Fall 2009

Changes to mental health and substance abuse benefits for Publix PPO members

Effective July 1, 2009, Publix members with Blue Cross and Blue Shield of Florida, Inc. (BCBSF) mental health and substance abuse benefits must obtain pre-certification for outpatient behavioral health services.

All Publix BCBSF PPO members, including members currently receiving outpatient treatment from a mental health or substance abuse specialist, must request pre-certification by contacting Companion Benefit Alternatives (CBA) at (800) 868-1032. CBA is an independent company that manages behavioral health benefits on behalf of Publix members. Failure to request outpatient pre-certification for behavioral health services will result in denial of all charges.

Identifying Publix Group Members

Publix group members are easy to identify. Copayment information is displayed on the front of the card. Alpha prefix PBB is displayed in front of the member ID number.

Eligibility, Benefits and Claims Filing Information

Providers should use the Availity^®1 Health Information Network to verify eligibility and benefits, file claims and check claim status.

For questions or additional information, call the BCBSF Publix Dedicated Customer Service Unit at (866) 782-5495.