Bcbs of Michigan Pharmacy Help Desk Services Explained

BCBS of Michigan's Pharmacy Help Desk services are designed to provide members with assistance and answers to their pharmacy-related questions. The help desk is staffed by experienced representatives who can help with everything from finding in-network pharmacies to resolving issues with medication coverage.

The help desk is available to all BCBS of Michigan members, and can be reached by phone, email, or through the company's website. Members can also use the help desk to ask about the company's pharmacy policies and procedures.

BCBS of Michigan's Pharmacy Help Desk services are available Monday through Friday from 8am to 8pm, and members can expect to receive a response to their inquiry within one business day. This service is completely free and can be a huge time-saver for members who need help with their pharmacy benefits.

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To access the BCBS of Michigan Pharmacy Help Desk, you'll need to have a BCBS of Michigan member ID card and a valid phone number.

You can call the help desk at 1-800-851-1125, Monday through Friday, 8am to 6pm ET.

The help desk is available to assist with questions about prescription medications, including prior authorizations and medication lists.

To get started with the prior authorization process, you'll want to familiarize yourself with the necessary documents. These documents can be found online, including the Summary of Utilization Management Programs for Michigan Providers.

For Michigan Providers, the Summary of Utilization Management Programs is a valuable resource. The document provides an overview of the utilization management programs available.

To log in and obtain authorizations for Blue Care Network and BCN Advantage members, you'll need to visit Availity.com.

Some pharmacies may no longer be in the Blue Cross Medicare and BCN Advantage network or their preferred status may change effective Jan. 1, 2023.

You can still find in-network pharmacies by visiting the Pharmacies Medicare page and selecting Find a Pharmacy starting Jan. 1, 2023.

If a pharmacy is no longer in-network, you'll have to pay the full cost of your prescriptions unless you request reimbursement from Blue Cross Medicare and BCN Advantage.

If your claim is approved, Blue Cross and Blue Care Network will only reimburse you for the full retail price minus your applicable copay.

You can request reimbursement from Blue Cross Medicare and BCN Advantage if you choose to use an out-of-network pharmacy.

For another approach, see: Bcbs Medicare Advantage Michigan