Commonwealth Care Member Guide - BMC HealthNet Plan
Commonwealth Care Member Guide - BMC HealthNet Plan
Commonwealth Care Member Guide - BMC HealthNet Plan
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Your <strong>Plan</strong> for<br />
Total Health<br />
COMMONWEALTH CARE MEMBER GUIDE
HOW IS THE MEMBER GUIDE DIFFERENT<br />
FROM THE EOC?<br />
Your <strong>Plan</strong> for<br />
Total Health<br />
COMMONWEALTH CARE MEMBER GUIDE<br />
MEMBER GUIDE<br />
Quick reference that answers<br />
basic <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong><br />
<strong>Commonwealth</strong> <strong>Care</strong> health<br />
insurance questions for<br />
new members<br />
Contains helpful tips<br />
and reminders<br />
EOC<br />
Important legal document<br />
that describes the relationship<br />
between you and <strong>BMC</strong><br />
<strong>HealthNet</strong> <strong>Plan</strong><br />
Contains details about what<br />
is covered and what is not<br />
covered<br />
Answers your questions<br />
related to membership in our<br />
<strong>Commonwealth</strong> <strong>Care</strong> plan<br />
THE MEMBER GUIDE<br />
AND EOC CAN BE FOUND<br />
ONLINE AT <strong>BMC</strong>HP.ORG.<br />
This document is intended only as a guide and does not contain complete information on your health coverage. Please refer to your<br />
Evidence of Coverage (EOC) for all information on your rights and obligations as a member in the <strong>Plan</strong>, how the <strong>Plan</strong> works, covered<br />
services, certain limits and conditions related to covered services, co-payments you must pay when you receive covered services and<br />
other important information related to your membership. The EOC is the legal document that describes the relationship between you<br />
and <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong>.<br />
1
GENERAL MEMBER INFORMATION<br />
Welcome to Boston Medical Center (<strong>BMC</strong>) <strong>HealthNet</strong> <strong>Plan</strong>.<br />
We are happy to work with you and your primary care provider (PCP) to help<br />
you get the care you need.<br />
This <strong>Member</strong> <strong>Guide</strong> is an easy-to-read summary of information for our<br />
members. Your Evidence of Coverage (EOC) has complete member information.<br />
So please read that very important document for all you need to know.<br />
Please note: when you see a word or phrase that’s in italics, then that word is<br />
explained in the “Glossary” at the end.<br />
WHO ARE WE?<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> is a health plan. We work with hospitals, health centers,<br />
clinics and your PCP so you can get the health services you need and take better<br />
care of yourself. We administer and pay for covered services described in<br />
your EOC.<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> <strong>Commonwealth</strong> <strong>Care</strong> contracts with<br />
healthcare providers across Massachusetts. This includes<br />
more than 50 hospitals. So you’re near medical care<br />
when you need it.<br />
WHAT IS <strong>BMC</strong> HEALTHNET PLAN<br />
COMMONWEALTH CARE?<br />
<strong>Commonwealth</strong> <strong>Care</strong> is a State health insurance<br />
program established in 2006. <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong><br />
is one of the health plans that offer <strong>Commonwealth</strong> <strong>Care</strong>.<br />
A LIST OF IMPORTANT<br />
PHONE NUMBERS IS ON<br />
THE BACK COVER.<br />
2
YOUR <strong>BMC</strong> HEALTHNET PLAN ID CARD<br />
WHAT YOU SHOULD KNOW...<br />
Always carry your <strong>BMC</strong><br />
<strong>HealthNet</strong> <strong>Plan</strong> ID card with you.<br />
Every <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> member receives an<br />
identification (ID) card.<br />
You must be enrolled at the time you receive<br />
health services in order for them to be covered.<br />
Check your ID card to make sure the<br />
information on it is correct. If it’s not correct,<br />
call <strong>Member</strong> Services.<br />
