Verification of Benefits

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To verify coverage for a policyholder you can:

• Call our provider assistance line at 1-402-398-0881,
• Send a fax to 1-402-938-9459, or
• Email us at pa@gomedico.com.

Be sure to include the policy number and the name of the policyholder.

For those providing care, the following forms are available:

Short-Term Care Facility Certification of Care
This is a form for those NHA06 or NHA07 policyholders who are moving from one facility to another or who are going into a facility for the first time. Staff from the facility need to complete and submit this form.

Short-Term Care Monthly Verification of Continuing Care
This is a form to be completed by facility staff. This form is used to verify continuing care for NHA06 or NHA07 policyholders. It must be submitted each month with the billing.

Long-Term Care Certification of Care
This is a form for those policyholders who have a long-term care insurance policy with BlueCross BlueShield of Florida and are moving from one facility to another or who are going into a facility for the first time. Staff from the facility need to complete and submit this form.

Long-Term Care Monthly Verification of Continuing Care
This is a form to be completed by facility staff. This form is used to verify continuing care for policyholders who have a long-term care insurance policy with BlueCross BlueShield of Florida. It must be submitted each month with the billing.