Prescription Benefits. State Health Plan coverage includes prescription benefits at no extra cost. Prescription drugs are a major benefit to you and a major part of the cost of our self-insured health plan. Prescription drugs are covered only at network pharmacies. Express Scripts is the pharmacy benefits manager.The information on this page applies to individuals and families who have Affordable Care Act (ACA) plans. Use this page to see if your pharmacy is in network or search our Covered Drug List to see if a medication is covered. *2024 Standard Plans include: Blue VirtuConnect, BlueEssentials Standard, Blue Congaree Standard, Blue Cooper Standard ...Charleston/Beaufort/Colleton region. Phone: 800-476-8231 or 843-571-5503. Fax: 843-554-4879. Address: 4400 Leeds Ave., Suite 100, North Charleston, SC 29405. Group Marketing Representative. Julie Burchette. 843-367-6443. Individual Marketing Representative.About BCBS of South Carolina. Blue Cross Blue Shield (BCBS) is a nationwide insurance provider that may cover rehab for drug and alcohol addiction depending on your plan and individual needs. BCBS of South Carolina was formed when BlueCross, originally named the South Carolina Hospital Service Plan (est. 1946) and …Pay by phone. Our pay-by-phone service accepts secure payments any time, day or night. Simply have your BlueCross BlueShield of South Carolina ID number handy and give us a call at 855-404-6752. Select option 1. Call Us Now.An Individual Coverage Health Reimbursement Arrangement (ICHRA) is a new type of reimbursement model that offers substantial flexibility to employers of all sizes. ICHRA contributions are fully funded with tax-free contributions by the employer to reimburse their employees for eligible medical expenses. What makes an ICHRA unique is that the ... Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Columbia, SC 29219. Our general phone number is: 803-788-0222. Toll-free: 800-288-2227. We also have South Carolina BLUE retail centers in Columbia, Greenville and Mount Pleasant where you can speak to us in person. The power of Blue. All hospitals and most doctors in South Carolina. Affordable plan options including plans that come with a $0 monthly premium*. 100 percent coverage of …BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}An Individual Coverage Health Reimbursement Arrangement (ICHRA) is a new type of reimbursement model that offers substantial flexibility to employers of all sizes. ICHRA contributions are fully funded with tax-free contributions by the employer to reimburse their employees for eligible medical expenses. What makes an ICHRA unique is that the ...Learn how to sign up for individual health insurance plans with low rates and subsidies from Blue Cross and BlueChoice in South Carolina. Find out the dates, locations and … Using Your Plan. Managing your benefits plan can seem overwhelming — but it doesn’t have to be. We want to make it easy for you to: Understand your coverage. Find quality, cost-effective care when you need it. View information about your claims and plan usage. Access tools to support you in making decisions about your care. The appeal process. You have the right to appeal a denied claim. To do so, you must submit a written request within 180 days from the date on your EOB. You can file the appeal yourself, or someone can file it on your behalf. Your request should include the following information: Name and ID number. Patient name.🟢 Blue Cross Blue Shield South Carolina. This data contains the price transparency machine-readable files provided by BCBS South Carolina that have been normalized into easy-to-use tables. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge} BlueChoice HealthPlan of South Carolina. Health care is complicated. BlueChoice is simple. Find the right care for you across our expansive network of doctors, hospitals and other providers. Our all-inclusive office visit copayment makes health visits easy. Get connected to BlueChoice HealthPlan faster and easier with the My Health Toolkit ® app.Please use the following payer IDs for direct electronic claim submissions to BlueCross BlueShield of South Carolina. If you transmit through a clearinghouse, the clearinghouse may require different payer IDs. 00400 – State Health Plan. 00401 – BlueCross BlueShield of South Carolina. 00402 – Federal Employee Plan BlueCross. 00403 ...About BCBS of South Carolina. Blue Cross Blue Shield (BCBS) is a nationwide insurance provider that may cover rehab for drug and alcohol addiction depending on your plan and individual needs. BCBS of South Carolina was formed when BlueCross, originally named the South Carolina Hospital Service Plan (est. 1946) and …From the mountains to the Midlands, across the state and down the coast, BlueChoice HealthPlan is truly South Carolina's health plan. Our Mission Our mission is to deliver … BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge} Get Started. Navigating your Medicare coverage options can be overwhelming. We can help you. BlueCross has offered peace of mind to South Carolinians for more than 70 years. Call us at 800-760-3690 to speak with one of our experienced counselors. Get a quote online. Visit us in person at a South Carolina BLUE SM retail center near you.How to handle your provider enrollment inquiries: For case-specific provider enrollment questions, submit a case comment within the case and someone from the enrollment team will assist. For general provider enrollment questions, submit a support case within MyPEP. For MyPEP concerns or general assistance with the portal, contact your provider ...Choose a state to see how Blue Cross Blue Shield is working in your community. The independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. 