BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge} When you hear "BlueCross BlueShield of South Carolina," you'll see people nodding in recognition. Most everyone knows who we are. As the only South Carolina-owned and operated health insurance carrier, we have been offering security to Palmetto State citizens for more than 70 years. We are also one of South Carolina's largest employers. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}In some situations, your plan may require you to get prior authorization. This is a process that allows us to review whether a service or medication is medically necessary before the plan agrees to cover it. There may be other treatment options available. Some may even lower your out-of-pocket costs. You must complete the prior authorization ...BlueCross leader named to Women of Influence list. Dec. 30, 2021: A Columbia business publication has recognized a BlueCross leader for her extensive community involvement and professional leadership. Stephanie DeFreese, vice president of agency sales, is one of 22 honorees named to Columbia Regional Business Report’s 2021 Women of Influence ... Using Your Plan. Managing your benefits plan can seem overwhelming — but it doesn’t have to be. We want to make it easy for you to: Understand your coverage. Find quality, cost-effective care when you need it. View information about your claims and plan usage. Access tools to support you in making decisions about your care. Dental Plan. If your insurance plan includes dental coverage, this coverage is separate from your health plan. It has its own deductible and cost share structure. Most dental plans help pay for services such as: Routine cleanings and exams. Dental X-rays. Fillings and crowns.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. ...BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Drug Lists. Quantity Management – This program limits the amount we cover for certain drugs. We provide medical necessity exceptions for some of these limits when you request and receive prior authorization for them. Step Therapy – Step therapy requires members to try cost-effective “First Choice” medications before trying (or ...BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Blue Cross and Blue Shield of South Carolina 4101 Percival Road Columbia, SC 29229. P.O. Box 600601 Columbia, SC 29260. www.bcbssc.com. Customer Service. 1-800-444-0025 Columbia 1-800-444-4325 Charleston. Precertification. 1-803-264-3100. Mental Health/Substance Use Disorder Precertification. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Columbia, SC 29219. Our general phone number is: 803-788-0222. Toll-free: 800-288-2227. We also have South Carolina BLUE retail centers in Columbia, Greenville and Mount Pleasant where you can speak to us in person. Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. 00400 – State Health Plan. 00401 – BlueCross BlueShield of South Carolina. 00402 – Federal Employee Plan BlueCross. 00403 ...BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. HealthyBlue is offered by BlueChoice ® HealthPlan. To maintain the security of …Choose a state to see how Blue Cross Blue Shield is working in your community. The independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. 107. M. members covered. Information current and approximate as of December 31, 2018. $ 382. M+.Welcome to National Alliance. Your ultimate strategic partner. We help all types of organizations across the country serve complex, self-funded accounts while creating new possibilities that drive lasting impact. Your high-powered trailblazer. We combine the strength and scale of BlueCross BlueShield of South Carolina with the dedication and ...BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. ...Vision Service Plans. We're partnered with VSP ® Individual Vision Plans to give you access to the services and products you need to care for your eyes. You’ll enjoy comprehensive vision coverage and access to the personalized care you deserve all at low out-of-pocket costs. And, as a member, you’ll get an annual average savings of more ...BlueCross BlueShield of South Carolina (BlueCross) is an independent licensee of the Blue Cross and Blue Shield Association. BlueCross serves 21.5 million people through …Prescription Benefits. State Health Plan coverage includes prescription benefits at no extra cost. Prescription drugs are a major benefit to you and a major part of the cost of our self-insured health plan. Prescription drugs are covered only at network pharmacies. Express Scripts is the pharmacy benefits manager. If you have questions about your plan or bill, you can: Call 855-404-6752 to speak with one of our customer service advocates. Visit at a South Carolina BLUE SM retail center. Email [email protected]. When contacting us, please have your name, date of birth and effective coverage date available. bcbs of sc south carolina commission chart. street agent level new. sc. individual 23 / family 2+ 51. the information, software, products, and services included in or available through direct options’ websites may include inaccuracies or typographical errors. changes are periodically added to the information herein. direct options and/or its suppliers may … BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge} BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}In some situations, your plan may require you to get prior authorization. This is a process that allows us to review whether a service or medication is medically necessary before the plan agrees to cover it. There may be other treatment options available. Some may even lower your out-of-pocket costs. You must complete the prior authorization ... BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Assistance. Contact