Wegovy blue cross blue shield michigan.

This page provides the clinical criteria documents for all injectable, infused, or implanted prescription drugs and therapies covered under the medical benefit.The effective dates for using these documents for clinical reviews are communicated through the provider notification process. The Clinical Criteria information is alphabetized in the ... State of Michigan Employee and Retiree Health Plans. Blue Cross Blue Shield of Michigan is proud to be the state's largest insurer, and your insurer. But being large doesn't mean we forget the individual needs of our members. So we've created this customized site just for employees and retirees of the State of Michigan.Contact the GM Benefits & Services Center for plan options. Phone: 1-800-489-4646. TTY: 1-800-610-4015. Hours: 7:30 a.m. to 6 p.m. Eastern Time. (business days excluding New York Stock Exchange holidays) Find a doctor, dentist, hospital or other provider in your area using our find a doctor search.Blue Cross Blue Shield of Michigan and Blue Care Network offer medical plans for Michigan public school retirees. Learn about your health plan options and ways to stay healthy. ... ©1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield ...

Skilled Nursing Facility and Acute Inpatient Rehabilitation form for Blue Cross and BCN commercial members. Michigan providers should attach the completed form to the request in the e-referral system. Non-Michigan providers should fax the completed form using the fax numbers on the form. PDF.WEGOVY ® (semaglutide) injection 2.4 mg is an injectable prescription medicine that may help adults and children aged ≥12 years with obesity (BMI ≥30 for adults, BMI ≥ 95th percentile for age and sex for children), or some adults with excess weight (BMI ≥27) (overweight) who also have weight-related medical problems to help them lose ...

Wegovy is intended for use in conjunction with a reduced-calorie diet and increased physical activity. Blue Cross Blue Shield Coverage for Wegovy. Blue Cross Blue Shield is one of the largest health insurance providers in the United States, offering coverage to millions of individuals and families.

Welcome to BCBS FEP 2023 Open Season Nov. 13 - Dec. 11, 2023. Please tell us who you are. We'll guide you to the right place. Active federal employee with BCBS FEP. Retired federal employee with BCBS FEP. Interested in BCBS FEP.PPO (Blue Cross Blue Shield). HMO (Blue Care Network). Blue Cross® Physician Choice PPO. Blue Cross® Metro Detroit HMO. Blue Cross® Premier and Premier ...Under the State Health Plan PPO, members choose their in-network providers from the BCBSM Community Blue/Blue Preferred PPO Network. The network covers all 83 Michigan counties and is the largest PPO network in Michigan. It has more than 20,000 physicians, including specialists, and more than 140 all acute care hospitals in Michigan.View and print digital ID cards, or request a hard copy by mail. When it comes to understanding your healthcare, all questions are good questions. Get helpful tips and insights on the topics that are most important to you. Credence offers health insurance, including medical, dental and prescription drug coverage to individuals and families ...

20. 6. 2023. ... Wegovy is indicated for weight loss, but insurance coverage is still not guaranteed. There are a number of steps you can take to curb spending ...

The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program® (FEP®), has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. It covers 5.6 million federal employees, retirees, and their families out of the more than 8.5 million people who receive their …

Quickly reference insurance provider coverage of anti-obesity medications, including phentermine, Lomaira (phentermine 8), Qsymia (phentermine-topiramate), Contrave (naltrexone HCI …WEGOVY (semaglutide, SQ) SAXENDA (liraglutide, SQ) Diagnoses Considered for Coverage: • Chronic weight management . Coverage Criteria: 1. For Wegovy request for chronic weight management, approve if: Initial • One of the following: a. Current BMI ≥ 40 kg/m. 2. or. b. BMI 35-39 kg/mAdd common drugs to your drug list. Atorvastatin Calcium. Albuterol Sulfate HFA. Novolog. Epipen 2-Pak.Each Blue Cross Blue Shield company is responsible for the information that it provides. For more information about Medicare including a complete listing of plans available in your service area, please contact the Medicare program at 1-800-MEDICARE (TTY users should call 1-877-486-2048) or visit www.medicare.gov . 2024 Drug Lists. You can use drug lists to see if a medication is covered by your plan. You can also find out if the medication is available as a generic, needs prior authorization or has a quantity limit.Blue Cross Blue Shield of Michigan and Blue Care Network . Custom and Clinical Drug Lists . Alternatives for nonpreferred and nonformulary (not covered) drugs. Our goals are to provide you with safe, high-quality prescription drug therapies and keep your medical costs low. To help

