<?xml version="1.0" encoding="UTF-8" ?>
<?xml-stylesheet type="text/xsl" href="https://connect.bcbsmt.com/cfs-file/__key/system/syndication/rss.xsl" media="screen"?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:slash="http://purl.org/rss/1.0/modules/slash/" xmlns:wfw="http://wellformedweb.org/CommentAPI/" xmlns:atom="http://www.w3.org/2005/Atom"><channel><title>Blogs</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog</link><description>Get your Montana health insurance coverage explained by our experts. We&amp;#39;ll also give you advice and tips to handle a variety of issues you may encounter.</description><dc:language>en-US</dc:language><generator>Telligent Community 12</generator><lastBuildDate>Tue, 29 Sep 2026 11:04:00 GMT</lastBuildDate><atom:link rel="self" type="application/rss+xml" href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog" /><item><title>What Is 3D Mammography?</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-3d-mammography</link><pubDate>Tue, 29 Sep 2026 11:04:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:810737a9-c72a-41fb-84e0-3ce018b507f9</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=583</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-3d-mammography#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/en-que-consisten-las-mamografias-3d" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/en-que-consisten-las-mamografias-3d"&gt;&lt;/a&gt;Women have choices when it comes to breast cancer screenings. A standard mammogram every one or two years is the recommended best practice for early detection. It can detect breast cancer up to three years before it can be felt.
Since their introduct...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-3d-mammography"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=583&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Women_1920_s%2bHealth">Women’s Health</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer%2bPrevention">Breast Cancer Prevention</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Breast%2bCancer">Breast Cancer</category></item><item><title>Know Your Colorectal Cancer Screening Options</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/cancer-screening-preventive-diagnostic</link><pubDate>Mon, 28 Sep 2026 14:36:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:e586ed2c-c324-4da3-97f2-9f408b0b2e72</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=880</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/cancer-screening-preventive-diagnostic#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/conoce-tus-opciones-de-deteccion-del-cancer-colorrectal" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/conoce-tus-opciones-de-deteccion-del-cancer-colorrectal"&gt;&lt;/a&gt;Getting screened for colon cancer is an important way to protect your health.
Colon cancer is the fourth leading cause of cancer death in the U.S. But colon cancer can be successfully treated when it is found and treated early. Until it grows or spre...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/cancer-screening-preventive-diagnostic"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=880&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Colorectal%2bCancer%2bScreening%2bOptions">Colorectal Cancer Screening Options</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bCare">Medical Care</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Cancer">Cancer</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Colon%2bHealth">Colon Health</category></item><item><title>Looking for Ways to Save on Healthy Gifts?</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/deals-blue365</link><pubDate>Mon, 28 Sep 2026 11:21:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:12a525a8-4a00-44ba-afc5-bfc7ebea2ef4</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=721</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/deals-blue365#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/ofertas-blue365" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/ofertas-blue365"&gt;&lt;/a&gt;Do your shopping lists never end? Are you a champion bargain hunter? Then Blue365&amp;reg; is perfect for you. Blue365 is a discount service that saves you money on a variety of everyday needs and healthy lifestyle aids.
How Does It Work?
Any member of a...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/deals-blue365"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=721&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Discounts">Discounts</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Deals">Deals</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Blue365">Blue365</category></item><item><title>Get to Know Your Medical Tests: Preventive vs. Diagnostic</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/medical-tests-preventive-vs-diagnostic</link><pubDate>Mon, 28 Sep 2026 09:58:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:d2100d73-91ab-47ba-8561-64fe8c28db8c</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=1012</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/medical-tests-preventive-vs-diagnostic#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/pruebas-medicas-prevencion-y-de-diagnostico" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/pruebas-medicas-prevencion-y-de-diagnostico"&gt;&lt;/a&gt;When your doctor orders a test for you, it&amp;rsquo;s important to know what type of test is ordered. There are two types, preventive and diagnostic.
Knowing the difference between these two types of tests will help you better understand your treatment ...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/medical-tests-preventive-vs-diagnostic"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=1012&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bCare">Medical Care</category></item><item><title>Get Fit and Save in October</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment</link><pubDate>Tue, 01 Sep 2026 08:07:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:5a6e51b2-d4ab-4ab2-8b0f-9ebf13209f69</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=757</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment#comments</comments><description>Well onTarget and the Fitness Program&amp;nbsp;are not available to all members. Check your online account information&amp;nbsp;or ask your benefits administrator to see if you have these benefits.
