Blue Elect Plus POS: Requirements (Including Prior Authorization)

• Providers located in Michigan follow the authorization rules outlined in the BCN referral and authorization requirements for Michigan providers document . These rules apply to Michigan providers whether they are contracted with BCN or not.
• Providers located outside of Michigan follow the authorization rules outlined in the Non-Michigan providers: BCN referral and authorization requirements document . These rules apply to non-Michigan providers whether they participate with a BlueCard^® Traditional plan or not.
  
  Note: A BlueCard Traditional-participating provider is one who's contracted with their local Blue Cross Traditional plan.

Providers must follow these authorization requirements regardless of whether the Blue Elect Plus member (subscriber or dependent) is enrolled at a Michigan address or at an address outside of Michigan.

See the table below for some examples of which authorization rules apply.

Provider's location	Blue Elect Plus member (subscriber or dependent) enrolled address location	Provider's network status	Which authorization rules apply
Michigan	Any state, including Michigan	In or out of network	BCN referral and authorization requirements for Michigan providers
Any state other than Michigan	Any state, including Michigan	In or out of network	Non-Michigan providers: BCN referral and authorization Requirements

Blue Elect Plus members enrolled with a Michigan address must select a BCN primary care provider, but they still have the option to seek care from other physicians and specialists without a referral.

Blue Elect Plus members enrolled with a non-Michigan address don't need an assigned primary care provider. They also don’t need a referral; they just need to see a BlueCard Traditional-participating provider if they want to pay the lower in-network out-of-pocket costs.