Never let anyone else use your card. If you<br />
think someone is using your card, call our<br />
tip-line at 1-888-411-4959.<br />
If you lose your ID card…<br />
Order a new one online at bmchp.org<br />
or<br />
Call <strong>Member</strong> Services and ask them to send<br />
you another one.<br />
3
<strong>BMC</strong> HEALTHNET PLAN, COMMONWEALTH HEALTH<br />
INSURANCE CONNECTOR AUTHORITY, MASSHEALTH<br />
...AND WHAT THEY MEAN TO YOU<br />
As a resident of Massachusetts, you must have health insurance,<br />
but there are exceptions.<br />
Call the Connector for more information.<br />
MassHealth<br />
Determines if you<br />
are eligible for<br />
<strong>Commonwealth</strong> <strong>Care</strong>.<br />
<strong>Commonwealth</strong> Health<br />
Insurance Connector Authority<br />
Provides information on<br />
all your <strong>Commonwealth</strong><br />
<strong>Care</strong> options.<br />
Re-determines your<br />
eligibility annually.<br />
Updates your records<br />
with changes in<br />
your income<br />
and family<br />
size.<br />
For some members<br />
(plan types II and III):<br />
- Sends you monthly<br />
bills for premium<br />
payments.<br />
- Collects your premium<br />
payments.<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong><br />
Helps you with questions about your health insurance, providers,<br />
and special health programs. We’ll also try to help you contact the<br />
right place if you have other questions.<br />
Large network of healthcare providers, including doctors, hospitals<br />
and pharmacies.<br />
Nurses you can call if you’re sick, hurt, or need healthcare advice.<br />
They’re available 24-hours, every day (Nurse Advice Line).<br />
Special programs for ongoing illnesses like asthma, diabetes and<br />
congestive heart failure.<br />
We can update your phone number and address so you get<br />
important mail from us and the State.<br />
4
HOW YOU BECAME A MEMBER OF <strong>BMC</strong> HEALTHNET PLAN<br />
You filled out the<br />
<strong>Member</strong> Benefit Request<br />
(MBR) application and<br />
submitted the required<br />
paperwork.<br />
MassHealth received<br />
your application and<br />
decided you were<br />
eligible for<br />
<strong>Commonwealth</strong> <strong>Care</strong><br />
(plan type I, II, or III).<br />
They sent you a<br />
letter by mail.<br />
You chose, or were<br />
assigned to one of<br />
the health plans.<br />
Congratulations<br />
on choosing <strong>BMC</strong><br />
<strong>HealthNet</strong> <strong>Plan</strong>!<br />
5
You enrolled with <strong>BMC</strong><br />
<strong>HealthNet</strong> <strong>Plan</strong><br />
<strong>Commonwealth</strong> <strong>Care</strong>.<br />
You got your member<br />
ID card.<br />
You are a member of<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong><br />
<strong>Commonwealth</strong> <strong>Care</strong><br />
on the 1st of the<br />
You got your newmember<br />
information<br />
month.<br />
packet.<br />
DON’T LOSE YOUR HEALTH INSURANCE. YOU MUST<br />
RENEW YOUR ELIGIBILITY EVERY YEAR. CALL US IF<br />
YOU NEED HELP.<br />
6
WORKING TOGETHER FOR TOTAL HEALTH<br />
7<br />
YOU<br />
You need to help yourself stay healthy.<br />
And you have support from us, your<br />
PCP and other healthcare professionals<br />
you may need.<br />
Always carry your <strong>BMC</strong> <strong>HealthNet</strong><br />
<strong>Plan</strong> ID card with you. You must<br />
show your ID card to any healthcare<br />
provider before receiving health and<br />
pharmacy services.<br />
Make an appointment with your PCP<br />
right away.<br />
Fill out your Health Risk Assessment<br />
(HRA) right away so we can help you<br />
get the care you need.<br />
Join a fitness club or Weight<br />
Watchers ® to maintain or improve<br />
your health – and get<br />
money back.<br />
In an emergency, go to the nearest<br />
emergency room or call 911 right<br />
away. No referral or prior-authorization<br />
is necessary.<br />
LEARN MORE ABOUT OUR SPECIAL<br />
HEALTH PROGRAMS AT NO COST TO<br />
YOU AT <strong>BMC</strong>HP.ORG.