Us; Disclaimer; ... Plan Details | BlueEssentials HD Bronze 5. No obligation to enroll. Mon-Fri: 8am-11pm, Sat-Sun: 8am-11pm ET. Advertisement from our partner. TTY users 711. SC. Blue Cross and Blue Shield of South Carolina. Plan.Our medical policies include evidence-based treatment guidelines. They address common medical situations. You can review our medical policies online any time. Please keep in mind that: The policies aren’t medical advice. They don’t guarantee results or outcomes. These policies may change to stay up to date with current research.To request prior authorization, contact Companion Benefits Alternatives (CBA) using one of the below options: Calling 800-868-1032. Forms Resource Center – This online tool makes it easy for behavioral health clinicians to submit behavioral health prior authorization requests. The tool guides you through all of the forms you need so you can ...BlueCross BlueShield of South Carolina (BlueCross) is the third-party administrator for the State Health Plan. Copayments. A copayment is the fixed amount you pay for a covered health care service or drug. You will pay a copayment for prescription drugs, office visits, emergency care and outpatient facility services. Copayments do not apply to your annual …Claims. When you see a doctor or other health care provider, the provider’s office sends us a claim. The claim includes information on what treatments, tests or other services you received. The claims process is how we determine how much the plan pays and how much you may owe. We process the claim based on the terms of your specific benefit plan.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}BlueCross leader named to Women of Influence list. Dec. 30, 2021: A Columbia business publication has recognized a BlueCross leader for her extensive community involvement and professional leadership. Stephanie DeFreese, vice president of agency sales, is one of 22 honorees named to Columbia Regional Business Report’s 2021 Women of Influence ...BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}In some situations, your plan may require you to get prior authorization. This is a process that allows us to review whether a service or medication is medically necessary before the plan agrees to cover it. There may be other treatment options available. Some may even lower your out-of-pocket costs. You must complete the prior authorization ... BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge} Calling this number will direct you to a licensed sales agent. BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. Enrollment depends on contract renewal. The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated … BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. HealthyBlue is offered by BlueChoice ® HealthPlan. To maintain the security of your member information, your session has timed out. About BlueCross BlueShield of South Carolina. Headquartered in Columbia and operating in South Carolina for 72 years, BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. The only South Carolina-owned and operated health insurance carrier, BlueCross BlueShield of …BlueChoice ® HealthPlan of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Contact us Call us at 800-760-3690 to speak with one of our experienced sales counselors.If you have questions or need assistance making a payment, you can reach us at 855-404-6752, Monday through Friday from 8:30 a.m. to 5:30 p.m.If your health plan includes health coaching, we’ve got you covered. You can work with a personal health coach who can help you make positive changes at your own pace. We offer coaching for chronic disease management, behavioral health and healthy lifestyles. Mental Health and Substance Abuse.Open site menu Sites. Toggle MenuDrug Lists. Quantity Management – This program limits the amount we cover for certain drugs. We provide medical necessity exceptions for some of these limits when you request and receive prior authorization for them. Step Therapy – Step therapy requires members to try cost-effective “First Choice” medications before trying (or ... When you hear "BlueCross BlueShield of South Carolina," you'll see people nodding in recognition. Most everyone knows who we are. As the only South Carolina-owned and operated health insurance carrier, we have been offering security to Palmetto State citizens for more than 70 years. We are also one of South Carolina's largest employers. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. ...Make the most of your dental benefits. Our Find a Dentist tool can help you locate a dentist by name, facility, location or specialty. Is your dentist not in our network? You can nominate them to be included. Use our Participating Dental Provider Nomination Form.In some situations, your plan may require you to get prior authorization. This is a process that allows us to review whether a service or medication is medically necessary before the plan agrees to cover it. There may be other treatment options available. Some may even lower your out-of-pocket costs. You must complete the prior authorization ...Make the most of your dental benefits. Our Find a Dentist tool can help you locate a dentist by name, facility, location or specialty. Is your dentist not in our network? You can nominate them to be included. Use our Participating Dental Provider Nomination Form.