107. M. members covered. Information current and approximate as of December 31, 2018. $ 382. M+. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge} Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Columbia, SC 29219. Our general phone number is: 803-788-0222. Toll-free: 800-288-2227. We also have South Carolina BLUE retail centers in Columbia, Greenville and Mount Pleasant where you can speak to us in person. Your request should include: Provider Reconsideration Form, completed in its entirety. An explanation of the issue (s) you’d like us to reconsider. Any supporting documentation, such as: The patient’s health history. Operative reports, office notes, pathology reports, hospital progress notes, radiology reports and/or lab reports. Dental Plan. If your insurance plan includes dental coverage, this coverage is separate from your health plan. It has its own deductible and cost share structure. Most dental plans help pay for services such as: Routine cleanings and exams. Dental X-rays. Fillings and crowns. In some situations, your plan may require you to get prior authorization. This is a process that allows us to review whether a service or medication is medically necessary before the plan agrees to cover it. There may be other treatment options available. Some may even lower your out-of-pocket costs. You must complete the prior authorization ...BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}BlueCross BlueShield of South Carolina has considered this issue and has included specialty labs and centers of excellence within the network of laboratory providers. The centers of excellence are staffed by qualified clinical pathologists and genetic counselors prepared to answer your inquiries both before and after you perform testing. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Columbia, SC 29219. Our general phone number is: 803-788-0222. Toll-free: 800-288-2227. We also have South Carolina BLUE retail centers in Columbia, Greenville and Mount Pleasant where you can speak to us in person. Columbia, S.C. — BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan of South Carolina are urging people to consider telehealth for their next non-emergency room doctor visit. Members can use the service for behavioral health, urgent care and lactation consultation. Both companies are advocating the option during … It’s easy to get started with Blue CareOnDemand. Log in to your My Health Toolkit ® account. From your desktop, visit www.SouthCarolinaBlues.com to log in. Select Providers & Services, then Telehealth. From My Health Toolkit mobile, select Find Care, then Video Visit. Then follow the instructions to register. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}About BlueCross BlueShield of South Carolina. Headquartered in Columbia and operating in South Carolina for 72 years, BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. The only South Carolina-owned and operated health insurance carrier, BlueCross BlueShield of …About S.C. PEBA BlueCross BlueShield of South Carolina PEBA Press Room Contact Us Insurance Information 2023 Insurance Benefits Guide 2024 Insurance Benefits Guide 2024 Insurance Summary S.C Public Employee Benefit Authority If you have questions about your plan or bill, you can: Call 855-404-6752 to speak with one of our customer service advocates. Visit at a South Carolina BLUE SM retail center. Email [email protected]. When contacting us, please have your name, date of birth and effective coverage date available. PEBA is the public employee benefit authority for South Carolina. It offers health, dental and behavioral health coverage to state plan members through BlueCross BlueShield of SC.Columbia - Open Enrollment for individual health insurance begins Sunday, and Blue Cross® BlueShield® of South Carolina and BlueChoice® HealthPlan of South Carolina are ready to provide access to health care coverage at highly competitive rates. The companies’ South Carolina BLUEâ„ stores will be open this Sunday, 12 p.m.