with gift cards to popular retailers when you complete healthy activities, such as wellness visits and preventive screenings. 2021 Blue Cross and Blue Shield of North Carolina, Medical Policies and Clinical UM Guidelines, Guide to Drug Coverage Under Medical Benefit, Screening, Brief Intervention, and Referral to Treatment, Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment. Virginia Beach, VA 23466, Attention: Medical Necessity Provider Appeals
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Marks of the Blue Cross and Blue Shield Association. Learn more about our non-discrimination policy and no-cost services available to you. <>>>
Have questions about your benefits? We have licensed clinicians available to speak with you and to connect you to the support you need to feel better. Log in to your account and send us a message. Medicaid Benefits | Healthy Blue of South Carolina Call Member Services at 844-594-5070 to learn more. DentaQuest is an independent company that provides dental services on behalf of BlueChoice HealthPlan. If you have a certain health condition or disability, you may need help with day-to-day activities, like eating, bathing, or doing household chores. Behavioral Health Concurrent Review Fax Form (PDF), Electroconvulsive Therapy Prior Authorization Request (PDF), Mental Health Outpatient Treatment Report (PDF), Overpayment Refund Notification Form (PDF), Psychological Testing Request for Authorization(PDF), Overview of Medicaid with Healthy Blue and Medicare Advantage with Healthy Blue + Medicare(HMO D-SNP) (PDF), Care Part B Expansion Adstiladrin, Altuviiio, Idacio, Lamzede, Lunsumio, Rebyota, Signifor LAR, Syfovre, Vivimusta (PDF), Clinical Criteria Updates November 2022 Healthy Blue + Medicare (HMO D-SNP) (PDF), Clinical Criteria Updates - March 2023 (PDF), Clinical Criteria Updates - May 2023 (PDF), Clinical Laboratory Improvement Amendments (PDF), Conducting the Medicare Annual Wellness Visit Via Telehealth: Guide for Office, Nursing and Provider Staff (PDF), Electronic Data Interchange Overview(PDF), How to Navigate Patient360 through the Availity Portal(PDF), Healthy Blue + Medicare D-SNP Supplemental Guide (PDF), Medical Policies and Clinical Utilization Management Guidelines Update (PDF), Medical Step Therapy - Rituxan Agents (PDF), Medicare Advantage Skilled Nursing Facility/Rehabilitation Pre-Certification Worksheet (PDF), Medicare Annual Wellness Visit Workflow(PDF), Medicare Medical Precertification Expansion(PDF), Medicare Part B Precert Expansion Imjudo, Pedmark, Tecvayli, Tzield, Vegzelma(PDF), Medicare Risk Adjustment Provider Documentation and Coding Guide(PDF), Pharmacotherapy Management of COPD Exacerbation HEDIS Measure (PDF), Prior Authorization Requirement Changes Effective August 1, 2023(PDF), Prior Authorization Requirement Changes Effective November 1, 2023 (PDF), Prior Authorization Requirement Changes Effective December 1, 2023(PDF), Providing a Superb Patient Experience(PDF), Providing Preventive Care in an Urgent Care Setting: Guide for Urgent are Clinical Team Members (PDF), Somatus is your Resource for Kidney Care Management(PDF), Specialty Pharmacy Medical Step Therapy for Hyaluronan Injections (PDF), Unspecified Diagnosis Code of Site and Laterality (PDF), UPDATED: Blue Cross NC Expands Specialty Pharmacy Precertification List(PDF), Code and Clinical Editing Guidelines(PDF), Diagnosis-Related Group (DRG) Inpatient Facility Transfers(PDF), Distinct Procedural Services (Modifiers 59, XE, XP, XS, XU)(PDF), Emergency Department: Leveling of Evaluation and Management Services(PDF), Emergency Services: Nonparticipating Providers and Facilities(PDF), Facility Take-Home DME and Medical Supplies(PDF), Modifier 76: Repeat Procedure by the Same Physician(PDF), Multiple Procedure Payment Reduction(PDF), Multiple Radiology Payment Reduction(PDF), Nurse Practitioner and Physician Assistant Services(PDF), Reimbursement for Items under Warranty (PDF), Technology Assisted Surgical Procedures (PDF), non-discrimination policy and no-cost services, Medical Policies and Clinical UM Guidelines. As Healthy Blue members, we will help make sure you and your family get all your Medicaid benefits, plus extra benefits offered through Healthy Blue at no cost.. Medicaid Benefits | Healthy Blue of North Carolina We are committed to supporting you in providing quality care and services to Healthy Blue members. Healthy Blue + Medicare HMO D-SNP | Providers | Blue Cross NC Behavioral Health Crisis Line: 844-594-5076. |, North Carolina Individual Health Insurance, Non-Discrimination Policy and Accessibility Services, Jerry Ballard & Associates, Inc. is very pleased to introduce you to Dental Blue. Learn about our coverage options for small and large employers, and access tools and resources for your group. We have licensed clinicians available to speak with you and to connect you to the support you need to feel better. All applicants (both under and over 65) and their dependents (spouses, domestic partners and/or children under the age of 26) are eligible. PO Box 62947
Here are some resources to help. Open our Blue Cross NC brochure to see dental coverage options for you, your spouse and your family. Choose from convenient online payment options -- credit card, check or automatic check withdrawal. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides free aids to service people with disabilities as well as free language services for people whose primary language is not English. When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. Who's eligible for Dental Blue for Individuals? Ambulatory surgical center outpatient emergency dental services with prior authorization. Dentists | Resources | Delta Dental of North Carolina A care manager is a specially trained health professional who works with you and your doctors to make sure you get the right care when and where you need it. Labs (to get tests). You can redeem some benefits online through your secure account. {oOgaS~C=s^ s\V"5:'0H In fact, eligible Medicaid beneficiaries age 21 and older may receive a maximum $750 annual benefit in covered dental services. Dental products and network overview Our overview will walk you through Dental Blue coverage and ID cards. Be prepared with the knowledge to assist our members. Find one who meets your needs using the search tool below. Don't Have Dental Coverage? AmeriHealth Caritas North Carolina, Inc. - Prepaid Health Plan; Statewide. Behavioral health providers (mental health and substance abuse). No deductibles for routine check-ups, diagnostic or preventive services. Getting your ID card. to enroll in EFT. Paper claims mailed to the following address: Prior authorizations for hospital operating room cases should be mailed to: Annual maximum accumulator for adult beneficiaries, Links to resources such as the South Carolina Department of Health and Human Services fee schedule, provider bulletins and general oral health resources. Copyright 2023 Jerry Ballard & Associates, Inc. All rights reserved. North Carolina Medicaid: Ultimate Guide - Medicare Plan Finder %
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2001 Mail Service Center Email: ProviderRecruitmentNC@amerihealthcaritas.com; Phone: 844-399-0474; Healthy Blue of North Carolina - Prepaid Health Plan; Statewide. Healthy Blue is the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve North Carolinians who participate in the state Medicaid program. PDF Member Handbook Update - Healthy Blue of North Carolina . Please feel free to call Healthy Blue Provider Services at 844-594-5072 with any suggestions, comments and/or questions. Medicaid for South Carolina | Healthy Blue of South Carolina . 3350 Peachtree Road NE
This information will be updated weekly on Fridays.