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September 2018

Our Medicare Advantage Private Fee-For-Service plan to end as of Dec. 31

In 2017, Blue Cross offered a new Private Fee-For-Service (or PFFS) product to our members so they had an additional product option for their health care. We originally built the CMS-required PFFS network using our existing statewide Medicare Advantage PPO network of providers, by amending their contracts to include the PFFS product. Starting Jan. 1, 2017, providers joined the PFFS network separately from the PPO network by signing the Medicare Advantage PFFS agreement.

Due to low enrollment, Blue Cross will no longer offer the PFFS plan to members starting in 2019. The existing PFFS provider network will be closed to new providers as of Oct. 1, 2018 and the network will no longer be active as of Jan. 1, 2019.

The combined Medicare Advantage PPO and PFFS contract will be amended to remove references to the PFFS network. As a result, the contract will include only the Medicare Advantage PPO network effective Jan. 1, 2019. The amended Medicare Advantage PPO-only contract is available at bcbsm.com Provider Enrollment. We will terminate the Medicare Advantage PFFS agreements effective Dec. 31, 2018.

If you have questions, please contact provider inquiry.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.