FAQs

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1. Explanation of Benefits (EOB)
   To determine what you owe from your Explanation of Benefits, please refer to any dollar amounts listed in "Applied to Deductible" column and "Your Coinsurance/Copayment Amount" column.  Bot ...
   Date Updated: 08/19/2008 09:45 AM     
2. BlueCard Program PPO Membership
   
   Date Updated: 08/04/2008 03:23 PM     
3. Primary Care Physician (PCP) Selection
   No, with the State of Montana traditional and Managed Care option, it is not necessary to choose a PCP; however, it is beneficial to see a provider who is participating with Blue Cross and Blue Shield ...
   Date Updated: 08/04/2008 10:34 AM     
4. Personal Care Physician - Family
   No. You may choose one Personal Care Physician (PCP) for your entire family or a different PCP for each eligible member of your family.
   Date Updated: 08/04/2008 03:11 PM     
5. Locating a Participating Provider
   You can locate a Participating Provider in your area by utilizing the Blue Cross and Blue Shield of Montana (BCBSMT) Provider Directory (Find A Provider).   You can use the BCBSMT website ...
   Date Updated: 08/21/2008 12:20 PM     
6. Claim Forms
   Participating providers will submit your claims for you. Otherwise, to submit a claim for medical and/or dental services, you must complete an itemized statement or claim form. You should obtain the ...
   Date Updated: 08/04/2008 03:10 PM     
7. Premium Payments
   Your premiums are due on the date noted on your billing statement.  However, you will receive a reminder notice seven days after the payment is due.  Fourteen days later, your poli ...
   Date Updated: 08/04/2008 03:36 PM     
8. Prior Authorization
   Prior authorization is the approval obtained from or by Blue Cross and Blue Shield of Montana for services that are subject to specific medical criteria or guidelines.  Prior authorization w ...
   Date Updated: 08/04/2008 03:30 PM     
9. Deductible
   A deductible is the fixed amount the patient must pay each benefit-year before the insurer will begin covering the cost of care. For a specific dollar amount, please call us at 1-800-447-7828 or log ...
   Date Updated: 08/04/2008 03:35 PM     
10. Allowable Fee
    
    Date Updated: 08/19/2008 04:23 PM     

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