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MIIA is a Membership Service of the Massachusetts
Municipal
Association

Claims Assistance

If you have a question regarding a Blue Cross Blue Shield claim, contact the Blue Cross Blue Shield Member Service office at the phone number listed on the front of your ID card or call MIIA Health Benefits Trust at 1-800-374-4405

For detailed information on health and dental policies, visit bluecrossma.com and click on MEMBER to visit MyBlue.

Take a few minutes to create an account and you’ll be able to:

  • Review your benefits
  • Change your primary care provider
  • Find doctors, dentists, hospitals and other health care providers
  • Access tools and resources to make more informed decisions
  • See your latest plan information
  • Learn about available discounts and savings
  • Read the latest wellness news
  • View pharmacy updates

Frequently Asked Questions

How do I file a claim?

Participating providers will file claims for you. You may also call Member Service at the number on your ID card or MIIA Health Benefits Trust at 1-800-374-4405 to request a claim form. Send the completed form and an itemized receipt from your provider to the address listed on the claim form. To download a copy of the claim form, click here.

How do I find out if a Prescription is covered?

Go to bluecrossma.com and click on MEMBER to visit MyBlue. You’ll find detailed information on prescription drug benefits and related procedures.

What if I want to know if something is covered?

The first place to check is your Summary of Benefits. Materials are organized in general categories such as inpatient care, outpatient care, surgery, medical equipment, prescription drugs, etc. Virtually all questions are waiting to be answered with a quick check of your benefit materials. If you have remaining questions, you may contact the Blue Cross Blue Shield Member Service office at the number listed on your ID card or call MIIA Health Benefits Trust at 1-800-374-4405. When you call, it is important for you to know the specific type of service involved so that a representative can help.

What if I receive a Subscriber Claim Summary in the mail?

A Subscriber Claim Summary is sent to explain how Blue Cross Blue Shield processed a claim. It is not a bill, and you should not send any payment to MIIA or to Blue Cross Blue Shield. If there is a balance listed, the health care provider will notify you of your responsibility.
For more detailed information, please go to bluecrossma.com and click on MEMBER to visit MyBlue. If you have further questions, feel free to contact Member Service at the number listed on your ID card.

What happens when I need a new ID card?

It is important to carry your ID card with you at all times. Your MIIA Blue Cross Blue Shield card is recognized around the world. If you lose your card and need a replacement, simply call Blue Cross Blue Shield Member Service. If you have a family plan, and have access to another family member's ID card, you can call the telephone number shown on your card. If you do not have access to another family member's card, you should call 1-800-782-3675.

What if I get a bill from my doctor?

Many times, when you receive a bill from your doctor, it is for your co-payment, co-insurance or deductible. These are common features of health plans. For example, some health plans require the member pay a share of the cost for an office visit and the rest is covered.

If you have additional questions, the Blue Cross Blue Shield Member Service office can also help you. Please be sure to have your ID number, health care provider's name, and the date of service handy when you call. You may also call MIIA at 1-800-374-4405.

A group of Nashoba RSD employees met after work for MIIA nutrition and fitness training.

A post-program survey revealed that…

90% of the participants improved overall health

87% had a better diet

77% increased weekly exercise

14lbs. lost by one person during the 8-week program