YOUR PCP<br />
Your primary care provider (PCP) is<br />
a health professional who delivers or<br />
coordinates the care you need and helps<br />
you stay healthy.<br />
Let us know if you have trouble making an<br />
appointment with your provider.<br />
Your PCP…<br />
Gives you advice to help you get better<br />
and keep you healthy<br />
Writes prescriptions if you need them<br />
Sends you to see a specialist provider if<br />
needed<br />
YOUR HEALTH PLAN<br />
At <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> we work with your<br />
medical providers to help you get the<br />
right care and the most out of your health<br />
insurance.<br />
We have people working in our offices<br />
across the state to help you.<br />
Don’t wait until you get sick. Call your PCP<br />
to make an appointment right away.<br />
What happens during your first visit to<br />
your PCP?<br />
Your PCP will most likely…<br />
Give you a physical exam<br />
Ask you questions about you and your<br />
family’s health<br />
Recommend any tests you may need<br />
TO MAKE YOUR FIRST APPOINTMENT WITH<br />
YOUR PCP, CALL HIS OR HER OFFICE.<br />
By using the private, online member selfservice<br />
feature you may…<br />
Order ID cards<br />
Search for a claim<br />
Change your address<br />
Pick or change a PCP<br />
Fill out (online) or print a Health Risk<br />
Assessment (HRA) form<br />
View member benefits specific to your plan<br />
type<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong>’s Web site (bmchp.org)<br />
On our main Web site you may…<br />
Search for a network provider near your<br />
home<br />
Read about your benefits (Evidence of<br />
Coverage)<br />
Find out about our special health programs<br />
Access our pharmacy web page<br />
Changing your PCP— online or by phone<br />
You may change your PCP up to three<br />
times a calendar year for any reason.<br />
Examples include:<br />
Your current PCP moves out of the network<br />
You don’t like the way your PCP treats you<br />
during an office visit<br />
You did not select your current PCP<br />
IF YOU NEED HELP PICKING YOUR PCP, CALL<br />
MEMBER SERVICES. AND LET US KNOW IF YOU<br />
HAVE TROUBLE MAKING AN APPOINTMENT.<br />
8
PREMIUMS AND CO-PAYMENTS<br />
Some members may have a premium. A premium is what you must pay to the<br />
Health Connector as part of the cost of your <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> coverage.<br />
- You must send your monthly payments to the Health Connector. Call the Health<br />
Connector with any premium questions.<br />
- If you have trouble paying your premium, call the Health Connector. If you stop<br />
paying, you may lose your coverage. Premium and co-payment hardship waivers<br />
are available through the Health Connector for some enrollees. Call the Health<br />
Connector with your premium questions. Their number is 1-877-623-6765.<br />
A co-payment is what you pay directly to a healthcare provider for a health service<br />
when you receive the service. There is an out-of-pocket co-payment maximum. This<br />
means that you will only have to pay a certain total amount of co-payments each<br />
year. Co-payments are usually due at the time of service.<br />
DO NOT SEND MONEY TO<br />
<strong>BMC</strong> HEALTHNET PLAN.<br />
REFERRALS AND PRIOR-AUTHORIZATIONS<br />
REMEMBER: YOUR PCP DELIVERS OR COORDINATES YOUR CARE.<br />
REFERRALS TO PROVIDERS<br />
- You always need a referral from your PCP to see an out-of-network provider.<br />
Your PCP must call <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> to make sure that we approve the<br />
referral. <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> may direct you to see a different provider.<br />
- In some cases, you need a referral from your PCP before you see an innetwork<br />
provider.<br />
- You do not need to get a referral for most in-network OB/GYN services.<br />
- If you need a referral in advance and do not get one, you may have to pay for<br />
the services.<br />
PRIOR-AUTHORIZATIONS FOR SERVICES<br />
- Your PCP needs to get approval from us before referring you for certain<br />
health services. This is called a prior-authorization.<br />
9<br />
CALL MEMBER SERVICES AT 1-877-957-5300 IF YOU HAVE ANY QUESTIONS.