-5 p.m., and …Laboratory services. PAS Portal — This is Avalon's prior authorization system (PAS). If you do not have an account, request one here. Phone: 844-227-5769. Fax: 813-751-3760 — Submit the Preauthorization Request Form along with supporting documentation. Our Preferred Blue network is the largest network of physicians, hospitals and other health care providers in the state — with more than 10,000 physicians and every South Carolina hospital. That translates to more claims paid in network and dramatic cost savings. BlueCross members can also video chat with a physician from their home computers ... Daily cards customized to your goals help you explore new ways to get healthier and earn rewards. Interesting challenges offer activities to tackle and perhaps share with coworkers, friends or family members. You can set goals and keep track of your progress, accessing Strive tools easily on your computer or mobile device.Your request should include: Provider Reconsideration Form, completed in its entirety. An explanation of the issue (s) you’d like us to reconsider. Any supporting documentation, such as: The patient’s health history. Operative reports, office notes, pathology reports, hospital progress notes, radiology reports and/or lab reports.You may be eligible to receive a breast pump at no cost to you. Eligible members can choose one of three pumps: Medela Pump In Style with Maxflow. Ameda Mya Joy pump. Ameda One-Hand Manual pump. Visit one of these sites to take advantage of this benefit: Better Living Now. Edwards Health Care Services. Adapt Health.BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Estimates help you avoid surprises when the bills come. Costs for a medical procedure — like an ultrasound, a checkup, X-rays or joint replacement — can vary by hundreds of dollars. Our Shopping for Care feature includes cost estimates to help you find the right care at the right price. Log in to your My Health Toolkit ® account.In some situations, your plan may require you to get prior authorization. This is a process that allows us to review whether a service or medication is medically necessary before the plan agrees to cover it. There may be other treatment options available. Some may even lower your out-of-pocket costs. You must complete the prior authorization ...Comprehensive coverage for individuals and families. Our plans offer comprehensive coverage for individuals and families and comply with the Affordable Care Act (ACA). These plans are only available during the annual open enrollment period or within 60 days of a qualifying life event, such as a change in marital, family or job status.Do all BlueCross BlueShield of South Carolina and BlueChoice HealthPlan plans cover both telemedicine and telehealth? BlueCross and BlueChoice ® cover consultations between referring and consulting physicians via telemedicine. Telehealth services that allow members to see a doctor by video via computer or mobile device may be included in ... BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. HealthyBlue is offered by BlueChoice ® HealthPlan. To maintain the security of your member information, your session has timed out. BlueCross BlueShield of South Carolina and BlueChoice ® HealthPlan are independent licensees of the Blue Cross and Blue Shield Association. HealthyBlue is offered by BlueChoice ® HealthPlan. To maintain the security of your member information, your session has timed out. BlueCross BlueShield of South Carolina is the fastest and easiest way to enroll in ACA / Marketplace health insurance. Click on the link to shop and compare plans, grab a …BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}It’s easy to get started with Blue CareOnDemand. Log in to your My Health Toolkit ® account. From your desktop, visit www.SouthCarolinaBlues.com to log in. Select Providers & Services, then Telehealth. From My Health Toolkit mobile, select Find Care, then Video Visit. Then follow the instructions to register. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge} Comprehensive coverage for individuals and families. Our plans offer comprehensive coverage for individuals and families and comply with the Affordable Care Act (ACA). These plans are only available during the annual open enrollment period or within 60 days of a qualifying life event, such as a change in marital, family or job status. Learn how to make the move to Medicare with ease with the help of BlueCross. Find out about our health insurance options and plans for people over 65, Medicare basics, and glossary of terms. If you have questions about your plan or bill, you can: Call 855-404-6752 to speak with one of our customer service advocates. Visit at a South Carolina BLUE SM retail center. Email [email protected]. When contacting us, please have your name, date of birth and effective coverage date available.BlueCross offers our members a variety of added benefits to your coverage, plus peace of mind knowing that you have access to: All hospitals and most doctors in South Carolina. Affordable plan options including plans that come with a $0 monthly premium*. 