This lists the comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Refer to this list for the drugs and products covered by Blue Cross and BCN at no out-of-pocket cost to members and comply with health care reforms preventive benefits requirements. An independent licensee of the Blue Cross and Blue Shield Association. The newsfeed is temporarily unavailable. 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. Find eye care Use the link to register for your account and find an eye care professional. Register for MyBlue. (i) when required or permitted by law or government agencies. This lists the plus comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. PCP Focus is a custom primary care physician HMO network offered by Blue Care Network. Register Now, Learn more about registering for our web tools. *Cost estimates are available to most non-Medicare members. Get access to your employer portal. Sometimes you can predict when you'll need a doctor while traveling. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Important Information About Medicare Plans. Register Now, Not registered? Get access to your member portal. This lists the drugs we cover for BCN Advantage Community Value. State and Federal Privacy laws prohibit unauthorized access to Member's private information. This lists the standard comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. This drug list is updated monthly. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Register Now, Not registered? Newsletters. This document spells out our quantity limits for certain drugs, like opioids. For members with a closed benefit design, nonpreferred drugs arent covered unless we authorize them as medically necessary. A family annual deductible is the amount you and others on your plan have to pay each year for health services before your health insurance begins to pay. See who's in your network without any guesswork involved. Let us help you choose the plans that meet your strategic goals. (iii) for purposes relevant to corporate policies or litigation to the extent permitted under applicable law or when it is prescribed in GDPR or other applicable law. If you have questions regarding how we process your Personal Data and what we store about you, please contact PrivacyInternational@HighmarkHealth.org or write us: By agreeing to the terms and conditions set out in this Data Protection Statement, and by providing us with your Personal Data, you consent to the collection, use and disclosure of any information you provide in accordance with the above purposes and this Data Protection Statement. Find a dentist It's easy to find a dentist in network. This is a top-level plan with a $250 deductible. Read our provider directory introductions to learn more about how our HMO network works. An important note regarding the State Health Plan PPO deductibles: You have the freedom to see both in-network and out-of-network providers. Read more about the types of doctors and specialists Notwithstanding the above disclosures, we will disclose the Personal Data we collect from you under the following circumstances: We use third-party service providers to process Personal Data, including, without limitation, for information storage and other similar purposes. We provide health insurance in Michigan. Call 877-258-3932 | Privacy Policy 1996-Blue Cross Blue Shield of Michigan and Blue Care Network Nonprofit corporations and independent licensees . Be a part of the largest network in the state, with fast access to everything you need to check benefits and submit claims. Your email address and phone number may be used to contact you. Find specialists for referrals with our online tool that lets you search by doctor's name, location, specialty and more. We provide health insurance in Michigan. Get access to your member portal. This document explains coverage criteria for drugs on the Preferred Drug list. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Blue Cross commercial provider resources You can find additional information about Blue Cross provider resources in the Blue Pages Directory chapter of the Blue Cross Commercial Provider Manual. Individuals attempting unauthorized access will be prosecuted. Make sure you know whether your Medicare Advantage plan is HMO or PPO. Community Blue Platinum $0 Community Blue Platinum $250 Community Blue Platinum $500 Community Blue Gold $1000 HRA plans Community Blue HRA Platinum $1500 ($1250) Community Blue HRA Gold $3000 ($750) Community Blue HRA Gold $5000 ($1500) When this pharmacy directory refers . This is a mid-level plan with a $1,500 deductible. Whether online, in person or over the phone you can be confident in our over 80 years of service. This drug list is updated monthly. Register Now, Not registered? We're here to help. TTY users call 1-800-452-8086 or dial 711.. Encourage a culture of well-being with tools and resources to help your employees improve their whole health. Make sure you know whether your Medicare Advantage plan is HMO or PPO. As a Blue Cross Blue Shield of Michigan or Blue Care Network member it's easy to access care. This drug list is updated monthly. Get to know your options, from in-person checkups to online health care. After that deductible is met, out-of-network charges are paid according to the plan design. Refer to this list for drug coverage information for Blue Cross and BCN members whose plan uses the Preferred Drug List. Select your plan to get started. Sometimes you cant. Have Questions? There is no fee to register or use MyBlue. Have your I.D. It's a premium plan that has low out-of-pocket costs and offers essential health benefits. See if you qualify for special enrollment. What do I need for my first trip to the pharmacy as a Medicare customer? For example: a single person chooses an in-network hospital for surgery. Register Now, Learn more about registering for our web tools. All reasonably appropriate measures will be taken to prevent disclosure of your Personal Data beyond the scope provided directly or indirectly herein or as may be reasonably inferred from the content contained in this notice or the website. Find specific information about your plan or you can find a pharmacy that accepts your plan. Want more details about Simply Blue PPO? Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader, Important Information About MedicarePlans. If you are not satisfied with our data processing you have the right to lodge a complaint to the data protection authority in your country of residence. PDF Custom Drug List - PPO Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Drug List. Get access to your agent portal. We provide health insurance in Michigan. transform health care. Always ask the doctor if they accept your Medicare Advantage plan before making an appointment. This is the lowest copay tier for prescription drugs. They are responsible for the out-of-network deductible. Our agents can help you set up your plan, enroll your employees and help you determine the easiest way to set up payments. This lists the standard enhanced comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. Your employees will find this plan easy to use thanks to its copay only structure. Read our provider pharmacy directory introductions to learn more about our PPO network. Important Information About MedicarePlans. They won't charge you the difference between their normal charge and the amount paid by the State Health Plan PPO. The plan covers inpatient hospital care, as well as other outpatient services received at a hospital including emergency room care. Yet, sometimes you have to manage or recover from a condition that requires durable medical equipment. This document explains coverage criteria for drugs on the Custom Select Drug List. Refer to this list for drug coverage information for Blue Cross members whose plan uses the Clinical Drug List. This lists the drugs covered under group Prescription Blue Group PDP plans. Blue Cross Medicare Supplement plans aren't connected with or endorsed by the U.S. government or the federal Medicare program. Register Now Why log in? Elevating the quality of care by rewarding physicians for better patient health outcomes. The Plan also covers most of your community-based care (office visits), as well as necessary medical equipment and supplies (crutches, hearing aids, etc.). Not registered? 2023 Documents Download 2023 plan certificate This document explains coverage criteria for certain drugs. This lists the drugs we cover for Prescription Blue PDP Select. Login Browse our plans: Individual and Family Medicare Medicaid Plans Employers Get a Quote Find a Doctor Pay My Bill Stay connected Sign up for an online account and get easy access anytime, anywhere. It's easy to find a dentist in network. Multiple cost-sharing options help stretch your health care dollars. If traveling away from home, learn if you're covered with one of our Medicare Advantage or Medicare Supplement plans. you can visit for a low copay. Register Now. Let us know if we answered your questions. Make sure you bring these things with you to the pharmacy: This is a solicitation of insurance. Use the link to register for your account and find an eye care professional. Refer to this list for drug coverage information for BCN members with a 3 or 5-Tier benefit whose plan uses the Custom Drug List. This list is for small group or individual health plans that began on or after Jan. 1, 2014 and meet the requirements of the Patient Protection and Affordable Care Act. Please let us know! We're working with Michigan's providers to Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands Outside the United States Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. This information will be used for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. Join a live presentation with our health care experts, examining topics you've told us mean the most to your business. View cost estimates* for services, so you can compare and potentially save. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Community Blue is a Preferred Provider Organization (PPO) and allows you to choose whether you receive health care services from a Community Blue PPO physician (in-network) or to choose any physician (out-of-network). Our point of service plan offers affordability and the freedom to choose a doctor or specialist without a referral. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. These service providers will be bound by sufficient guarantees to implement appropriate technical and organizational measures in such a matter that their processing will meet the requirements of applicable law. State Health Plan PPO - Administered by Blue Cross Blue Shield of Michigan (BCBSM). You can reach us at 1-855-237-3501, or talk to a Blue Cross-authorized, independent agent. Call the Customer Service number on the back of your Medicare Advantage ID card and well help. They offer: We can help you decide which is best for your business and employees. Behavior Health/Substance Abuse Administrator. If you choose to do so, you will be responsible for both deductibles. Heres how you can travel confidently with your Medicare Advantage or Medicare Supplement plan. That can be a great way to build loyalty. Important Legal and Privacy Information|Important Information About MedicarePlans|Privacy Practices|Site Map|Feedback|Download Adobe Acrobat Reader, Y0074_BCBSMBCNWeb_M_2023_C CMS Accepted 04232023, Page Last Updated Mon Jan 09 16:13:00 EST 2023. the providers in your community. Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Drug List. Register Now. This lists the enhanced comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans. These accounts are part of what's called consumer-directed health care.