WE CARE ABOUT A HEALTHIER YOU<br />
CALL MEMBER SERVICES IF YOU HAVE ANY QUESTIONS<br />
ABOUT YOUR COVERAGE OR THE SERVICES YOU GET.<br />
THE NUMBER IS 1-877-957-5300.<br />
Llámanos 1-877-957-5300.<br />
Hãy goi cho chúng tôi 1-877-957-5300.<br />
Telefone para nós 1-877-957-5300.<br />
Rele nou 1-877-957-5300.<br />
Call our 24-hour Nurse Advice Line to get<br />
medical and other healthcare information<br />
from a highly trained registered nurse. The<br />
number is 1-800-765-7344.<br />
In an emergency, go to the nearest<br />
emergency room or call 911 right away.<br />
You do not need a referral or<br />
prior-authorization before seeking<br />
emergency care.<br />
10
HELPING YOU GET QUALITY CARE<br />
Filling out your Health Risk Assessment (HRA) form helps us meet your<br />
medical needs.<br />
So we can give you help with specific medical conditions, we will ask you<br />
questions like:<br />
- How many medications do you take every day?<br />
- Do you have any heart problems?<br />
The HRA came in the package with your member ID card.<br />
- You can fill out the HRA form using the online member self-service feature<br />
at bmchp.org OR over the phone with one of our representatives.<br />
- You can also send it back to us free of charge in the pre-paid envelope that<br />
came with your HRA.<br />
11
WAYS TO GET INFORMATION<br />
<br />
<br />
<br />
12
MENTAL HEALTH AND SUBSTANCE ABUSE (MH/SA)<br />
AT <strong>BMC</strong> HEALTHNET PLAN WE COVER A RANGE OF SERVICES AVAILABLE TO HELP<br />
YOU WITH MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. THEY INCLUDE ANXIETY<br />
OR DEPRESSION OR DEPENDENCY ON DRUGS AND ALCOHOL.<br />
To find out what is covered,<br />
look in your Evidence of Coverage (EOC).<br />
WE CAN HELP YOU FIND A NETWORK<br />
PROVIDER NEAR YOUR HOME.<br />
VISIT OUR WEB SITE AT <strong>BMC</strong>HP.ORG<br />
OR CALL MEMBER SERVICES.<br />
CALL THE MENTAL HEALTH AND SUBSTANCE ABUSE LINE<br />
IF YOU HAVE ANY QUESTIONS. THE NUMBER IS<br />
1-877-957-5600.<br />
13
HAVING TROUBLE BALANCING YOUR<br />
LIFE AND HEALTH?<br />
SOMETIMES YOU NEED EXTRA HELP. THAT’S WHY WE HAVE MANY<br />
SPECIAL HEALTH PROGRAMS FOR PEOPLE WITH CERTAIN HEALTH<br />
CONDITIONS LISTED BELOW AT NO COST TO YOU:<br />
ASTHMA<br />
CONGESTIVE HEART FAILURE<br />
DIABETES<br />
HIV/AIDS<br />
SUNNY START - PREGNANCY AND POSTPARTUM<br />
STOP SMOKING<br />
CALL MEMBER SERVICES AT<br />
1-877-957-5300<br />
FOR MORE INFORMATION<br />
ABOUT THESE PROGRAMS.<br />
14
PREGNANCY AND FAMILY PLANNING<br />
When you’re pregnant you’ll need special care before you have<br />
your baby. This is called prenatal care.<br />
To start receiving this special care, make an appointment with your<br />
OB/GYN as soon as you become pregnant.<br />
If you have any questions or need help<br />
finding an OB/GYN, call your PCP. Or call<br />
<strong>Member</strong> Services at 1-877-957-5300.<br />
Call us to enroll in our Sunny Start<br />
program and we will send you information<br />
and special materials to help you with<br />
your pregnancy.<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> also helps you<br />
get family planning services (such as<br />
counseling and birth control advice).<br />
TELL US IF YOU ARE PREGNANT.<br />
YOU MAY NOT NEED TO PAY<br />
A PHARMACY CO-PAYMENT.<br />
15
HEALTHY BEHAVIORS<br />
WANT TO JOIN A FITNESS CLUB?<br />
Get up to $150 back, each year, for joining a fitness club.<br />
WANT TO JOIN WEIGHT WATCHERS®?<br />
Get up to $200 back, each year, for joining Weight Watchers ® .<br />
FOR DETAILS, CALL<br />
MEMBER SERVICES AT 1-877-957-5300<br />
OR GO TO THE COMMONWEALTH CARE MEMBER SECTION OF<br />
OUR WEB SITE: <strong>BMC</strong>HP.ORG.<br />
16
GETTING A PRESCRIPTION FILLED<br />
YOUR PROVIDER WILL WRITE YOU A PRESCRIPTION IF HE OR<br />
SHE BELIEVES THAT MEDICATION WILL HELP YOU GET BETTER.<br />
PHARMACY PICK-UP<br />
We have 1000 pharmacies<br />
across Massachusetts in our<br />
