Pacific Blue Cross
Our Extended Health Plan provider is Pacific Blue Cross. You encourage you to access their member portal for specific details of your coverage, including your usage. You can find the Pacific Blue Cross portal HERE.
You can also access detailed health benefit information by visiting My Plan page.
You can also access detailed health benefit information by visiting My Plan page.
CPAP Coverage for Members
During the last round of negotiations with BCPSEA to improve our Extended health Benefits (EHB) Plan, the BCTF requested clarification on the coverage for CPAP machines required by members who experience sleep apnea.
The PBC consulatant assured us that our provincial EHB plan provides more than one CPAP machine per lifetime, if the member has moderate to severe sleep apnea. Below is the FAQ that lists the change in eligibility as of October 2018.
The PBC consulatant assured us that our provincial EHB plan provides more than one CPAP machine per lifetime, if the member has moderate to severe sleep apnea. Below is the FAQ that lists the change in eligibility as of October 2018.
| sleep_apnea.members.faq__1_.pdf |
Depending on your claim history, you are provided to have your CPAP provider submit a pre-determination to Pacific Blue Cross (PBC) prior to replacing your device. The form is below for easy reference.
| sleep_apnea_form_ure__2_.pdf |
If you are denied coverage, please contact PBC and submit an appeal for review. Once that process is initiated, you can also reach out to the BCTF by emailing Debbie Morran directly: [email protected]