Dec. 5, 2014

Open Enrollment: Welcoming New and Renewing Members

The 2015 annual open enrollment period for individual and family coverage began Nov. 15, 2014, and will close Feb. 15, 2015. During open enrollment, a shopper has the opportunity to select a new plan or renew their current policy for 2015.

New Process
Effective with 2015 open enrollment, most members can be re-enrolled automatically into the same plan they selected for coverage in 2014. Current Blue Cross and Blue Shield of Oklahoma (BCBSOK) members have received information explaining how to renew their existing coverage or select a new plan. BCBSOK members who take no action will be automatically enrolled in the same plan they had in 2014.

Member ID Cards
Renewing members who keep their same plan will retain the member ID cards they were issued when they signed up for their 2014 policy. New enrollees and BCBSOK members who changed their plan selection for 2015 will receive new member ID cards. While the new member ID cards will have a slightly different look in 2015, one key component — the network code — will remain on the front of all cards. Checking the network code is critical because it identifies in-network providers according to each member’s plan or product.

Eligibility and Benefits
As always, it is important to check eligibility and benefits prior to rendering services for BCBSOK members. This step will help you identify the member’s product/plan, network, preauthorization requirements and other important details.

Please watch the News and Updates section of our website at bcbsok.com/provider for additional information and related resources.

Checking eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered.