Blue Care NetworkMSU Health Plans
Michigan State University has two Blue Care Network health plans with unique referral requirements. These referral requirements are described here. For more information, see the Member Benefits chapter of the BCN Provider Manual.
To view this chapter of the BCN Provider Manual refer to our Provider Manuals access page.
Michigan State University plan
This plan covers MSU employees who don't have Medicare as their primary coverage.
The Michigan State University plan doesn't require referrals or plan notification to process and pay claims, but some services require prior authorization regardless of whether they are performed at the in-network or out-of-network benefit level. Some preventive services, such as physical exams and immunizations, are covered only when provided in network.
Refer to Michigan providers: BCN global referral, plan notification and prior authorization requirements
for information about which services require prior authorization. This document is available on the BCN Prior Authorizations & Plan Notification page on this website.
MSU Plan 65 (for MSU employees and retirees)
This plan covers MSU employees and retirees who have Medicare as their primary coverage. Referrals and plan notification aren't required for claims payment for members with this coverage. Also, no prior authorizations are required, except for:
- Home infusion services not covered by Medicare
- Inpatient care when Medicare days are exhausted
Frequently accessed documents
Additional resources
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