network where you can get your<br />
prescriptions filled.<br />
Your pharmacy co-payments can<br />
be found on the front of your ID<br />
card and on the Covered Services<br />
List (in the EOC that came with<br />
this packet).<br />
Ask your doctor if your<br />
prescription requires a<br />
prior-authorization.<br />
MAIL-ORDER DELIVERY<br />
Mail-order prescriptions are available<br />
for medications you take on an<br />
ongoing basis. Advantages include:<br />
It’s cheaper (smaller co-payments).<br />
Shipping is FREE.<br />
Your prescription is delivered to<br />
your door.<br />
Your personal information stays<br />
private.<br />
Instructions for mail-order delivery<br />
are on the mail-order form found in<br />
this packet.<br />
17
PREPARING TO SEE YOUR<br />
HEALTHCARE PROVIDER?<br />
MAKE A LIST OF QUESTIONS BEFORE YOU GO.<br />
If you’re not sure what to ask, you can start with<br />
these three questions:*<br />
1WHAT IS MY MAIN PROBLEM?<br />
2<br />
WHAT DO I NEED TO DO?<br />
3<br />
WHY IS IT IMPORTANT<br />
FOR ME TO DO THIS?<br />
*<br />
Before making an appointment with your<br />
PCP, check if he or she is part of the<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> <strong>Commonwealth</strong><br />
<strong>Care</strong> network.<br />
FOR MORE INFORMATION, READ<br />
ABOUT ASK ME 3 AT NPSF.ORG/<br />
ASKME3.<br />
18
GLOSSARY<br />
COMMONWEALTH CARE–A special state-subsidized health insurance program<br />
managed by the <strong>Commonwealth</strong> Health Insurance Connector Authority. It is<br />
offered through private health plans, including <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong>.<br />
COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY (HEALTH CONNECTOR)–<br />
A state organization that determines rules for <strong>Commonwealth</strong> <strong>Care</strong>.<br />
CO-PAYMENT–What you pay directly to a provider for a covered service.<br />
Co-payments are usually due at the time you receive the service.<br />
COVERED SERVICES–The healthcare services that <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> will pay<br />
for if they are necessary for you. Healthcare services that are not in your<br />
benefit package (depending on your plan type--plan type I, II or III) are not<br />
covered services and will not be paid for by <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong>.<br />
EVIDENCE OF COVERAGE (EOC)–An important legal document that describes<br />
the relationship between you and <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong>. It tells you<br />
how the health plan works and lists co-payments you must pay when<br />
you receive covered services.<br />
HARDSHIP WAIVER–If you are having a hard time paying premiums or<br />
co-payments, the Connector may grant you an exception so you<br />
don’t have to pay.<br />
HEALTH PLAN–An organization approved by the Health Connector to work<br />
with certain hospitals, clinics and your doctor so you can receive the<br />
health services covered in your EOC.<br />
HEALTH RISK ASSESSMENT (HRA)–A form you fill out that tells <strong>BMC</strong> <strong>HealthNet</strong><br />
<strong>Plan</strong> about your health needs. The information you provide is kept private.<br />
HEALTH SERVICES (MEDICAL AND MENTAL HEALTH/SUBSTANCE ABUSE)–Services<br />
obtained from a medical or behavioral health provider.<br />
19
MEMBER BENEFIT REQUEST (MBR)–An application you filled out so that MassHealth<br />
can determine your eligibility for state health insurance programs.<br />
NETWORK/IN-NETWORK PROVIDERS–The healthcare professionals who have an<br />
agreement with <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> <strong>Commonwealth</strong> <strong>Care</strong> to deliver health<br />
services to you.<br />
OUT-OF-POCKET CO-PAYMENT MAXIMUM–The most you will have to pay in copayments<br />
during a year of benefits for covered services. When you have<br />
