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What is BMC HealthNet Plan?
How did I become a BMC HealthNet Plan member?
How do I contact BMC HealthNet Plan?
Will I get an I.D. card?
What if I lose my I.D. card?
How do I choose a primary care physician (PCP)?
How do I receive services?
I’m going to move soon. Should I tell you?
Do I still have my MassHealth benefits even
though I’m a BMC HealthNet Plan member?
What should I do if I get a bill?
Click Here for an important message.
BMC HealthNet Plan is a managed care organization that
provides coverage to MassHealth (Medicaid) recipients. Each BMC HealthNet Plan
member selects a personal physician who provides or arranges for the member's
care. Members have comprehensive coverage for hospitalization, and primary and
specialty care. They also retain their MassHealth membership since MassHealth
is responsible for certain services they receive. In addition, BMC HealthNet
Plan provides members with a variety of extra health and safety benefits.
First, you were eligible for MassHealth. Then you became a
member in one of the following ways:
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You chose BMC HealthNet Plan.
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MassHealth chose BMC HealthNet Plan for you.
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You were transferred to BMC HealthNet Plan from the MassHealth PCC Plan.
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You transferred from another managed care organization.
Click
here for a list of important phone numbers.
Yes. When you become a member and have a primary care
physician (PCP).
Call our Member Services Call Center. A representative
will arrange for you to get a new one. The number is 1-888-566-0010.
Choosing a PCP is very important. Your PCP will provide or
arrange for all your health care. For help choosing a PCP, call our Member
Services call Center at 1-888-566-0010.
Make sure you always carry your BMC HealthNet Plan I.D. card with you. You must
show your I.D. card each time you receive healthcare services. For example,
you’ll show your BMC HealthNet Plan I.D. card when you see your doctor or when
you have a prescription filled.
You should also carry your MassHealth card with you. That’s because there are
some services that are still covered by MassHealth. Depending on your coverage,
you need to show your MassHealth I.D. card when you receive dental care and
eyeglass services.
Yes. It’s very important that you tell us when you’re moving. Call our Member
Services Call Center at 1-888-566-0010. Tell the representative your new
address and phone number.
Yes. You always have your MassHealth benefits. When you joined BMC HealthNet
Plan, we became responsible for most of your healthcare benefits. These include
all the extra benefits, such as free car seats and bike helmets for kids. But
MassHealth is still responsible for some of your benefits. That’s why you
should always carry your BMC HealthNet Plan I.D. card and your MassHealth I.D.
card.
You should not be charged for any service you get from a BMC HealthNet Plan
provider. Care that is not covered by BMC HealthNet Plan or MassHealth may be
your responsibility to pay, but we can assist you in determining this. If you
are asked to pay for a service and are unsure whether or not it should be paid
by BMC HealthNet Plan or MassHealth, call our Member Services Call Center at
1-888-566-0010. If you get a bill from a provider, follow these steps:
Print the name of the member who received the care on the
bill. Also print the member’s I.D. card number on the bill.
Make a copy of the bill for your records.
Mail the bill to our Boston office at:
| BMC HealthNet Plan |
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| Two Copley Place, Suite 600
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| Boston, MA 02116 |
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