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}International Solutions and Licensees. As the association representing BCBS companies, the Blue Cross Blue Shield Association (BCBSA) provides a strong foundation of national leadership with industry colleagues, government officials, the media and the public. BCBSA employees work in our offices in Chicago and Washington, D.C.BlueCross leader named to Women of Influence list. Dec. 30, 2021: A Columbia business publication has recognized a BlueCross leader for her extensive community involvement and professional leadership. Stephanie DeFreese, vice president of agency sales, is one of 22 honorees named to Columbia Regional Business Report’s 2021 Women of Influence ...If you need special assistance or an accommodation while seeking employment, please email [email protected] or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. ... BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Assistance. Contact Us; Disclaimer; ... The health plan portion of your benefits helps to pay the costs of medical services such as: Sick and well visits with your doctor. Lab tests and diagnostic procedures. Screenings and immunizations. Inpatient or outpatient medical treatment. Care in a hospital, urgent care center or other place of care. Learn how to make the move to Medicare with ease with the help of BlueCross. Find out about our health insurance options and plans for people over 65, Medicare basics, and glossary of terms. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Senior Vice President at Blue Cross Blue Shield of South Carolina Columbia, SC. Connect Wanda Jett, PMP, CCXP Blythewood, SC. Connect Tim Vaughn President and Chief Operating Officer at BlueChoice ...Our Preferred Blue network is the largest network of physicians, hospitals and other health care providers in the state — with more than 10,000 physicians and every South …As a member of Blue Cross Blue Shield of South Carolina Medicare Advantage you have an over-the-counter (OTC) beneft every quarter. This beneft allows you to get OTC products you may need. Be sure to use your beneft amounts before the end of every quarter. Simply order online, mail your completed order form or call 1-800-480-6876 (TTY: 711).North Myrtle Beach 29577. Sumter – 2475 Broad St., Sumter 29150. Rock Hill – 2174 Cherry Road, Rock Hill 29732. About BlueCross BlueShield of South Carolina. Headquartered in Columbia and operating in South Carolina for 72 years, BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association ... How to handle your provider enrollment inquiries: For case-specific provider enrollment questions, submit a case comment within the case and someone from the enrollment team will assist. For general provider enrollment questions, submit a support case within MyPEP. For MyPEP concerns or general assistance with the portal, contact your provider ... If your health plan includes health coaching, we’ve got you covered. You can work with a personal health coach who can help you make positive changes at your own pace. We offer coaching for chronic disease management, behavioral health and healthy lifestyles. Mental Health and Substance Abuse.Comprehensive coverage for individuals and families. Our plans offer comprehensive coverage for individuals and families and comply with the Affordable Care Act (ACA). These plans are only available during the annual open enrollment period or within 60 days of a qualifying life event, such as a change in marital, family or job status.Drug Lists. Quantity Management – This program limits the amount we cover for certain drugs. We provide medical necessity exceptions for some of these limits when you request and receive prior authorization for them. Step Therapy – Step therapy requires members to try cost-effective “First Choice” medications before trying (or ...You may be eligible to receive a breast pump at no cost to you. Eligible members can choose one of three pumps: Medela Pump In Style with Maxflow. Ameda Mya Joy pump. Ameda One-Hand Manual pump. Visit one of these sites to take advantage of this benefit: Better Living Now. Edwards Health Care Services. Adapt Health.Calling this number will direct you to a licensed sales agent. BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. Enrollment depends on contract renewal. The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated …International Solutions and Licensees. As the association representing BCBS companies, the Blue Cross Blue Shield Association (BCBSA) provides a strong foundation of national leadership with industry colleagues, government officials, the media and the public. BCBSA employees work in our offices in Chicago and Washington, D.C.Join a network, make updates and more. My Provider Enrollment Portal. Laboratory*. Patient-Centered Medical Home. Electronic Funds Transfer and Remittances. *Avalon is an independent company that manages lab benefits on behalf of BlueCross BlueShield of South Carolina.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Healthy Blue of South Carolina. Healthy Connections. Call Provider Service. Monday - Friday, 8:30 AM - 5:00 PM. 866-757-8286. For general Medicaid questions, contact Healthy Connections at 877-552-4642 or TTY 877-552-4670. …In some situations, your plan may require you to get prior authorization. This is a process that allows us to review whether a service or medication is medically necessary before the plan agrees to cover it. There may be other treatment options available. Some may even lower your out-of-pocket costs. You must complete the prior authorization ...Comprehensive coverage for individuals and families. Our plans offer comprehensive coverage for individuals and families and comply with the Affordable Care Act (ACA). These plans are only available during the annual open enrollment period or within 60 days of a qualifying life event, such as a change in marital, family or job status.