What is the difference between Anthem and Excellus? 1946 West Ridge Road, Suite B Blue Cross Blue Shield Global Core is a BCBSA program providing medical assistance and claims support services to eligible Blue Cross Blue Shield members. What do the fields on my Explanation of Benefits (EOB) mean? Phone - 1-877-726-4727 HMO plans with prescription drug coverage: HMO plans without prescription drug coverage: PPO plans with prescription drug coverage: Some Excellus premiums are higher than competitors, but those higher premiums may be offset by lower out-of-pocket costs, such as deductibles and annual out-of-pocket maximums. Health Insurance Plans for Excellus BCBS Brokers, Understanding High Deductible Health Plans, Add or Remove Group Numbers for Online Enrollment & Billing, Your request will be completed within 24-48 hours. Those that do provide coverage often have a limit on the number of sessions. 74% of employees would recommend working at Excellus BlueCross BlueShield to a friend and 69% have a positive outlook for the business. PPO members must generally use pharmacies in the Excellus network to fill prescriptions for covered Part D medications. The itemized bill must include the following: Your claim for prescription drugs must include: Your claim for private duty nursing care must include: Your claim for durable medical equipment must include: Follow this link to View our Mailing Address. At the Excellus BCBS office, you can: Rochester Office For Claims, Membership Enrollment forms, and related Correspondence: Excellus BlueCross BlueShield What do I do if my benefits are exhausted for mental health or alcohol/substance use services? Re: Website Privacy Policy All calls are toll-free, anonymous and confidential. Medicare Advantage 2022 Spotlight: First Look., National Association of Insurance Commissioners. Apply Your Military Skills at Syracuse UniversityOur Mission Is Your Mission, Benefit Administrators: Contact Information, Dependent Care Flexible Spending Account (FSA), Health Care Flexible Spending Account (FSA), Carebridge, our Faculty and Staff Assistance Program, Wellness Initiative for Faculty and Staff, Syracuse University Department of Public Safety Officers Union (SUDPSOU), Service Employees International Union Local 200United Contract and Contacts, Managing and Supervising Student Employees, Paid Family Leave Information for Managers/Supervisors, Health Benefits for Retirement Prior to Jan. 1, 2006, Health Benefits for Retirement On or After Jan. 1, 2006, Retiree Prescription Drug Benefit Medicare Part D, Financial Education and Planning for Retirees, Lesbian, Gay, Bisexual, Transgender, Queer, and Asexual (LGBTQA+) Communities, Discrimination/Harassment (non-sexual) Reporting Procedures for Staff, Excellus BlueCross BlueShield (BCBS): Office Hours, Excellus BlueCross BlueShield (BCBS): Provider Directory, Choose Find a Doctor, Provider or Facility, If using Guest search make sure you adjust your. "Cookies" are small digital files that are transferred to your computer or smartphone's hard drive when you visit a website or click on a URL. Providers can submit an open negotiation form. Website - www.samhsa.gov. Excellus Reviews | Best Company Programs that provide this benefit often have a limited number of sessions. Check your coverage information or call Customer Services to see what benefits are available to you and if prior authorization is required. Collection and Retention of Personally Identifiable Information. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. If you are in an ongoing course of treatment when your doctor leaves your insurance plan, then you may be able to continue to receive covered services for the ongoing treatment from your doctor for up to 90 days from the date your doctors contractual obligation to provide services to you terminates. Annual out-of-pocket maximums for in-network services range from $4,500 to $7,550, averaging $7,017. We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Excellus BlueCross BlueShield has an overall rating of 4.0 out of 5, based on over 358 reviews left anonymously by employees. Whether you need help understanding your benefits, dont understand a bill, or just have questions, our local team is here to help. Use the Send to Us Electronically link under Submit a Claim. If your doctor agrees to these conditions, you will receive the covered services as if they were being provided by a participating provider. With practical experience running his own IT business and an education in the liberal arts, Matthew Klammer had become well-accustomed to the difficulties of research. You will need to attach an itemized bill from the provider who rendered services to you. Apply for Customer Care Advocate IA job with Excellus BCBS in Utica, NY. "Session Variables" are similar to Cookies except that they remain on our servers and are not transferred to your computer or smartphone. Our representatives are available Weekdays 9 a.m. to 4:30 p.m., except for holidays. We have policies for families, children, full-time students, seniors, and for people on low or fixed incomes. Call our Customer Care team at 1-800-234-4781 to schedule an appointment. 