Medicare Providers May Treat Medicare Advantage Flex and Group Medicare Advantage Open Access PPO Members

June 21, 2023

If you’re a Medicare provider, your patients may include those who are covered by Blue Cross and Blue Shield of Montana’s (BCBSMT) Blue Cross Medicare Advantage Flex (PPO) SM coverage, or who have a Blue Cross Group Medicare Advantage Open Access (PPO) SM plan issued by another Blue Plan.

You may treat these members regardless of your contract or network status with BCBSMT. That means you don’t need to participate in BCBSMT Medicare Advantage networks or in any other BCBSMT networks to see these members. 

The only requirements are that you agree to see the member as a patient, accept Medicare assignment, and will submit claims to BCBSMT or your local Blue Cross and Blue Shield Plan. Read more.