MUST utilizes Blue Cross and Blue Shield of Montana’s extensive nationwide provider networks. MUST members will experience the lowest out-of-pocket costs when utilizing network providers. Though members are free to see non-network providers, there are many advantages to using network providers. Network providers agree to accept pre-determined
allowable amounts as payment in full. This protects members as they are not subject to charges beyond MUST’s allowable limits (often referred to as balance billing). Network providers also agree to submit claims on members’ behalf, and MUST will make payments directly to those providers through BCBSMT. Non-network providers are under no obligation to accept pre-determined allowable amounts as payment in full, subjecting members to possible balance billing. In addition, non-network
providers are under no obligation to submit claims for members. Therefore, a member may be responsible for submitting the claim and for paying Balance billed amounts do not accrue toward member deductibles and out-of-pocket maximums. Search HERE to find a network of doctors, dentists, hospitals, and other health providers that accept Blue Cross
and Blue Shield of Montana. Directions on how to use the BCBSMT Provider Finder can be found HERE.
the provider.
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Healthy Montana Kids (HMK)
Children's Health Insurance Plan
Healthy Montana Kids (HMK), Children's Health Insurance Plan offers a free or low-cost health insurance plan providing coverage to eligible Montana children up to age 19. Covered services include medical, dental, eyeglasses, and other related services. Medical benefits are administered through the Blue Cross Blue Shield (BCBS) of Montana Provider Network, except for Federally Qualified Health Centers, Rural Health Clinics, dental, pharmacy, eyeglasses, ambulance, durable medical equipment, prosthetics, orthotics, and medical supplies (DMEPOS) and Community Based Psychiatric Rehabilitation and Support Services which are administered by Montana Healthcare Programs. Treatments and services must be medically necessary and the member must be enrolled at the time the service is delivered.
HMK Member Information
Member Guide - February 2022
Evidence of Coverage- Effective November 1, 2017
Current HMK Covered Dental Codes - Effective July 1, 2022
Health Care Services
Medical
Pharmacy
Dental
Vision
Durable Medical Equipment, Prosthetics, Orthotics, And Medical Supplies
Transportation
HMK Member Resources
Find an HMK Enrolled Dentist
Find an HMK Healthcare Provider
Report household or income changes
Locate your local Office of Public Assistance or apply for Healthcare coverage
HMK Member Contact Numbers
Eligibility
Public Assistance Helpline
Office of Public Assistance contact information
(888) 706-1535
Medical Benefits
Blue Cross Blue Shield of Montana
(855) 258-3489
Pharmacy, Dental, DMEPOS, and Eyeglass
Benefits
Federally Qualified Health Centers, Rural Health Clinics and Community Based Psychiatric Rehabilitation and Support Services
Montana Healthcare Programs, Member Helpline
(800) 362-8312
General Inquiries
1-800-447-7828
Blue Cross and Blue Shield of Montana
560 N. Park Avenue
Helena, MT 59601
FEP Service
4002 Loop 322
Abilene, TX 79602
Customer Service
Claims/Customer Service
Blue Cross and Blue Shield of Montana
P.O. Box 7982
Helena, MT 59604-7982
Care Management Programs
Asthma
Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
Coronary Artery Disease
Depression
Diabetes
If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company.