100 percent coverage of preventive services. Online tools to find doctors, pharmacies and a ... BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Assistance. Contact Us; Disclaimer; ... BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. Enrollment depends on contract renewal. Your health plan complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.With a Blue Term short-term insurance plan, you can choose from an extensive list of in-network providers. Most are based in South Carolina. Check our provider directory to see which providers are in our network. When you use your plan, you won’t have to file claims. Simply just pay the discounted rate directly to participating providers for ...Calling this number will direct you to a licensed sales agent. BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. Enrollment depends on contract renewal. The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated …Your request should include: Provider Reconsideration Form, completed in its entirety. An explanation of the issue (s) you’d like us to reconsider. Any supporting documentation, such as: The patient’s health history. Operative reports, office notes, pathology reports, hospital progress notes, radiology reports and/or lab reports. Web Content Viewer (JSR 286) - Non-Secure only Component Action Menu As a member of Blue Cross Blue Shield of South Carolina Medicare Advantage you have an over-the-counter (OTC) beneft every quarter. This beneft allows you to get OTC products you may need. Be sure to use your beneft amounts before the end of every quarter. Simply order online, mail your completed order form or call 1-800-480-6876 (TTY: 711).Charleston/Beaufort/Colleton region. Phone: 800-476-8231 or 843-571-5503. Fax: 843-554-4879. Address: 4400 Leeds Ave., Suite 100, North Charleston, SC 29405. Group Marketing Representative. Julie Burchette. 843-367-6443. Individual Marketing Representative.Find Care. When you or a loved one is sick or injured, getting care is your highest priority. We want to make it easy for you to: Choose appropriate care for your situation. Find a doctor, dentist or other health care provider. Take advantage of innovative options, such as Blue CareOnDemand SM.Dental Plan. If your insurance plan includes dental coverage, this coverage is separate from your health plan. It has its own deductible and cost share structure. Most dental plans help pay for services such as: Routine cleanings and exams. Dental X-rays. Fillings and crowns.Daily cards customized to your goals help you explore new ways to get healthier and earn rewards. Interesting challenges offer activities to tackle and perhaps share with coworkers, friends or family members. You can set goals and keep track of your progress, accessing Strive tools easily on your computer or mobile device.Drug Lists. Quantity Management – This program limits the amount we cover for certain drugs. We provide medical necessity exceptions for some of these limits when you request and receive prior authorization for them. Step Therapy – Step therapy requires members to try cost-effective “First Choice” medications before trying (or ... Our Preferred Blue network is the largest network of physicians, hospitals and other health care providers in the state — with more than 10,000 physicians and every South Carolina hospital. That translates to more claims paid in network and dramatic cost savings. BlueCross members can also video chat with a physician from their home computers ... Prescription Benefits. State Health Plan coverage includes prescription benefits at no extra cost. Prescription drugs are a major benefit to you and a major part of the cost of our self-insured health plan. Prescription drugs are covered only at network pharmacies. Express Scripts is the pharmacy benefits manager. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Assistance. Contact Us; Disclaimer; ... Estimates help you avoid surprises when the bills come. Costs for a medical procedure — like an ultrasound, a checkup, X-rays or joint replacement — can vary by hundreds of dollars. Our Shopping for Care feature includes cost estimates to help you find the right care at the right price. Log in to your My Health Toolkit ® account.In some situations, your plan may require you to get prior authorization. This is a process that allows us to review whether a service or medication is medically necessary before the plan agrees to cover it. There may be other treatment options available. Some may even lower your out-of-pocket costs. You must complete the prior authorization ...How can I complete a prior authorization request for two or more procedures, such as a colonoscopy and endoscopy, via My Insurance Manager? You cannot complete a prior authorization request for more than one service on a single entry using My Insurance Manager SM.Once you have chosen your request type and select one service, you will …BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. ...BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Comprehensive coverage for individuals and families. Our plans offer comprehensive coverage for individuals and families and comply with the Affordable Care Act (ACA). These plans are only available during the annual open enrollment period or within 60 days of a qualifying life event, such as a change in marital, family or job status.Health Insurance, Medicare & Group Health Plans | BlueCross BlueShield of South Carolina.There’s value in Blue Medicare Solutions plans. Our plans come with a variety of benefits, programs and extras — all from a name that’s