How do I submit a Vision Claim Form for Guardian Vision?
There is no specific claim form for ASO non-network vision, however, the below standard information must …
How do I submit a Vision Claim Form for Guardian Vision? Read more →
Category: Claims
Filing a Medical Claim
If you visit a network provider, your provider should submit your claim to the appropriate Blue …
I think you should have paid more money on my claim. How do I appeal this claim?
You must request reconsideration of a fully or partially denied claim within 180 days of the …
I think you should have paid more money on my claim. How do I appeal this claim? Read more →
When do I need a pre-authorization for any of the Health Plan benefits?
Pre-authorizations are required for eyelid, breast and nasal surgeries because these procedures often fall under the …
When do I need a pre-authorization for any of the Health Plan benefits? Read more →
My doctor prescribed an exercise bike. Will the Plan pay for this?
No. Although the Plan will cover durable medical equipment (DME) when prescribed by a doctor, general …
My doctor prescribed an exercise bike. Will the Plan pay for this? Read more →
My doctor has recommended that I go on a weight loss program since I have a heart condition. Will the Plan pay for this program?
No. There is no Plan benefit for weight loss programs,whether or not they are pursued under …
My doctor recommended that I see a nutritionist. Will the Plan cover this service?
The Plan will cover nutritional counseling for certain chronic illnesses.
I really don’t like wearing glasses and I can’t wear contacts. Will the Plan pay for surgery to correct my vision?
No. Any surgery performed to correct a refractive error, such as LASIK, is not covered under …
Am I covered by this Health Plan when I travel to another country?
Yes. Claims incurred in foreign countries are covered provided that they are as a result of …
Am I covered by this Health Plan when I travel to another country? Read more →
If I am injured on the job, will the Plan pay for my medical expenses?
Occupational injuries or illnesses are normally covered under Workers’ Compensation Insurance. On-the-job injuries or illnesses are …
If I am injured on the job, will the Plan pay for my medical expenses? Read more →