BCBSIL - Blue Cross Blue Shield Illinois (Prime Partnership) - General Information

Enrollment - Vida.com/BCBSIL 

B2B & HGP: Blue Cross Blue Shield of Illinois

• When discussing options with members please refrain from saying grace period. You can say 
  "The plan reviewed all authorizations set to expire early this year and decided to extend the expiration dates. Yours has been updated to remain active until March 31st."

   

  • Key Reminder for Agents:
  • Don't Say: "You are in a grace period."
  • Do Say: "The plan extended the date."

BCBSIL FAQs

Transitions:

• Vendor Transitions:

  • Prior Health and Wellness Vendor? Omada & EncircleRx

     

• Anti-Obesity medication transitions (AOM, member currently on GLP-1):
  • What coverage does Vida provide?

    • Check VP card & prescribing overview for details

       

• Does Vida have Prior Authorization bypass enabled (goldcarded)? Yes
• What program will the AOM transition member go into?
  • MWL Group
• How does an AOM transition member get to a Vida Medical Provider?
  • Submit Lab requirements
  • Submit Medical record requirements
  • Complete Contact Form
  • RD session is bypassed in group MWL 

• VP Card: Use this for administrative and operational checks. It covers Account Eligibility , program details,  and exclusions

• Devices: Use  Standard Device Criteria or Clinical Device FAQs Vendor Transition members DO NOT automatically receive a device form

• Prescribing Overview: Use this for clinical inquiries. It houses all Pharmacy Benefits information, including Drug Coverage , formularies, and specific GLP-1 details 

   

• Account Eligibility:
  • Who is eligible? Employees, spouses, dependents who are 18+ and carry BCBSIL medical coverage
  • Is Cobra or retirees eligible? It would apply to members on a PPO plan, they may or may not be eligible, check B2B.
  • How do I look up eligibility? B2B
  • How often does it update? Daily

  • Where should non-eligible members be referred? Please refer them to the number on the back of their insurance card.

     

Population Details

• Is there VSC calling? YES
• Bilingual Population? NA
• Translation Services? YES

Additional Info

• TBD