If you&amp;rsquo;re looking to stay in shape, or get back in sha...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/fitness-program-waived-enrollment"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=757&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Exercise">Exercise</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Fitness%2bProgram">Fitness Program</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Well%2bonTarget">Well onTarget</category></item><item><title>What Is an HMO?</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo</link><pubDate>Thu, 27 Aug 2026 20:01:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:d6def981-3372-466b-b1e4-9f2bb781c719</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=919</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/que-es-una-cobertura-hmo" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/que-es-una-cobertura-hmo"&gt;&lt;/a&gt;An HMO &amp;mdash; or health maintenance organization &amp;mdash; can help keep your costs lower and more predictable compared to other types of plans. With one doctor to coordinate your care, an HMO health plan is easy to use.
An HMO health plan offers:

Mo...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-an-hmo"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=919&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Using%2bHealth%2bInsurance">Using Health Insurance</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Blue%2bAccess%2bfor%2bMembers">Blue Access for Members</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Provider%2bFinder">Provider Finder</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/HMO">HMO</category></item><item><title>Is My Prescription a Pharmacy or Medical Benefit?</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit</link><pubDate>Thu, 30 Jul 2026 14:59:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:e37a5162-eca9-470e-906f-143453f6a722</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=944</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/cobertura-para-medicamentos-o-cobertura-medica" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/cobertura-para-medicamentos-o-cobertura-medica"&gt;&lt;/a&gt;It&amp;rsquo;s no secret that prescription drugs can be pricey. One of the best ways to save on the drugs you are prescribed is to make sure you understand how your health plan benefits work.
A good place to start is to answer this question: Is my prescr...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/pharmacy-benefit-vs-medical-benefit"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=944&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Prescriptions">Prescriptions</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Pharmacy">Pharmacy</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Pharmacy%2bBenefits">Pharmacy Benefits</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Drug%2bList">Drug List</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/In_2D00_Network">In-Network</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Generic%2bDrugs">Generic Drugs</category></item><item><title>Insurance Basics: Out-of-Pocket Maximum</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum</link><pubDate>Thu, 30 Jul 2026 11:39:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:7729f6da-c272-4ff8-a112-9c19fd929e1e</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=277</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/gasto-de-bolsillo" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/gasto-de-bolsillo"&gt;&lt;/a&gt;We know health care terms can be confusing. One you&amp;rsquo;re sure to run across is &amp;ldquo;out-of-pocket maximum.&amp;rdquo; What does it mean? How does it affect you and your family? How does it influence your choice of health plan?
You share the cost of...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/what-is-an-out-of-pocket-maximum"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=277&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Out_2D00_of_2D00_pocket%2bcosts">Out-of-pocket costs</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Provider%2bFinder">Provider Finder</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bBills">Medical Bills</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Insurance%2bBasics">Insurance Basics</category></item><item><title>Plan Year Ending Soon? Make the Most of It</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end</link><pubDate>Thu, 30 Jul 2026 10:36:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:86349455-e8fc-4d74-a55b-be56783af7d2</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>1</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=719</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/aprovechar-al-maximo-la-finalizacion-del-plan-de-cobertura" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/aprovechar-al-maximo-la-finalizacion-del-plan-de-cobertura"&gt;&lt;/a&gt;If you&amp;rsquo;re the kind of person who needs a deadline to get things done, there may be a big one just around the corner. If your health plan year is ending soon, it&amp;rsquo;s a good time to review your health benefits.
Doing so could be a boost to yo...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/make-most-of-plan-year-end"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=719&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Deductible">Deductible</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Blue%2bAccess%2bfor%2bMembers">Blue Access for Members</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/BAM">BAM</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Preventive%2bCare">Preventive Care</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Save%2bMoney">Save Money</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category></item><item><title>What Is Coordination of Benefits?</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits</link><pubDate>Tue, 28 Jul 2026 09:13:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:521c2ebf-2f03-4062-b3e8-4b74a2ff90cb</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=841</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits#comments</comments><description>When you need care and are on two different health insurance plans, your insurers will coordinate your benefits (COB). This helps you get maximum coverage when you need it.
If you&amp;rsquo;re covered by two different health plans, your provider may file...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/coordination-of-benefits"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=841&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Customer%2bService">Customer Service</category></item><item><title>5 Reasons a Claim May Be Denied</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied</link><pubDate>Thu, 16 Jul 2026 10:22:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:68e51613-3361-4807-b15b-ab382494c641</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=804</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/motivos-rechazarse-reclamacion" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/motivos-rechazarse-reclamacion"&gt;&lt;/a&gt;Believe it or not, there are only a handful of reasons that may lead to a health care service not getting approved or a claim not being paid.
They fall into these five buckets.
