BlueCross BlueShield of Montana (BCBSMT) is the State Plan's medical plan third party administrator. BCBSMT processes medical claims and payments, provides customer service, and sends Explanation of Benefits (EOB) to members showing what has been paid to medical providers and what the member's portion of the cost is. The State decides rates, out-of-pocket costs, and coverage because it is self-funded. The State Plan uses BCBSMT's large nationwide network of in-network providers. Using in-network providers is the best way to control how much you have to pay out-of-pocket for health care.
The Provider Finder from Blue Cross and Blue Shield of Montana (BCBSMT) gives members access to in-network health care providers and helps manage out-of-pocket medical costs. Provider Finder allows members to check and compare costs before their appointment, find and compare doctors or facilities, understand benefits coverage, and learn more about providers.
Find an in-network provider, clinic, hospital and/or facility:
Members may create a Blue Access for Members (BAM) account at bcbsmt.com. For assistance creating an account, contact BCBSMT at
Plus, when you call, you can access an audio library of more than 1,200 health topics — from allergies to women’s health — with more than 600 topics available in Spanish. Call
Phone: (888) 901-4989
Preauthorization for Services: (855) 313-8914
24/7 Nurse Line: (877) 213-2565
Helena, Montana 59604-8600
Website: bcbsmt.com
App: BCBSMT
Prenatal Health Benefits including vitamins, labs, and breastfeeding support.
The State Plan provides benefits for reproductive health under the medical plan administered by BCBSMT. Complete information regarding State Plan coverage for reproductive health services can be found in the Wrap Plan Document. Questions regarding State Plan coverage should be directed to BCBSMT at
TruHearing makes hearing aids affordable by providing exclusive savings to State Plan members. You can save up to 60% on a pair of hearing aids with TruHearing. What’s more, your dependents and even extended family members are eligible too. Learn more at vsp.com/offers/special-offers/hearing-aids or call
On January 1, 2023, BlueCross BlueShield of Montana (BCBSMT) began administering State Plan medical benefits. Previously, from January 1, 2016, through December 31, 2022, Allegiance Benefit Plan Management administered State Plan medical benefits.
If you have questions about medical claims before January 1, 2023, you may contact Allegiance at
Effective 1/1/2022, when you receive emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
When a covered service is rendered by an out-of-network provider, charges will be paid as if the service were rendered by an in-network provider under any of the following circumstances:
Effective July 1, 2022, self-funded health plans, like the State Plan, must publicly disclose its in-network rates, and out-of-network allowed amounts and billed charges in a Machine-Readable File in accordance with the Transparency in Coverage Rule (TiC). TiC helps to provide consumers better insight into the cost of services before obtaining care and receiving a bill.
State Plan Machine Readable File
The Machine Readable File is intended to be processed by a computer system; it is not meant to be a generally accessible resource for a State Plan member. The nature of the files means its often over a Terabyte in size and unable to be processed by an internet browser or even the average computer. For further assistance with the Machine Readable File review BCBSMT's implementation guide.
Additional information is coming soon regarding the Transparency in Pricing Self Service tool that is intended to serve as a member-facing resource for accessing similar data.