reached this maximum, <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> will send you a letter to take to<br />
your appointments that shows you don’t have to pay any more co-payments.<br />
PLAN TYPE–Benefit packages that are made available from <strong>BMC</strong> <strong>HealthNet</strong><br />
<strong>Plan</strong> <strong>Commonwealth</strong> <strong>Care</strong>. <strong>Plan</strong> types differ in premium, co-payments and<br />
services that are covered.<br />
PREMIUM–What you must pay the Connector, each month, as part of the cost<br />
of your coverage.<br />
PRESCRIPTION–Needed from your provider to get you the medication you need<br />
for your health condition.<br />
PRIMARY CARE PROVIDER/PRACTITIONER (PCP)–A health professional who delivers<br />
or coordinates the care you need, and helps you stay healthy. A PCP can be<br />
a doctor of internal medicine, family practice, general practice or pediatric<br />
medicine, certified nurse practitioner, or OB/GYN.<br />
PRIOR-AUTHORIZATION (PRE-AUTHORIZATION)–Approval from <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> for<br />
specific health services. Your doctor arranges this.<br />
SPECIALIST–A healthcare provider who has received specific medical training<br />
related to a particular health issue or condition. Medical services provided by<br />
a specialist treat a particular disease or part of the body.<br />
20
REMEMBER...<br />
You’re covered for emergencies wherever you are. (<strong>Plan</strong> type II and III<br />
members pay a co-payment for these services.)<br />
Visit your PCP at least once a year.<br />
Call MassHealth when you change your address, phone number, income or<br />
health status.<br />
Use health services from network providers only, except in emergencies.<br />
Network providers are providers who participate with <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong><br />
<strong>Commonwealth</strong> <strong>Care</strong>.<br />
Ask your doctor if your prescription requires a prior-authorization. Your<br />
doctor will need to get the prior-authorization from <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong><br />
before you can have that prescription filled.<br />
Watch your mail for letters we may send you.<br />
You’re covered for most mental health and substance abuse services, as<br />
long as the provider is in the <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> <strong>Commonwealth</strong> <strong>Care</strong><br />
network. Call the Behavioral Health line (1-877-957-5600) if you have<br />
questions.<br />
Call our 24-hour Nurse Advice Line (1-800-765-7344) to get medical and<br />
other healthcare information from a highly trained registered nurse.<br />
21
TO ANSWER ALL YOUR QUESTIONS, OR FIND<br />
OR CHANGE YOUR PCP<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> <strong>Member</strong><br />
Services<br />
Hours of operation:<br />
8:00 a.m. – 6:00 p.m.<br />
Phone: 1-877-957-5300<br />
Mental Health/Substance Abuse:<br />
(Beacon Health Strategies)<br />
1-877-957-5600<br />
TTY: 1-866-765-0055<br />
TO CHECK YOUR ELIGIBILITY, SEND IN YOUR<br />
PREMIUMS, OR ASK QUESTIONS ABOUT<br />
PREMIUMS<br />
<strong>Commonwealth</strong> Health Insurance<br />
Connector Authority (Health<br />
Connector)<br />
Hours of operation:<br />
8:00 a.m. – 5:00 p.m.<br />
Phone: 1-877-623-6765<br />
TTY: 1-877-623-7773<br />
Web site: mahealthconnector.org<br />
Web site: bmchp.org<br />
TO SPEAK TO A NURSE OVER THE PHONE<br />
AND GET ANSWERS TO HEALTH RELATED<br />
QUESTIONS<br />
Nurse Advice Line from<br />
<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong><br />
Available 24 hours<br />
Phone: 1-800-973-6273<br />
TO UPDATE YOUR CONTACT INFORMATION DUE<br />
TO A CHANGE IN INCOME AND FAMILY SIZE<br />
Contact MassHealth<br />
Hours of operation:<br />
8:00 a.m. – 5:00 p.m.<br />
Phone: 1-800-841-2900<br />
TTY: 1-800-421-1220<br />
<strong>BMC</strong>HP.ORG | 1-877-957-5300<br />
15M 06/12