Drug Lookup. If you take regular medication, enter your drug name below to make sure it's covered. Once you enter your drug (s), you can save, print or email a PDF for reference*. Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you haven't paid your deductible. Call Member ...Jul 10, 2023 · Insurance giant Blue Cross Blue Shield of Michigan cited "higher-than-average pharmacy cost trends" as among the reasons it needs to raise rates. More: Obamacare in Michigan: How Affordable Care ... Florida Blue is a trade name of Blue Cross and Blue Shield of Florida, Inc. Florida Blue HMO is a trade name of Health Options, Inc., an affiliate of Blue Cross and Blue Shield of Florida, Inc. These companies are Independent Licensees of the Blue Cross Blue Shield Association. 18. 5. 2023. ... Ozempic, Wegovy and Mounjaro are not covered for weight loss under most Medicare and Medicaid programs. "Health insurance providers work to ...This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: RI 71-017). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures.Add common drugs to your drug list. Atorvastatin Calcium. Albuterol Sulfate HFA. Novolog. Epipen 2-Pak.

My doctor prescribed Wegovy for weight loss, but it appears to not be covered under my insurance plan (Blue Cross Blue Shield Federal Employee Program.) While I'd like to try it, the $1400+ price per month cost isn't realistic or feasible.When this drug list (formulary) refers to “we,” “us,” or “our,” it means Blue Cross Blue Shield of Michigan. When it refers to “plan” or “our plan,” it means . Medicare Plus Blue Group PPO. or . Prescription Blue Group PDP. This document includes a list of the drugs (formulary) for our plan which is current as of

With that said, blue cross in area and insurance is covered without a pre auth, I think they said it would be like $40 a month for it. Mounjaro needed a pre auth and was like $70 a month or something. I would call and ask, I got someone pretty quick. I don’t like surprises so better to make sure than get a huge bill. 1.Contact the GM Benefits & Services Center for plan options. Phone: 1-800-489-4646. TTY: 1-800-610-4015. Hours: 7:30 a.m. to 6 p.m. Eastern Time. (business days excluding New York Stock Exchange holidays) Find a doctor, dentist, hospital or other provider in your area using our find a doctor search.Learn more about a Healthier Michigan.org A Healthier Michigan ©1996- Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.Jan 30, 2023 · Blue Cross and Blue Shield of Illinois told NPR that benefits offered by employer plans can vary. "Weight-loss drugs like Wegovy may be covered, depending on the member's benefit plan," a spokesperson for the company said. Many other insurance carriers also determine coverage based on what employers are willing to cover. Important Information About Medicare Plans ©1996-2021 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.Blue Cross Blue Shield will cover weight management, as long as the patient has a medical condition that is likely to be helped by weight management. Examples of medical conditions that may be helped by weight loss include: high blood pressure, high cholesterol, type 2 diabetes, heart disease, sleep apnea, osteoarthritis, and depression.Aug 16, 2021 · After successful clinical trials, Wegovy (semaglutide) earned FDA approval for weight loss, making it the first drug of its kind to get that status since 2014. But it doesn’t come cheap. Wegovy hit the market in June at a list price of $1,350 and cash price of about $1,627 for a 28-day supply. That price tag is roughly on par with another ... Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Claim Forms. Download a claim form for medical services, pharmacy services or overseas care. ... You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. The protection ...Quickly reference insurance provider coverage of anti-obesity medications, including phentermine, Lomaira (phentermine 8), Qsymia (phentermine-topiramate), Contrave (naltrexone HCI …

We’re united in our social mission as a non-profit mutual to make a meaningful and lasting impact to Michigan citizens and communities. ... Shield of Michigan . Careers. Make Your Career. Making A Difference. Find Jobs. Job title, skill, keyword. Near Location. ... When you join Blue Cross you are joining one of the best, brightest and most ...

