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How do I fill this out?
To fill out this form, gather your personal details and health information. Follow the prompts on the state form for submission. Ensure you meet the eligibility criteria before starting.
How to fill out the Traditional Medicine Benefit for BCBS Members?
1
Gather personal information and health details.
2
Check eligibility for the Traditional Medicine Benefit.
3
Complete the Health Risk Assessment.
4
Fill out the form completely and accurately.
5
Submit the form via the provided channels.
Who needs the Traditional Medicine Benefit for BCBS Members?
1
Members of BlueCross BlueShield in New Mexico who are eligible for traditional healing services.
2
Individuals interested in using the Traditional Medicine Benefit for the first time.
3
Community members participating in behavioral health programs.
4
Family members seeking guidance and resources for health services.
5
Anyone needing assistance in accessing health services and support.
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What are the instructions for submitting this form?
To submit the form, you can fax it to 1-866-123-4567 or email it to benefits@bcbsnm.com. For physical submissions, mail to BlueCross BlueShield of New Mexico, P.O. Box 12345, Albuquerque, NM 87101. Ensure all required fields are complete and accurate to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
Important dates for the 2024 and 2025 benefit include the start of the calendar year when eligibility resets. Ensure you complete your application in the allowed time frame. Check for updates on any changes in application deadlines annually.
What is the purpose of this form?
The purpose of this form is to facilitate access to the Traditional Medicine Benefit for eligible BlueCross BlueShield members in New Mexico. It allows members to seek traditional healing services, providing a supportive resource for their healthcare needs. By filling out this form, members contribute to a more culturally inclusive health plan.
Tell me about this form and its components and fields line-by-line.
- 1. Personal Information: Includes name, address, member ID, and contact details.
- 2. Eligibility Verification: A section to confirm eligibility for the benefit.
- 3. Health Risk Assessment: A mandatory assessment to be completed.
What happens if I fail to submit this form?
Failing to submit this form may result in ineligibility for the Traditional Medicine Benefit. It is crucial to provide all required information accurately to avoid delays. Incomplete submissions can hinder access to vital health services.
- Loss of Benefit: Not submitting the form may mean missing out on the $250 benefit.
- Health Risk Assessment Delays: Incomplete submissions can delay access to needed services.
- Eligibility Misunderstanding: Failing to submit may lead to confusion regarding health benefit access.
How do I know when to use this form?
- 1. After Health Risk Assessment: Use the form after completing your assessment.
- 2. Annual Benefit Access: Submit yearly to utilize the traditional healing benefit.
- 3. To Join NAAB Meetings: Complete for active participation in community meetings.
Frequently Asked Questions
How do I access the Traditional Medicine Benefit?
Call 1-877-232-5518 to request the benefit.
What is the amount I can receive?
Eligible members can receive a check for $250.
How often can I use this benefit?
The benefit is available once per calendar year.
Is there a requirement before I apply?
Yes, completion of a Health Risk Assessment is required.
What if I am hearing-impaired?
You can call 711 for TTY service.
How do I join the NAAB meeting?
Call 505-816-2131 for details on joining the meeting.
Can I request this document in another language?
Yes, call Member Services at 1-866-689-1523.
Where can I find information on coming meeting dates?
Visit www.bcbsnm.com/community-centennial/member-resources/resources.
How do I report fraud or misuse of the benefit?
Contact BlueCross BlueShield for guidance on reporting suspicious activities.
What should I do if I need auxiliary aids?
Call 1-866-689-1523 to request auxiliary aids and services.
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