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PAY BILLS ONLINE
You can easily make a premium payment online by credit or debit card by selecting from the drop down menu below. A premium is a monthly fee that is paid to your insurance company to provide health coverage. If you need assistance completing the application or submitting a payment, please call 1-800-888-5407, Monday - Friday, 8 a.m. - 8 p.m.WELLNESS DEBIT CARD
Exclusions Apply. The following outlets do not participate in our wellness debit card program: Pharmacies, sporting goods stores, grocery stores, doctor's offices, optometrists, salons, and department stores. At BlueShield of Northeastern New York, we do our best to ensure members have the best wellness options available to get andstay healthy.
WELCOME TO ONLINE REGISTRATION Step 1: Start your profile Already have an account? Please login *If you are a Medicaid or Child Health Plus member, please login or register here. In a few easy steps, you will have your account online. Make sure you have your member ID card on hand to complete the stepseasily.
FEE SCHEDULE UPDATE FOR JULY 2020 On July 1, 2020, our fee schedule and rates will be updated to better align with the market and standards set by Centers for Medicare & Medicaid (CMS). Here you can review upcoming changes and access current fee schedules as well as those in effect on July 1, 2020. To make it easier for you to find what you need, we’re separating the fee schedule into two sections – “Primary Care” and DRUG THERAPY GUIDELINES XHANCE Drug Therapy Guidelines Xhance™ (fluticasone propionate) Last Review Date: 12/2020 Page 2 of 3 • Coverage will be provided when the member has experienced intolerance or therapeutic failure with at DRUG THERAPY GUIDELINES (SELUMETINIB) Page 1 of 2 Drug Therapy Guidelines Applicable Koselugo™ (selumetinib) Medical Benefit Effective: 7/15 /20 Pharmacy- Formulary 1 x Next Review: 6 /21 Pharmacy- Formulary 2 x Date of Origin: 7/15 /20 Pharmacy- Formulary 3/Exclusive x Review Dates: 6/20 Pharmacy-Formulary 4/AON
PROVIDER NETWORK MANAGEMENT & OPERATIONS TERRITORY AND Assisting Specialists Located In: Team Contact Felicia Ballard Provider Network Management & Operations Manager Office Phone: (518)220-5776
DRUG THERAPY GUIDELINES STIVARGA® (REGORAFENIB) I. Medication Description . Regorafenib is a small molecule inhibitor of multiple membrane-bo und and intracellular kinases involved in normal cellular functions and in pathologic processes such as oncogenesis, tumor angiogenesis, and BLUESHIELD OF NORTHEASTERN NEW YORK BlueShield of NENY is a trusted name in health insurance for over 70 years. BlueShield offers a full range of insured, self-insured, and government programs and LOGIN - BLUESHIELD OF NORTHEASTERN NEW YORK Benefits of an Online Account. View your plan benefits. Review your claims. Find an in-network doctor or hospital. Sign up for paperless EOBs. Access member discounts. Manage your prescriptions. Click register to get started!PAY BILLS ONLINE
You can easily make a premium payment online by credit or debit card by selecting from the drop down menu below. A premium is a monthly fee that is paid to your insurance company to provide health coverage. If you need assistance completing the application or submitting a payment, please call 1-800-888-5407, Monday - Friday, 8 a.m. - 8 p.m.WELLNESS DEBIT CARD
Exclusions Apply. The following outlets do not participate in our wellness debit card program: Pharmacies, sporting goods stores, grocery stores, doctor's offices, optometrists, salons, and department stores. At BlueShield of Northeastern New York, we do our best to ensure members have the best wellness options available to get andstay healthy.
WELCOME TO ONLINE REGISTRATION Step 1: Start your profile Already have an account? Please login *If you are a Medicaid or Child Health Plus member, please login or register here. In a few easy steps, you will have your account online. Make sure you have your member ID card on hand to complete the stepseasily.