The Preferred Drug List, known as the drug formulary, is the list of medicines we cover. This list can help your doctor select medicines for you. Both generic and brand name medicines are on the list. We require that generic medicines be used when available. Below is our drug list and updates:

Blue Cross and Blue Shield of Illinois told NPR that benefits offered by employer plans can vary. "Weight-loss drugs like Wegovy may be covered, depending …Blue Cross Blue Shield of Massachusetts provides a Summary of Benefits and Coverage (SBC) with online access to the corresponding coverage policy to all of our fully insured members and accounts. To view your coverage policy document, select the size of your employer group, then the plan name listed at the top of your SBC. If you are not part ...Jan 11, 2023 · Private insurance companies. Ask your insurance provider if your plan has any out-of-pocket costs before it will cover Wegovy. Some health insurance plans require you to meet a deductible before they pay anything for medicine. If your insurer won’t pay for Wegovy, inquire with Novo Nordisk about a Wegovy Savings Copay Card. Blue Cross Blue Shield of Michigan Clinical Drug List The Blue Cross Blue Shield of Michigan Clinical Drug List is a useful reference and educational tool for prescribers, pharmacists and members. We regularly update this list with medications approved by the U.S. Food and Drug Administration and reviewed by our Pharmacy and Therapeutics Committee.Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. The criteria for medications that need prior authorization or step therapy are based on current medical information and the recommendations of Blue Cross and BCN’s PharmacyHMO: 1-888-227-2345. Medicare members: Medicare Advantage PPO: 1-877-241-2583. Medicare Advantage HMO: 1-800-450-3680. Medicare supplement: 1-888-216-4858. Medicare prescription drug: 1-800-565-1770. TTY users: To reach any number listed here, dial 711. Note: Blue Cross ® Medicare Supplement plan members can't use online bill …Michigan Department of Health and Human Services. P.O. Box 30479. Lansing, Michigan 48909-7979. Telephone Number: 517-245-2758. Fax Number: 517-763-0142. E-mail Address: [email protected]. Member and provider access to information on drugs and supplies covered by the Michigan Medicaid Health Plans.Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. The criteria for medications that need prior authorization or step therapy are based on current medical information and the recommendations of Blue Cross and BCN’s PharmacyGoogle Tag Manager. Login. Please enter your User ID and Password. User ID: Password: I forgot my User ID/Password. LOGIN. Sign up for BlueAccess. Go back to the Blue Cross and Blue Shield of Kansas home page.2024 Drug Lists. You can use drug lists to see if a medication is covered by your plan. You can also find out if the medication is available as a generic, needs prior authorization or has a quantity limit.

Check with your provider (e.g. Kaiser, Aetna, Anthem, Blue Cross Blue Shield, etc.) to see if they cover Wegovy and the requirements. If you're interested in taking Wegovy and your insurance doesn't cover it, consider exploring other options, such as applying for financial assistance from the drug manufacturer or looking into discount programs.Blue Care Network Of Michigan. 27000 W 11 Mile Rd, Southfield, MI 48034. Farmers Insurance. 26677 W 12 Mile Rd, Southfield, MI 48034. Cigna Health Care. 400 Galleria Officentre Ste 500, Southfield, MI 48034. Global Commercial Credit, LLC. 30200 Telegraph Rd, Bingham Farms, MI 48025. eFund Insurance and Financial Services LLCCheck your cost and coverage Patients should call their insurance provider directly to confirm the accuracy of coverage information provided through this tool. This assessment is based upon the information you provided and does not constitute a guarantee of coverage or copay amount. Already know your coverage? Get your Wegovy® savings offer Instagram:https://instagram. biggest gains stockshow to trade spy options dailymatch vs bumblenike dsw 11. 1. 2023. ... Wegovy is a weight loss drug approved for people with obesity or overweight people who also have medical problems related to their weight. lord abbett short duration income itela stock price With that said, blue cross in area and insurance is covered without a pre auth, I think they said it would be like $40 a month for it. Mounjaro needed a pre auth and was like $70 a month or something. I would call and ask, I got someone pretty quick. I don’t like surprises so better to make sure than get a huge bill. 1.WEGOVY (semaglutide, SQ) SAXENDA (liraglutide, SQ) Diagnoses Considered for Coverage: • Chronic weight management . Coverage Criteria: 1. For Wegovy request for chronic weight management, approve if: Initial • One of the following: a. Current BMI ≥ 40 kg/m. 2. or. b. BMI 35-39 kg/m online checking account with instant debit card Improved technology eases administrative process for health care teams. DETROIT, Sept. 7, 2023 /PRNewswire/ -- Blue Cross Blue Shield of Michigan, a national leader in streamlined prior ...Welcome to BCBS FEP 2023 Open Season Nov. 13 - Dec. 11, 2023. Please tell us who you are. We'll guide you to the right place. Active federal employee with BCBS FEP. Retired federal employee with BCBS FEP. Interested in BCBS FEP.