Feb 14, 2018: Some BCBSOK Members Received Inaccurate Information about Their Doctors’ Network Status
Due to a system error, between Jan. 1, 2018, and Feb. 8, 2018, some Blue Cross and Blue Shield of Oklahoma (BCBSOK) members incorrectly received letters telling them their doctors had left our networks. The issue has been resolved. We deeply regret any inconvenience this caused our members, employers and providers. Members who received such letters should visit our online Provider Finder® to confirm their providers’ network participation status. Members can also call the customer service number on their member ID card for assistance. Please contact your BCBSOK representative with any questions or concerns.
Update: 1095-B Forms Mailing Next Week
The 1095-B forms are mailing next week, and a reminder about the weekly file correction process.
So in Tulsa you can go to St. Francis, but the ER doctors will not be in BCBS network:
Feb 2, 2018: Emergency Medical Physicians of Tulsa County Leaves BCBSOK Networks
We want to make you aware that Blue Cross and Blue Shield of Oklahoma (BCBSOK) received a notice of termination from Emergency Medical Physicians of Tulsa County (EMP). EMP is a physician group that staffs the emergency departments of Saint Francis hospitals in Tulsa, Muskogee and Vinita.
We attempted to negotiate a new contract with EMP, but were unable to come to a reasonable agreement that protects our members and employers. As of Feb. 1, 2018, EMP is no longer a part of our Blue TraditionalSM, Blue Choice PPOSM, Blue Preferred PPOSM or Blue Advantage PPOSM networks.
Members will continue to have coverage for emergency care at Saint Francis in Tulsa, Muskogee and Vinita, but may now pay significantly more out-of-pocket for its doctors’ services. These services will be paid at the in-network benefit level. Members will be responsible for any amount over that level. Payments for services on or after Feb. 1, 2018, will be made directly to the member. It will be the member’s responsibility to pay the hospital for their care.
We regret we were unable to reach an agreement and will do all we can to help our members find alternate emergency departments. Members with questions can call the number on their member ID card.
Please Note: Saint Francis Health System remains in our network. This impacts only the emergency room physicians located at the Tulsa, Muskogee and Vinita locations.
Please contact your BCBSOK representative with questions or concerns.
BCBS Individual plans:
Feb 11, 2018: 1095-B Forms will begin printing on March 2. Please allow 2 (two) weeks for delivery.
If 1095-B form has not been received by March 17, please let us know and we can request a reprint.
PLEASE NOTE these forms will be sent to the member's Physical Address.
These are the forms you need to file your taxes, this is the last year you are subject to the ACA penalty if you don't provide your 1095 form when you file.
Where do these 1095 forms come from?
1095A - If you have coverage through the Healthcare Marketplace, they will mail you the 1095A OR you can login to your account and download it.
1095B - You have individual BCBS not through the Healthcare Marketplace, BCBS will mail to you beginning March 2nd.
1095C - You have group health insurance through a job, the insurance company will mail to you. Click here.
Call me today at 405-249-2910
BCBS # to make your premium payments for Individual plans:
Premium payments can be made for New and Existing members at bcbsok.com.
Existing members may also pay by phone at 1-866-680-5505.
Please use these channels for the quickest experience.
Trump Administration Issues New STM Rules
Feb 20, 2018: Citing a lack of consumer options and the rising cost of insurance, the Departments of Labor and Health and Human Services (HHS) issued a proposed rule reversing changes made to short-term medical (STM) by the Obama administration.
Under Obama, STM plans were limited to a maximum duration of up to three months. There will be a 60-day comment period before the new rule can go into place.