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Otsego Northern Catskills

BOARD OF COOPERATIVE EDUCATIONAL SERVICES

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Medical Coverage

Medical News

New Discount Program: Blue365
CASEBP members have access to a FREE health and wellness discount program provided by our third-party administrator, Excellus BlueCross BlueShield. The program is called Blue 365 and is committed to providing easy access to discounts on premier products and services to help you lead a healthy, happy life. Some examples of product and service discounts include Jabra (Save 30% on earbuds and headphones), Universal Orlando (Save 10% on your next getaway), Reebok (Save 20%), or Tivity Health (Access thousands of gyms with packages starting at $19/month). 
 
How does Blue365 work? It’s quick and easy – go to Blue365deals.com, and register to start saving today. After you complete registration, you will have access to numerous deals (note – check back frequently as they add and remove deals often). You can redeem a deal/offer by following the redemption instructions at the top of all deal pages. For more information on registering and how Blue365 works, click here.
 
Discounts are not the only thing you can find on the Blue365 website. Visit the Healthy Tips page for articles, flyers, and small steps to help improve your health and wellness.
Click to learn about the new hearing aid benefit now included in your coverage.
New Article: Glossary of Health Coverage and Medical Terms
This glossary has many commonly used terms, and is intended to be educational.

General Medical Coverage Information


Not Registered? Click Here to Register.
Easy access to your member card, benefits and coverage, claims and more 24/7/365


Submit Medical Claims to:
Online:
2. Click on "Claims."
3. Click on "Submit Claims."
4. Select "Medical or Vision Claims."
5. Follow the instructions on the screen.

or

Mail:
Excellus BCBS
P.O. Box 21146
Eagan, MN 55121 

Please complete this form for medical claims. Medical claims can be submitted to Excellus BCBS, P.O. Box 21146, Eagan, MN 55121.
Please complete this form for medical claims for covered services received outside the United States, Puerto Rico, and the U.S. Virgin Islands. International medical claims can be submitted to Service Center, P.O. Box 2048, Southeastern, PA 19399.

Medical Forms

Please complete this form for medical claims. Medical claims can be submitted to Excellus BCBS, P.O. Box 21146, Eagan, MN 55121.
Please complete this form for medical claims for covered services received outside the United States, Puerto Rico, and the U.S. Virgin Islands. International medical claims can be submitted to Service Center, P.O. Box 2048, Southeastern, PA 19399.
Please complete this form when an injury or accident occurs. Please return form to CASEBP, P.O. Box 383, Grand Gorge, NY 12434 or fax number (607)-588-8916.
Please complete this form if you would like CASEBP to share information about you with people or other organizations. Please mail completed form to CASEBP, P.O. Box 383, Grand Gorge, NY 12434; fax to 607-588-8916; or email to [email protected].
Complete este formulario si desea que CASEBP comparta información sobre usted con personas u otras organizaciones. Envíe el formulario completo por correo a CASEBP, P.O. Box 383, Grand Gorge, NY 12434; o correo electrónico a [email protected].
Please complete this form if you would like Excellus BCBS to share information about you with people or other organizations. Please mail completed form to Excellus Health Plan, P.O. Box 21146, Eagan, MN 55121 or fax completed form to 315-671-7079.
Complete este formulario si desea que Excellus BCBS comparta información sobre usted con personas u otras organizaciones. Envíe el formulario completo por correo a Excellus Health Plan, P.O. Box 21146, Eagan, MN 55121 o envíe un fax al 315-671-7079.
Please complete this form if you receive a surprise bill for health care services and want the services to be treated at in-network.
Please complete this form if you or any member of your family are enrolled in any other health or dental program.

Plan Documents

Revised December 4, 2012
Plan Document for PPO Plan A, PPO Plan B, and PPO Plan C.

2024-2025 Summary of Benefits and Coverage

2024-2025 Summary of Benefits and Coverage for Plan
2024-2025 Summary of Benefits and Coverage for Plan H
2024-2025 Summary of Benefits and Coverage for Plan L
2024-2025 Summary of Benefits and Coverage for Plan M
2024-2025 Summary of Benefits and Coverage for Plan N
2024-2025 Summary of Benefits and Coverage for Plan O
2024-2025 Summary of Benefits and Coverage for Plan P
2024-2025 Summary of Benefits and Coverage for Plan P
2024-2025 Summary of Benefits and Coverage for Plan U
Basic SErvices and benefit information for Indemnity Plans
2024-2025 Summary of Benefits and Coverage for PPO Plan A
2024-2025 Summary of Benefits and Coverage for PPO Plan B
2024-2025 Summary of Benefits and Coverage for HDHP Gold
2024-2025 Summary of Benefits and Coverage for PPO Plan C
2024-2025 Summary of Benefits and Coverage for HDHP Silner
2024-2025 Summary of Benefits and Coverage for HDHP Bronze

2023-2024 Summary of Benefits and Coverage & Schedule of Benefits Documents

Basic services and benefit information for Indemnity Plans
Schedule of Benefits for Plan D
2023-2024 Summary of Benefits and Coverage for Plan D
Schedule of Benefits for Plan H
2023-2024 Summary of Benefits and Coverage for Plan H
Schedule of Benefits for Plan L
2023-2024 Summary of Benefits and Coverage for Plan L
Schedule of Benefits for Plan M
2023-2024 Summary of Benefits and Coverage for Plan M
Schedule of Benefits for Plan N
2023-2024 Summary of Benefits and Coverage for Plan N
Schedule of Benefits for Plan O
2023-2024 Summary of Benefits and Coverage for Plan O
Schedule of Benefits for Plan P
2023-2024 Summary of Benefits and Coverage for Plan P
Schedule of Benefits for Plan R
2023-2024 Summary of Benefits and Coverage for Plan R
Schedule of Benefits for Plan U
2023-2024 Summary of Benefits and Coverage for Plan U
Schedule of Benefits for PPO Plan A
2023-2024 Summary of Benefits and Coverage for PPO Plan A
Schedule of Benefits for PPO Plan B
2023-2024 Summary of Benefits and Coverage for PPO Plan B
Schedule of Benefits for PPO Plan C
2023-2024 Summary of Benefits and Coverage for PPO Plan C
2023-2024 Summary of Benefits and Coverage for HDHP A
2023-2024 Summary of Benefits and Coverage for HDHP B
2023-2024 Summary of Benefits and Coverage for HDHP Bronze

Helpful Information for Medical Coverage

Click to view the pricing information required by the Transparency in Coverage rules.

This glossary has many commonly used terms, and is intended to be educational.

Click to view what services require authorization before services are provided. To obtain authorization, please contact Excellus BCBS Prior Authorization Team at 1-800-363-4658.

Click to learn what a surprise medical bill is and what procedures to follow.