earned the trust of South Carolinians for more than 75 years. We offer: FitOn Health fitness membership program. Dental coverage, included with some plans and available as an option on others.PEBA is the public employee benefit authority for South Carolina. It offers health, dental and behavioral health coverage to state plan members through BlueCross BlueShield of SC.Our Preferred Blue network is the largest network of physicians, hospitals and other health care providers in the state — with more than 10,000 physicians and every South …Your request should include: Provider Reconsideration Form, completed in its entirety. An explanation of the issue (s) you’d like us to reconsider. Any supporting documentation, such as: The patient’s health history. Operative reports, office notes, pathology reports, hospital progress notes, radiology reports and/or lab reports. BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}
Calling this number will direct you to a licensed sales agent. BlueCross BlueShield of South Carolina is a Medicare Advantage PPO and HMO plan with a Medicare contract. Enrollment depends on contract renewal. The Silver&Fit program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated …. Tamarind restaurant tribeca
The appeal process. You have the right to appeal a denied claim. To do so, you must submit a written request within 180 days from the date on your EOB. You can file the appeal yourself, or someone can file it on your behalf. Your request should include the following information: Name and ID number. Patient name. Find health insurance, Medicare and group health plans for individuals, families and businesses in South Carolina. Log in to access your account, view claims, manage …Choose a state to see how Blue Cross Blue Shield is working in your community. The independent BCBS companies insure more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico. 107. M. members covered. Information current and approximate as of December 31, 2018. $ 382. M+. Our main address is: BlueCross BlueShield of South Carolina I-20 East at Alpine Rd. Columbia, SC 29219. Our general phone number is: 803-788-0222. Toll-free: 800-288-2227. We also have South Carolina BLUE retail centers in Columbia, Greenville and Mount Pleasant where you can speak to us in person. Comprehensive coverage for individuals and families. Our plans offer comprehensive coverage for individuals and families and comply with the Affordable Care Act (ACA). These plans are only available during the annual open enrollment period or within 60 days of a qualifying life event, such as a change in marital, family or job status. Our individual and family plans are affordable options that provide coverage for an entire calendar year. If you are looking for temporary plan to bridge a gap in coverage, consider a short-term health plan. Explore Individual & Family Plans. Short-Term Health Plans. Add-On Plan Options. Blue Cross and Blue Shield of South Carolina 4101 Percival Road Columbia, SC 29229. P.O. Box 600601 Columbia, SC 29260. www.bcbssc.com. Customer Service. 1-800-444-0025 Columbia 1-800-444-4325 Charleston. Precertification. 1-803-264-3100. Mental Health/Substance Use Disorder Precertification.Using Your Plan. Managing your benefits plan can seem overwhelming — but it doesn’t have to be. We want to make it easy for you to: Understand your coverage. Find quality, cost-effective care when you need it. View information about your claims and plan usage. Access tools to support you in making decisions about your care.Our Preferred Blue network is the largest network of physicians, hospitals and other health care providers in the state — with more than 10,000 physicians and every South …To request prior authorization, contact Companion Benefits Alternatives (CBA) using one of the below options: Calling 800-868-1032. Forms Resource Center – This online tool makes it easy for behavioral health clinicians to submit behavioral health prior authorization requests. The tool guides you through all of the forms you need so you can ...BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Complementary Content ${title} ${badge}Open site menu Sites. Toggle MenuAs a BlueCross BlueShield of South Carolina Medicare Advantage member, your benefits include an annual wellness exam with your doctor. What to expect in your annual wellness visit. Members-Only Social Event Keep an eye out for invitations to attend a fun event hosted by BlueCross BlueShield of South Carolina. Healthy giveaways, no …Charleston/Beaufort/Colleton region. Phone: 800-476-8231 or 843-571-5503. Fax: 843-554-4879. Address: 4400 Leeds Ave., Suite 100, North Charleston, SC 29405. Group Marketing Representative. Julie Burchette. 843-367-6443. Individual Marketing Representative.Prescription Benefits. State Health Plan coverage includes prescription benefits at no extra cost. Prescription drugs are a major benefit to you and a major part of the cost of our self-insured health plan. Prescription drugs are covered only at network pharmacies. Express Scripts is the pharmacy benefits manager.Open site menu Sites. Toggle Menu.