New medical ID cards provide greater transparency about the costs plan members are responsible for paying, as required by the Consolidated Appropriations Act.
Surprised to find a new medical ID card in your mailbox? New cards were recently mailed by Highmark Blue Cross Blue Shield (BCBS) to all Medical Plan members to comply with the Consolidated Appropriations Act (CAA). Also called the No Surprises Act, the CAA requires certain things to be spelled out more clearly on members' ID cards to help them better understand how much they will pay out of pocket when receiving care.
No action is required to activate your new card. You can simply remove the sticker and begin using it. You may confirm receipt by calling the toll-free number on the sticker. When calling this number, you will be prompted to confirm whether or not any covered family members have other health insurance.
New prescription ID cards from Express Scripts
In addition to new medical ID cards, members enrolled in the PPO, EPO, and HDHP were sent new prescription drug ID cards in early March. If you have not received your new prescription drug ID cards, call Quantum Health at 855-497-1237. You may also call Express Scripts at 800-344-3896.
Whether you're an active member enrolled in the PPO, EPO, or HDHP, or a retired member enrolled in the Medicare Supplement Plan, your medical benefits remain the same; your new ID card just looks a little different. The following information is now included on your medical ID card.
The deductible is a specified dollar amount you must pay each year for covered medical services before the plan begins to pay benefits (it does not apply for outpatient prescription drugs). If you enrolled any eligible family members for coverage, your card shows an individual and a family deductible amount.
If you're enrolled in the PPO, your new card shows both the network and out-of-network deductible amounts, based on your effective salary.
The annual out-of-pocket (OOP) amount is a cap placed on how much you may have to pay for your care in a given year. The types of expenses included in the OOP amount shown on your new ID card varies depending on your plan:
If you're enrolled in the PPO or EPO, your new ID card shows the copay amounts that apply for primary care physician (PCP) or specialist office visits, in addition to your deductible and OOP amounts. A copay is a flat dollar amount you pay upfront when using a network provider.
If you're enrolled in the PPO, EPO, or HDHP, your new card also includes contact information for Quantum Health. With the introduction of care navigation April 1, Quantum Health is now your primary point of contact when you have questions about your medical or prescription drug benefits.
