Our Value

What We Offer

We’re in your corner, simplifying the benefits experience so you can spend more time pursuing the things you love.

We know that the most important part of anyone’s business is their people, and that’s why we put members first. Our team is on call to help you navigate your company’s benefits landscape, from explanation of benefits to questions on bills and claims. You’ve got a partner to help you every step of the way.

Meaningful Support

Health insurance can be complex, which is why our customer service team is on call to support the healthcare journey—from understanding benefits to finding providers or managing medial claims.

Access to Skilled Clinicians

Quality isn’t sacrificed to reduce cost—our nurse care managers, our provider networks and our affiliated clinical partners are industry leading.

Great Member Experience

From advocating for members to get the care they need, to supporting them through the claims process, our member experience team is there every step of the way.

Problem Resolution

Our dedicated support team is available to address any issues that arise for our members—so they can focus on their care and treatment.

Mobile Tools

Employees and their covered family members can access their benefit information from a desktop, tablet, and mobile app—whenever they choose.

And More

From world-class customer care for members and employers to sales support for brokers, we pride ourselves in making each interaction a meaningful and positive experience.

Access Your Plan

Online Portal

All of your benefits information is accessible online via our portal 24/7. We also provide phone consultations to help you understand coverage and healthcare options, and billing and obligations after visiting a provider. Our team advocates for you and will support you as you get the care you need.

Provider Network

Looking for links to your provider network? Visit our Partners page and click on your network to learn more.

FAQ

Common Member Questions

Who should I call if I have a question on my claims?

We know claims can be confusing, which is why our customer service team is on call to help you get the answers you need.

You have a right to question and/or appeal the processing of a claim. To receive an explanation of how your claim was processed, you may use the 'Online Customer Service' section of your healthcare portal, contact the BMI customer service team by phone, or email your inquiry to benefits@gotobmi.com.

Who is eligible to add to my plan?

a) An Employee's spouse, unless separated or divorced;

b) An Employee's children from birth up to age 26, including natural children, legally adopted children, stepchildren, children for whom the Employee or legal spouse have been granted legal custody, and children placed in the Employee's physical custody for the purpose of adoption.

What is pre-certification for inpatient hospital care?

Pre-certification is a part of the utilization review process; it is designed to ensure that patients receive quality care that is medically necessary and appropriate to their condition. BMI must be contacted prior to a non-emergency admission. If you are admitted to the hospital on an emergency basis, you have up to 48 hours after admission to make the notification. The appropriate phone number can be found on the front of your ID card.

What is a Prescription Benefit Manager (PBM)?

More commonly known as your prescription drug vendor, a PBM contracts with independent pharmacies or a chain of pharmacies to provide prescription medicines at a discounted rate for retail and mail order prescription drug programs. Your PBM name and phone number is located on your ID card.

What is a preferred provider, and how does using one affect my benefits?

Since changes in network participation can occur, it is important to verify that your health care provider is a current participant prior to receiving medical services. Verification can be obtained by contacting the network directly or reaching out to BMI's customer service team at benefits@gotobmi.com.