For eligibility, prior authorization or claims inquiries, call 87. In-network providers will be paid at their contracted rate.
Out-of-network providers will be paid the Medicare-allowed amount less any member cost-sharing. These members enjoy the same level of coverage as other Medicare Advantage members with no network restrictions. Out-of-network Note: If you see Medicare members or accept Medicare assignment and are willing to bill BCBSMT, you may treat Blue Cross Group Medicare Advantage Open Access (PPO) members. Our retiree group Medicare plans are Blue Cross Group Medicare Advantage (PPO) SM and Blue Cross Group Medicare Advantage Open Access (PPO) SM.We maintain and monitor a network of participating providers including physicians, hospitals, skilled nursing facilities, ancillary providers, and other health care providers through which members obtain covered services. Our strong brand recognition and our historical relationship with Medicare makes BCBSMT an excellent choice for Medicare-eligible individuals. Our service area includes the following counties in Montana: Beaverhead, Broadwater, Carbon, Cascade, Deer Lodge, Fergus, Flathead, Gallatin, Granite, Hill, Jefferson, Lake, Lewis and Clark, Lincoln, Madison, Missoula, Park, Powell, Ravalli, Silver Bow, Stillwater and Yellowstone.Blue Cross and Blue Shield of Montana (BCBSMT) offers both individual and group Medicare Advantage plans.
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Medicare Advantage plans offer all the coverage of Original Medicare - plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options.
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