The claim has errors.&amp;nbsp;Minor data errors are the most common culprit ...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/reasons-claim-denied"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=804&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Appeals">Appeals</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Explanation%2bof%2bBenefits">Explanation of Benefits</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category></item><item><title>What to Do if Your Claim Is Not Approved</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/claim-not-approved</link><pubDate>Thu, 16 Jul 2026 09:32:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:6de2a026-62f8-40f8-8036-573a6805de6f</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=803</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/claim-not-approved#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/reclamo-no-aprobado" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/reclamo-no-aprobado"&gt;&lt;/a&gt;Nurse care manager Lenzy Mixon got a call from a member about a large bill he received for a stay at a skilled nursing facility.
He checked with his doctor, who assured him the stay had been pre-approved by his health plan. His next call was to us. M...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/claim-not-approved"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=803&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/How%2bHealth%2bInsurance%2bWorks">How Health Insurance Works</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Medical%2bClaims">Medical Claims</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Appeals">Appeals</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Explanation%2bof%2bBenefits">Explanation of Benefits</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category></item><item><title>HIPAA: What More Do You Need to Know?</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/hipaa-what-more-do-you-need-to-know</link><pubDate>Wed, 08 Jul 2026 14:17:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:3859a220-70e0-4aed-ac09-45125aa87477</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=448</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/hipaa-what-more-do-you-need-to-know#comments</comments><description>When you go to a doctor, dentist or eye doctor, you are asked to sign that you&amp;rsquo;ve seen their privacy statement. What does that mean?
Thanks to the Health Insurance Portability and Accountability Act (&lt;a title="HIPAA" href="https://www.hhs.gov/hipaa/for-individuals/index.html" rel="noopener noreferrer" target="_blank"&gt;HIPAA&lt;/a&gt;), &amp;nbsp;you are reminded at each visit...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/hipaa-what-more-do-you-need-to-know"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=448&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/HIPAA">HIPAA</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Understanding%2bInsurance">Understanding Insurance</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/PHI">PHI</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Standard%2bAuthorization">Standard Authorization</category></item><item><title>Staying In-Network Can Help Cut Costs</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/in-network-health-care</link><pubDate>Wed, 08 Jul 2026 13:58:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:4805c6cb-e4b3-4315-9ed7-d4254fceb2b6</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=653</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/in-network-health-care#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/servicios-medicos-de-la-red" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/servicios-medicos-de-la-red"&gt;&lt;/a&gt;When you shop, you probably keep an eye on costs. You want to buy the things you need at a fair price. What about when you&amp;rsquo;re shopping for health care? Using providers in your health plan&amp;rsquo;s network can help you save money.
A network inclu...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/in-network-health-care"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=653&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Using%2bHealth%2bInsurance">Using Health Insurance</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Health%2bInsurance%2bNetwork">Health Insurance Network</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Health%2bCare%2bCosts">Health Care Costs</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/In_2D00_Network">In-Network</category></item><item><title>Keep Health Issues in Check with Telehealth Visits</title><link>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/virtual-visits-annual-exams</link><pubDate>Wed, 08 Jul 2026 09:14:00 GMT</pubDate><guid isPermaLink="false">6e104328-2028-43b6-bb31-8401437dc51f:05b5cecc-5b04-470b-8cc0-0c042e6576f4</guid><dc:creator>BCBSMT Connect Team</dc:creator><slash:comments>0</slash:comments><wfw:commentRss xmlns:wfw="http://wellformedweb.org/CommentAPI/">https://connect.bcbsmt.com/my-coverage-explained/b/weblog/rsscomments?WeblogPostID=809</wfw:commentRss><comments>https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/virtual-visits-annual-exams#comments</comments><description>&lt;a title="/espanol/b/tucobertura/posts/consultas-virtuales-examenes-anuales" href="https://connect.bcbsmt.com/espanol/b/tucobertura/posts/consultas-virtuales-examenes-anuales"&gt;&lt;/a&gt;Does your health plan offer telehealth visits with doctors in your plan&amp;rsquo;s network? Now&amp;#39;s a good time to check. It may be just what you need to stay on top of your health.
During the pandemic, more health care facilities turned to telehealth vis...(&lt;a href="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/posts/virtual-visits-annual-exams"&gt;read more&lt;/a&gt;)&lt;img src="https://connect.bcbsmt.com/aggbug?PostID=809&amp;AppID=5&amp;AppType=Weblog&amp;ContentType=0" width="1" height="1"&gt;</description><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Benefits%2band%2bCoverage">Benefits and Coverage</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Annual%2bExam">Annual Exam</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Virtual%2bVisits">Virtual Visits</category><category domain="https://connect.bcbsmt.com/my-coverage-explained/b/weblog/archive/tags/Telehealth">Telehealth</category></item></channel></rss>