Medicare Plus Blue PPO

We've packaged four Medicare Plus Blue PPO plans that get you more coverage for the things you need and want. All plans feature hospital and doctor coverage, Part D prescription drug coverage and the freedom to choose any doctor or hospital that accepts Original Medicare. You can choose your doctor when you need care. No referrals are required.

With all of our PPO plans — Essential, Vitality, Signature and Assure — you’ll get the complete package:

Access to a large network of quality doctors and hospitals throughout Michigan
Preventive health care services at no cost
Covered dental, vision and hearing services
Generic and brand-name drugs coverage
A network of most Michigan retail pharmacies and national chain pharmacies
Worldwide emergency care coverage
BlueCard^® travel benefits, including coverage for visits to participating Blues doctors nationwide
SilverSneakers ^® fitness membership at no cost (for most PPO plans)

Care when you're ill

Your benefits include built-in safeguards to ensure a medical need doesn't become a financial strain:

Our network doctors accept our payments as payment in full. You pay only your copayment or coinsurance, and a deductible if applicable.
Out-of-pocket maximums for medical care, durable medical equipment and prosthetic and orthotic devices help limit your annual expenses.

We also offer programs that provide extra support for serious or chronic illnesses.

Help when you're healthy

Dental discounts: Some participating network dentists will discount your care for services that aren't covered by your Medicare Plus Blue PPO plan.

Savings: Our Blue365^® program offers discounts from national companies. These special offers include big savings on fitness gear, weight-loss programs, gym memberships, travel, sporting goods, magazines, vitamins, groceries, medicine and family care. We've also arranged discounts specifically for our Medicare Plus Blue members.

Quit the Nic: This free telephone-based program supports your efforts to quit smoking.

SilverSneakers^® : Our Vitality, Signature and Assure plans include the SilverSneakers Fitness Program, giving access to fitness classes designed specifically for older adults at 11,000 fitness centers across the country.

Features for 2015

A PPO plan for just $15.50 a month
Our Medicare Plus Blue Essential plan includes medical and Part D prescription drug coverage, plus preventive dental and vision services, safety bars benefits and more.
Lasik/RK eye surgery
Available with every Medicare Plus Blue plan.
Trusted health and wellness resources
Guidance from registered nurses when you leave the hospital or are dealing with complex and ongoing conditions.

Your agent can help you choose the plan that’s best for you

For more information about Medicare Plus Blue PPO, contact your local, independent agent today.

This is not a complete list of plans available in your service area. For a complete list please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048 ), 24 hours a day, seven days a week or consult www.medicare.gov.

Important information about this plan

The benefit information provided is a brief summary, not a comprehensive description of benefits. For more information, contact the plan. Limitations, copayments and restrictions may apply. Benefits, formulary, pharmacy, network, premium, and copayments or coinsurance may change on Jan. 1 of each year.

Medicare Plus Blue is a PPO plan with a Medicare contract. Enrollment in Medicare Plus Blue depends on contract renewal.

Medicare Plus Blue PPO is available to all Medicare beneficiaries who are Michigan residents and are entitled to receive services under Medicare Part A and enrolled in Part B.

With the exception of emergency or urgent care, it may cost more to get care from non-plan or non-preferred providers. You may receive services from any provider who accepts Original Medicare. Your out-of-pocket costs will be lower if you choose a network provider.

Premiums vary by county. You must continue to pay your Medicare Part B premium.

The BCBSM pharmacy network contains more than 2,400 participating pharmacies (independent and chain). Approximately 98 percent of pharmacies in Michigan participate with BCBSM. (Note: The numbers are based on data from the January 2014 NCPDP/BCBSM-BCN pharmacy network database.)

In general, benefits are only available at contracted network pharmacies. Plan drugs may be covered in special circumstances, for instance, illness while traveling outside of the plan's service area where there is no network pharmacy. You may have to pay more than your normal cost-sharing amount if you get your drugs at an out-of-network pharmacy. Quantity limitations and restrictions may apply. In addition, you will likely have to pay the pharmacy's full charge for the drug and submit documentation to receive reimbursement from Blue Cross Blue Shield of Michigan. For additional information on network pharmacies, please call 1-888-563-3307, 8 a.m. to 9 p.m. Monday through Friday. There are extended service hours Oct. 15 through Feb. 14, 8 a.m. to 9 p.m. Eastern time, seven days a week, including holidays.TTY users should call 711. You may also write to: Blue Cross Blue Shield of Michigan, 600 E. Lafayette Blvd., Mail Code X521, Detroit, MI 48226.

If you decide to have your plan premium withheld from your Social Security check or deducted from your checking or savings account, it may take up to three months for the automatic deduction to begin. If your premium amount is currently withheld from your Social Security check or deducted from your checking or savings account and you wish to receive a monthly bill instead, the change may also take up to three months to become effective. During this time, you will be responsible for paying your premium.

Medicare beneficiaries may enroll in Medicare Plus Blue PPO through the CMS Medicare Online Enrollment Center. For more information, please contact Blue Cross Blue Shield of Michigan at 1-888-563-3307, 8 a.m. to 8 p.m. Monday through Friday. There are extended service hours Oct. 15 through Feb. 14, 8 a.m. to 8 p.m. Eastern time, seven days a week, including holidays. TTY users should call 711.

Medicare Plus Blue is a PPO plan with a Medicare contract. Enrollment in Medicare Plus Blue depends on contract renewal.

Medicare Plus Blue PPO is available to all Medicare beneficiaries who are Michigan residents and are entitled to receive services under Medicare Part A and enrolled in Part B.

Premiums vary by county. You must continue to pay your Medicare Part B premium.

Medicare beneficiaries may enroll in Medicare Plus Blue PPO through the CMS Medicare Online Enrollment Center located at www.medicare.gov. For more information, please contact Blue Cross Blue Shield of Michigan at 1-888-563-3307, 8 a.m. to 8 p.m. Monday through Friday. There are extended service hours Oct. 15 through Feb. 14, 8 a.m. to 8 p.m. Eastern time, seven days a week, including holidays. TTY users should call 711.

H9572_W_15PPOAgentlinkOrph CMS approved 11072014