There is an individual deductible of $50 per member per benefit period. A formulary is a list of prescription medications that are covered under Blue Cross Of Idaho Care Plus, Inc.'s 2020 Medicare Advantage Plan in Idaho. You must be logged-in to view this page. Exam and Hardware Allowance – Blue Cross of Idaho gives you six different exam and hardware allowance plans to choose from. Drugs are categorized into benefit levels, also known as tiers, which determine the amount you pay. Learn how to request a coverage decision, which is also sometimes called an organizational determination. These include but are not limited to certain prenatal supplements, contraceptives, fluoride for children and tobacco cessation aids. Select Check Drug Cost & Coverage from the Plan & Benefits menu. Offered only directly from Blue Cross of Idaho, Healthy Smiles is a family of flexible and affordable dental plans (Preventive, Plus, and Preferred) that include varying degrees of coverage so you can select a dental plan that best fits your needs. Members have the option to purchase the three supplemental benefits below for an additional $39.00 per month. Blue Cross of Idaho’s commitment to that is unchanging in these unprecedented times. Receipt of benefits is subject to satisfaction of all terms and conditions of the coverage. Plan brochure. FY2021 COBRA Premium Rate (Start July 1) FY2021 COBRA Rates – MEDICAL Exam and Hardware Allowance Benefit Summary (31KB) Exam and Full Hardware – With three different exam and full hardware plans, you can offer your employees the maximum vision benefit. Most employer groups use one of three formularies. Blue Cross of Idaho Rx offers comprehensive pharmacy benefits for many of our members. Get more information on Healthy Smiles plans. The Preventive Drug List (2020 and 2021) provides a list of medications covered under the preventive drug benefit . Select Access Your Pharmacy Benefits Now – You will be redirected to the CVS Website. Fax 1-208-387-6811 You may contact us by fax for expedited coverage decisions. Please refer to the back of your patient’s Blue Cross of Idaho ID card to determine if their benefits are administered by Blue Cross of Idaho Rx. Sort by Facility or City. You can protect yourself and eligible dependents during those times between coverage or outside enrollment periods, choosing coverage for just one month, or up to six months. If so, those plans need to work together to make sure you’re getting the most out of your coverage. Do you have more than one health insurance plan? In excess of the maximum allowance. Blue Cross of Idaho offers coverage for mammogram screenings. Rate card: (11/01/2020 through 01/31/2021) Rate card: (02/01/2021 through 04/30/2021) Each Healthy Smile plan has something unique to offer. Details Drug Coverage for the Blue Cross of Idaho True Blue Rx Preferred H1350-021 (HMO) in Idaho. The medical policies contained in this manual are the property of Blue Cross of Idaho. Start a file for your FY2021 receipts. {{theModel.firstDateLabel}} {{theModel.secondDateLabel}} Date of Event * Zip Code. You can search other benefit periods to review previous benefit descriptions. You can protect yourself and eligible dependents during those times between coverage or outside enrollment periods, choosing coverage for just one month, or up to six months. Medical policies consist of medical guidelines, including diagnostic imaging management policies, payment guidelines and evidence-based guidelines. You’ll need your Blue Cross of Idaho member ID card to get started.). An Independent Licensee of the Blue Cross and Blue Shield Association, Summary of Benefits & Coverage Information, Sleep Testing and Therapy & Advanced Imaging, Nondiscrimination Notice and Language Assistance. In an example provided by Blue Cross of Idaho, a family of four would pay a monthly premium of $933 for the insurer's ACA-compliant Bronze 5500 plan with a deductible of $11,000. 2. INDIVIDUAL & FAMILY. MERIDIAN, Idaho, April 2, 2020 – Blue Cross of Idaho announced today the company has waived all member cost-sharing for testing and treatment of COVID-19.The company’s decision benefits its individual, fully insured and Medicare Advantage members. Blue Cross of Idaho provides health insurance, dental insurance, and medicare advantage coverage to the residents of Idaho. Please enter a valid Zip Code. The Healthy Smiles Advantage. You can verify which formulary to use by checking the Prescription Drug Program section of your plan's Benefit Description, located under Benefits & Coverage after logging in. Blue Cross of Idaho administers COBRA coverage for state of Idaho group members. Details Drug Coverage for the Blue Cross of Idaho True Blue Rx Gem H1350-024 (HMO) in Idaho. For fast (expedited) coverage decisions, call the same number at 1-888-494-2583 (TTY 711). Fax 1-208-387-6811 You may contact us by fax for expedited coverage decisions. Find plans that bring peace of mind to you and your family. (Check your summary of benefits and coverage to see the list of covered vaccines for your plan.). Box 8406, Boise, ID 83707 The policies are used for the express purpose of assisting physicians and other healthcare providers in providing evidence based cost effective care. You have the option to choose a brand-name medication when a generic equivalent exists. Plus, knowing what’s covered saves you money! Your Benefits “To-Do” List. To help fill the gaps in your Medicare coverage, Blue Cross of Idaho Care Plus offers Idaho MedPlus Medicare Supplement plans. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts. The Blue Cross of Idaho formularies list drugs approved for coverage under your policy. Blue Cross of Idaho, an independent licensee of the Blue Cross and Blue Shield Association, is the state's largest health insurer, providing coverage for nearly 550,000 members. Vaccines ― For policies that offer full coverage for preventive vaccines, members can get the following vaccines from participating network pharmacies with no copayment. Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance companies that provide health insurance in the United States to more than 106 million people. 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