FEE SCHEDULE UPDATE FOR JULY 2020 On July 1, 2020, our fee schedule and rates will be updated to better align with the market and standards set by Centers for Medicare & Medicaid (CMS). Here you can review upcoming changes and access current fee schedules as well as those in effect on July 1, 2020. To make it easier for you to find what you need, we’re separating the fee schedule into two sections – “Primary Care” and DRUG THERAPY GUIDELINES XHANCE Drug Therapy Guidelines Xhance™ (fluticasone propionate) Last Review Date: 12/2020 Page 2 of 3 • Coverage will be provided when the member has experienced intolerance or therapeutic failure with at DRUG THERAPY GUIDELINES (SELUMETINIB) Page 1 of 2 Drug Therapy Guidelines Applicable Koselugo™ (selumetinib) Medical Benefit Effective: 7/15 /20 Pharmacy- Formulary 1 x Next Review: 6 /21 Pharmacy- Formulary 2 x Date of Origin: 7/15 /20 Pharmacy- Formulary 3/Exclusive x Review Dates: 6/20 Pharmacy-Formulary 4/AON
PROVIDER NETWORK MANAGEMENT & OPERATIONS TERRITORY AND Assisting Specialists Located In: Team Contact Felicia Ballard Provider Network Management & Operations Manager Office Phone: (518)220-5776
DRUG THERAPY GUIDELINES STIVARGA® (REGORAFENIB) I. Medication Description . Regorafenib is a small molecule inhibitor of multiple membrane-bo und and intracellular kinases involved in normal cellular functions and in pathologic processes such as oncogenesis, tumor angiogenesis, and PROVIDER | BLUESHIELD OF NORTHEASTERN NEW YORK Coronavirus, Stay Up To Date. As individuals in the United States are being diagnosed with COVID-19 (Coronavirus), we recognize BlueShield members may have concerns. While the situation is fluid and information is being updated daily, one thing that will remain constant is our commitment to our Providers and Members. FORMS - PROVIDER TOOLS & RESOURCES Provider Demographic Change Form Please submit this form to our Corporate Provider File Department when adding additional office locations to your practice, or if your practice moves from its current location. Please fax the completed form to (844) 769-5876. Request to Resolve Provider Negative Balance. Supervision Data Form. OVER-THE-COUNTER (OTC) BENEFIT Simply order online, by mail, or by phone. As a BlueShield Medicare Advantage member, you have an over-the-counter (OTC) benefit of one $25 purchase every quarter* to get the products you need conveniently delivered right to your door. Using your OTC benefit you can shop for a wide range of items including vitamins, allergy care, and first aid PRIOR AUTHORIZATIONS National Imaging Association (NIA) manages prior authorization for MRI, PET, CT scans, nuclear cardiology, and radiation oncology procedures. Submit online at National Imaging Associates or call 1-800-642-7820 . Express Scripts manages prior authorizations and Non-Formulary requests for Medicare Part D prescriptions. 2021 UPDATES: PRODUCTS AND BENEFITS BlueShield continues to review and adjust our insurance products to meet the needs of our membership and market demands. Here we highlight new products and benefits for your BlueShield Medicare Advantage and Commercial patients, beginning January 1, 2021.MAIN
Documents displayed with this icon are available in PDF format for viewing or printing. To view PDF files, click on the link. To save the file to your computer, right DRUG THERAPY GUIDELINES LUPKYNIS ™ (VOCLOSPORIN) Drug Therapy Guidelines Lupkynis™ (voclosporin) Last Review Date: 03/2021 Page . 3. of . 3. The preceding policy applies only to members for whom the above named pharmacy benefit medications are included on their covered formulary.AGREEMENT POPUP
2021 Highmark Blue Shield of Northeastern New York and BlueShield of Northeastern New York are trade names of Highmark Western and Northeastern New York Inc., an PROVIDER NETWORK MANAGEMENT & OPERATIONS TERRITORY AND Assisting Specialists Located In: Team Contact Felicia Ballard Provider Network Management & Operations Manager Office Phone: (518)220-5776
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CORONAVIRUS, STAY UP TO DATE AS INDIVIDUALS IN THE UNITED STATES ARE BEING DIAGNOSED WITH COVID-19 (CORONAVIRUS), WE RECOGNIZE BLUESHIELD OF NORTHEASTERN NEW YORK MEMBERS MAY HAVE CONCERNS. WHILE THE SITUATION IS FLUID AND INFORMATION IS BEING UPDATED DAILY, ONE THING THAT WILL REMAIN CONSTANT IS OUR COMMITMENT TO CONNECTING OUR MEMBERS TO THE CARE THEY NEED. WE WILL UPDATE THIS SITE REGULARLY WHEN WE HAVE NEW INFORMATIONTO SHARE.
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