14 Durkee Street, Suite 250 No problem! Check your contract or benefit booklet, talk to your employer group representative or contact us if you are unsure whether or not you need to obtain a referral from your PCP. Contact Us | Employers | Excellus BlueCross BlueShield Excellus BlueCross BlueShield is a nonprofit plan based in upstate New York. Whats changing: Youll likely receive COVID-19 antiviral medication and treatment at no cost for now. Excellus members can also get the Blue365 discounts, which include additional discounts on fitness programs and products, eye exams and eyeglass frames, nutrition programs and products, hearing screening and hearing aids, and other wellness-related benefits. Under the federal Health Insurance Portability and Accountability Act (known by its acronym, HIPAA), we are required to protect any and all information that could lead anyone to identify you by your past, present and/or future medical or mental health treatment or conditions. Call our Customer Care team at 1-800-234-4781 to schedule an appointment. Manager of Instructional Design- 15337 | Customer - Excellus BCBS Excellus BlueCross BlueShield If you still have questions, you should contact the Customer Service department at the telephone number on your member card. The information you're accessing may not be Medicare-specific and/or provided by Excellus BCBS. Contact your physician before you enter treatment, unless it is an emergency. Almost all health plans already include full coverage for vaccines (including COVID-19 vaccines and boosters) that are recommended by the federal Advisory Committee on Immunization Practices (ACIP) and given by an in-network provider. Copyright 2023, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. Reminder: Personal Protective Equipment ("PPE") Used by Providers, Commercial Group, Medicare, and Qualified Health Plan members, call 1-800-499-1275, Medicaid and Child Health Plus members, call 1-800-650-4359, Essential Plan members, call 1-877-626-9298. Rochester, NY 14647 Check your local phone directory for specific agency listings. Login | Providers | Excellus BlueCross BlueShield Please contact customer services. "F, G & J Deductible Announcements. Our online Find a Doctor feature includes participating health care professionals names, addresses and driving directions, specialties, office hours, and much more. 47 Riverside Drive We use cookies and other technologies to optimize site functionality, analyze website traffic, and share information with social media, advertising, and analytics partners. Members should call thenumber on their Member ID Card. Working as a Customer Advocate at Excellus BlueCross BlueShield As is the case with all of Syracuse Universitys employee benefit plans, the University reserves the right to modify or terminate these benefits at any time. Website - https://nyspltc.health.ny.gov/, The Centers for Medicare & Medicaid Services (CMS) provides Medicare and Medicaid information for each state. Monday Friday: 9 a.m. 4:30 p.m. Do plan health care providers receive financial incentives for my care? Contact Us | Brokers | Excellus BlueCross BlueShield Walk-ins welcome! By using our Website you consent to this Privacy Policy. Syracuse, NY 13214-1803 Syracuse, NY 13214-1803, In the Rochester Region and Nationwide: What policies do you offer for people who don't receive health insurance coverage through an employer? Customer Service, Claims & Operations at Excellus BCBS Copyright 2023 Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. Excellus was formed as a holding company through the merger of BlueCross BlueShield plans of Rochester and Central New York, which were founded in 1935 and 1936 respectively. It offers Medicare Advantage and Medigap Plans. How do I request new or additional member cards? If you need an immediate response, please call by telephone. Salary: Excellus BlueCross BlueShield Customer Services & Support There are 10 standard Medigap plan types, each with set benefits across all insurers. Follow these links to send a private, secure message to us. Excellus - Contact Us The information you're accessing may not be provided by Excellus BCBS. Where to Find Us. Please utilize the appropriate form and attach to ensure proper handling. Please contact us at the number listed on your subscriber Member Card if you receive any additional bills. Almost all of the physicians in the area participate with us, so you have a large network from which to choose. At this time, electronic methods are preferred over mail. Aetna works better if lowering your monthly cost is most important, but you might spend more overall if you use a lot of health care services. Give our Customer Care team a call at 1-800-234-4781 and we will help connect you to the support you need. Pay all co-payments required under your program. Members have the. You can view this report online at www.dfs.ny.gov/consumers/health_insurance/health_insurance_complaint_rankings or use the addresses below to request a printed copy: * If requesting by email or mail, please provide Your Name, Address, City/State/ZIP. Note: The 72-hour time-frame does not include the time required to process your document. Provide you information about enrollment and our services; To respond to your questions and inquiries; Improve our Website and address any technical issues; Analyze the use of the Website to improve our service offerings and produce anonymous or aggregated data and statistics