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Estimates help you avoid surprises when the bills come. Costs for a medical procedure — like an ultrasound, a checkup, X-rays or joint replacement — can vary by hundreds of dollars. Our Shopping for Care feature includes cost estimates to help you find the right care at the right price. Log in to your My Health Toolkit ® account.Comprehensive coverage for individuals and families. Our plans offer comprehensive coverage for individuals and families and comply with the Affordable Care Act (ACA). These plans are only available during the annual open enrollment period or within 60 days of a qualifying life event, such as a change in marital, family or job status. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge} Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. 00400 – State Health Plan. 00401 – BlueCross BlueShield of South Carolina. 00402 – Federal Employee Plan BlueCross. 00403 ...BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Flexible Spending Account. A flexible spending account, or FSA, gives you the option to set aside some of your own money, tax-free, to use for health care expenses. An FSA can pair with any type of health plan. You can use your FSA to help save on taxes when you pay your share of health care costs, such as your deductible, copays or coinsurance.Prisma Health accepts most major insurance plans. If you have any questions about coverage, please contact your insurer prior to scheduling an appointment. Currently accepted plans include: Medicare Advantage. Commercial. ACA Exchange. Medicaid. Behavioral Health. We accept most major insurance plans.
How can I complete a prior authorization request for two or more procedures, such as a colonoscopy and endoscopy, via My Insurance Manager? You cannot complete a prior authorization request for more than one service on a single entry using My Insurance Manager SM.Once you have chosen your request type and select one service, you will …. Ohio vintage fest 2024
There are several types of Medicare Advantage plans. The BlueCross Total SM and BlueCross Total Value SM Preferred Provider Organization (PPO) plans provide in-state and out-of-state coverage. BlueCross Secure SM …BlueCross offers our members a variety of added benefits to your coverage, plus peace of mind knowing that you have access to: All hospitals and most doctors in South Carolina. Affordable plan options including plans that come with a $0 monthly premium*. 100 percent coverage of preventive services. Online tools to find doctors, pharmacies and a ...Charleston/Beaufort/Colleton region. Phone: 800-476-8231 or 843-571-5503. Fax: 843-554-4879. Address: 4400 Leeds Ave., Suite 100, North Charleston, SC 29405. Group Marketing Representative. Julie Burchette. 843-367-6443. Individual Marketing Representative.Select BlueCross BlueShield of South Carolina members can earn up to $150 per year for completing wellness activities through the Blue Rewards SM program: Get a flu shot and earn $60. Get a wellness exam and earn $60 more. Have a …Calling this number will direct you to a licensed sales agent. BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. Enrollment depends on contract renewal. The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated …Prescription Benefits. State Health Plan coverage includes prescription benefits at no extra cost. Prescription drugs are a major benefit to you and a major part of the cost of our self-insured health plan. Prescription drugs are covered only at network pharmacies. Express Scripts is the pharmacy benefits manager.Your request should include: Provider Reconsideration Form, completed in its entirety. An explanation of the issue (s) you’d like us to reconsider. Any supporting documentation, such as: The patient’s health history. Operative reports, office notes, pathology reports, hospital progress notes, radiology reports and/or lab reports.Medicare Advantage plans are an alternative to Original Medicare offered by private insurance plans. These plans offer everything covered by Medicare Part A (hospital coverage) and Part B (medical coverage), and they often include extra benefits like drug, vision, dental and hearing coverage. Learn more about the differences between Medicare ... To request prior authorization, contact Companion Benefits Alternatives (CBA) using one of the below options: Calling 800-868-1032. Forms Resource Center – This online tool makes it easy for behavioral health clinicians to submit behavioral health prior authorization requests. The tool guides you through all of the forms you need so you can ... Vision Service Plans. We're partnered with VSP ® Individual Vision Plans to give you access to the services and products you need to care for your eyes. You’ll enjoy comprehensive vision coverage and access to the personalized care you deserve all at low out-of-pocket costs. And, as a member, you’ll get an annual average savings of more ...About S.C. PEBA BlueCross BlueShield of South Carolina PEBA Press Room Contact Us Insurance Information 2023 Insurance Benefits Guide 2024 Insurance Benefits Guide 2024 Insurance Summary S.C Public Employee Benefit AuthorityBlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Calling this number will direct you to a licensed sales agent. BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. Enrollment depends on contract renewal. The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated …Columbia - Open Enrollment for individual health insurance begins Sunday, and Blue Cross® BlueShield® of South Carolina and BlueChoice® HealthPlan of South Carolina are ready to provide access to health care coverage at highly competitive rates. The companies’ South Carolina BLUEâ„ stores will be open this Sunday, 12 p.m.-5 p.m., and …BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. Enrollment depends on contract renewal. Your health plan complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}.