Frequently Asked Questions (FAQ)
The CMM Plan doesn’t issue ID cards. It’s a reimbursement plan. However, you can find your ID # on your NYSUT Membership card.
CMM would be the payor of last resort in most instances. The exceptions are when a participant, in addition to being enrolled in a Basic Plan, is enrolled in Medicaid, a State Children’s Health Insurance Program (CHIP) or TRICARE. In these scenarios, CMM is secondary to the Basic Plan, but pays before Medicaid, CHIP or TRICARE. See the Plan Document for the definition of a Basic Plan and for coordination of benefit rules.
Yes. The CMM Plan requires copies of all Explanation of Benefits (EOBs) from all other primary insurance plans indicating they have considered the charges for payment.
- Copy of cancelled check
- Credit card or bank statement showing payment
- Receipt from provider of service showing payment
No. The CMM Plan will only consider the participant’s responsibility after all insurance coverages have considered the charges for payment.
An Authorization for Release is required to obtain access to a family member’s Protected Health Information (PHI). The Authorization to Release form is available on the website on the Forms and Documents page. An Authorization to Release is still needed regardless of having Power of Attorney (POA).
Claims should be filed following the month the services have been rendered.
- The Home Health Care Questionnaire
- The Facility Questionnaire
- The Attending Physician Questionnaire
- Invoices from provider of service
The questionnaire forms are located on the Forms and Documents tab of this website.