that might help third parties develop their own products and service offerings; Customize the Website for your interests; To the extent applicable, for processing your premium payments; Comply with our Terms and Conditions of Use (which is available on our Website); Comply with any applicable laws and regulations and respond to lawful requests; and. If you are pregnant and in your second or third trimester, you may be able to continue care with your doctor through delivery and any postpartum care directly related to the delivery. Annual out-of-pocket maximums for in-network services are $4,500. If not releasing the information would put your health in danger, we are allowed to release it to those who need to know it. SSL encryption ensures that the information transmitted remains secure. You may also visit Fair Healths website (www.fairhealthconsumer.org) to estimate potential out-of-network out-of-pocket expenses. You may opt-out of tracking and receiving tailored advertisements on your mobile device by some mobile advertising companies and other similar entities by downloading the App Choices app at. You wont need a referral from your PCP to see a participating OB/GYN for covered OB/GYN care, including routine annual exams, prenatal care, or mammograms. Find My BCBS Company Please log in to your member account at ExcellusBCBS.com to view your benefits. Working from home can have many benefits for both employees and employers. Dental Customer Service - for members and dentists 1-800-724-1675 Hours: Monday - Thursday 8:00 am - 5:30 pm Friday 9:00 am - 5:30 pm Mailing address for claims Excellus BCBS PO Box 21146 Eagan, MN 55121 This is not a contract or binding agreement; it is a summary of benefits and services. Type of computer, web browsers, search engine used, operating system, or platform you use or web browser; Data identifying the web pages you visited prior to and after visiting our Website; and/or. If you are unsure, please contact your group benefits representative. Information about services, staff, hours of operation and your benefits, including access to routine services as well as after-hours and emergency services, and members' rights and responsibilities; Participate in decision-making with your physician about your health care; Obtain complete, current information concerning a diagnosis, treatment and prognosis from a provider in terms that you can reasonably be expected to understand; Refuse treatment as allowed by law, and be informed by your physician of the medical consequences; Confidentiality of medical records and information, with the authority to approve or refuse the re-disclosure by us of such information, to the extent protected by law; Receive all information needed to give informed consent for any procedure or treatment; Access to your medical records as permitted by New York State law; Express concerns and complaints about the care and services provided by physicians and other providers, and have us investigate and respond to these concerns and complaints; Candid discussion of appropriate or medically necessary treatment options for your condition, regardless of cost or benefit coverage; Care and treatment without regard to age, race, color, sex or sexual orientation, religion, marital status, national origin, economic status or source of payment; Voice complaints or appeals and recommend changes in benefits and services to staff, administration and/or the New York State Insurance Department or Department of Health, without fear of reprisal; Formulate advance directives regarding your care. We included the National Association of Insurance Commissioners complaint index and AM Bests financial stability ratings. Not ready (or able) to visit us in person? Members can find doctors, track deductibles and spending, and view or request a new member ID card with online accounts or the mobile app. Help When You Need It Excellus BCBS Members: For personalized care and questions, call the number on your member card. Walk-ins welcome! If you have a non-life threatening condition (e.g., sore throat, cold/flu symptoms, or ankle sprain) we encourage you to obtain care at one of the many Urgent Care Centers in your area. Website - www.oasas.ny.gov/hopeline, SAMHSA - an Agency of the U.S. Department of Health & Human Services To learn about specifics, refer to Mental Health Parity Member Disclosure. Take a Tour | Download App We're Here For You Select a method below to get started: Email Call Mail Visit Quick Links Print Forms Give permission to access your health information Crisis Services Find a Doctor or Find a Dentist Telehealth / Telemedicine Stop by our walk-in customer service units if you'd like to visit us in-person. Customer Service, Claims & Operations at Excellus BCBS Membership inquiries using the 'Enrollment & Billing Support' form are delivered into a secure database in which inquiries are tracked and monitored. Find a doctor, estimate medical cost and track your deductible and spending. This will allow your Mental Health or Chemical Dependency specialist to share information with your Primary Care Physician concerning your treatment plan and medical condition. Learn more about your rights and protections against surprise medical bills in this NoticeOpen a pdf.

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