Patient Advocates for Blue Cross Blue Shield of Montana - Find one today.
Supporting and empowering Blue Cross Blue Shield of Montana patients.
Blue Cross Blue Shield of Montana offers extensive coverage across the state, but their complex authorization requirements and rural healthcare geography can leave you struggling to find specialists and navigate claim denials. Your Solace advocate understands Montana's unique healthcare challenges—from accessing care in remote areas to navigating BCBSMT's multi-stage appeal process—and will help you coordinate appointments, secure authorizations, and resolve billing issues without the endless phone calls.
Best of all, most patients pay nothing out of pocket.
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About
Blue Cross Blue Shield of Montana (BCBSMT) is the largest health insurer in the state, serving more than 300,000 Montanans with a network that includes the majority of hospitals and providers across Montana's vast rural landscape. As a division of Health Care Service Corporation with headquarters in Helena and regional offices in Billings, Missoula, Bozeman, Great Falls, and Kalispell, BCBSMT has provided health insurance to Montanans for over 80 years. Their coverage options include individual and family plans, employer group plans, Medicare Advantage, and specialized programs. While BCBSMT offers extensive coverage and deep local knowledge, members often encounter challenges with prior authorization requirements, out-of-network care coordination (especially important in Montana's rural communities), and a multi-tier appeal process that can be difficult to navigate without expert assistance.
What problems can a Blue Cross Blue Shield of Montana patient advocate help you with?
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Get the clarity you need to make sense of your care and take charge of your health.
We’ll make the calls (and the callbacks) so you can spend more time doing what you love.
Keep your care affordable with lower medical bills and access to local financial help.
Advocates review coverage, handle preauthorizations, and even help with appeals.
Stay on top of the cutting-edge treatment options and leave no stone unturned.
Advocates coordinate your care team so your health never falls through the cracks.
Get the tools and answers you need to make informed decisions about your care.
Advocates help you overcome your healthcare hurdles—no matter how big they might be.
Solace has helped over 14,000 patients and families
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04/01/2024
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08/07/2024
Joan H.
05/01/2024
Stephen I.
04/27/2024
Jonathan J.
06/05/2024
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07/27/2024
Blue Cross Blue Shield of Montana Appeals with a Patient Advocate
BCBSMT's appeal process involves multiple stages, beginning with an internal review that typically takes up to 30 days, followed by a physician review and potentially an external review through the Commissioner of Securities and Insurance. Your Solace advocate knows how to prepare comprehensive appeals that include all necessary medical documentation and address BCBSMT's specific coverage criteria. They'll track deadlines, follow up persistently, and ensure your appeal receives proper attention at every level.
When facing a BCBSMT denial, timing is critical in Montana's healthcare landscape. Your advocate will immediately identify whether the denial stems from network limitations, authorization issues, or medical necessity determinations. They'll work with your healthcare providers to gather supporting evidence and may coordinate peer-to-peer reviews between your doctor and BCBSMT's medical directors. For complex cases, they'll navigate the external review process with Montana's Commissioner of Securities and Insurance, all while ensuring you receive the care you need in Montana's challenging healthcare environment.
Navigating Montana's vast healthcare landscape and BCBSMT's complex policies requires a specialized guide—exactly what your Solace advocate provides.
The Solace care team model
With Solace, you get both a patient advocate and a supporting physician, which we refer to as your “care team”.
Your advocate will be there to manage the day to day aspects of your care: coordinating with doctors, researching potential solutions and communicating updates to you.
Your supporting physician can unlock resources for you and your advocate that might otherwise be out of reach.
We’ve Got Answers
Still unsure how an advocate can help? Explore these answers to the questions we’re asked the most.
How are Solace advocates qualified to help?
Advocates on Solace are experienced physicians, nurses, pharmacists, and other healthcare professionals from a wide range of backgrounds. 98% of Solace patients report better healthcare outcomes after working with an advocate.
What else can a Solace advocate help me with?
What can a Solace advocate not do?
We know our advocates sound like miracle workers, but they have limits. They can’t prescribe medications or diagnose an illness, for instance. They can’t replace your doctor, but they can break down the barriers standing between you and the quality care you deserve.