HEALTH & DENTAL INSURANCE INFORMATION

We offer several different health and dental insurance plans sure to fit your needs. For

The MOA is offering secure online payment options for your BCBSM and Delta Dental insurance premiums.

Pay your bill here.

more information, contact LaTesha Richardson, MOA Insurance Administrator, by email at lrichardson@mi-osteopathic.org or by calling (800) 657-1556. If you currently have coverage through us and need information on claims, please contact the BCBSM Service Center at (800) 432-9881. You can contact Delta Dental's Customer Service

Read the October, 2007 issue of News & Notes.

Health and Dental Insurance Forms
For your convenience, we offer the following forms in PDF format. These are large files, so we ask your patience while they load.

Health Coverage Summary Delta Dental Plans 1 and 2
BCBSM Coverage - Options 1, 3 & 4 BCBSM Coverage - Option 5
BCBSM Coverage - Option 6 BCBSM Coverage - Option 7
Supplemental Coverage Information MyBlue® Product Information
BCBSM H.S.A. Flexible Blue Request for Group Quote
Master Medical Reimbursement Form Mail Order Prescriptions
BCBSM Pre-existing Condition Waiting Period Direct Billed Enrollment/Change of Status Health Insurance Form

Would you like to receive a quote for BCBS group insurance. We offer a variety of quality plans for groups and individuals. Please complete the "Request for Group Quote" form and fax or email it to lrichardson@mi-osteopathic.org.

Please contact our insurance department for pricing for the individual BCBS and/or Deltal Dental plans.

To check the most current list of providers please view the website listed below:

for BCBSM http://www.bcbsm.com/home/where_you_can_go_for_care/physicians.shtml
for Dental http://www.deltadentalmi.com/cgi-bin/DentistDir.exe?carrier=DDPMI