Medicare Evidence of Coverage Booklets

If you have a Blue Cross Blue Shield of Michigan Medicare Advantage or Part D prescription drug plan, these Evidence of Coverage and Annual Notice of Change documents explain how your plan works.

Medicare Plus Blue PPO

For individuals with Essential, Vitality, Signature, Assure, + Meijer or Part B Credit plans

PDF

Medicare Plus Blue PPO Evidence of Coverage for 2024

If you have Medicare Plus Blue PPO Essential, Vitality, Signature or Assure, this booklet will explain how your 2024 plan works.

PDF

Medicare Plus Blue PPO Evidence of Coverage for 2024 - Spanish

Este documento le brinda los detalles de su cobertura de medicamentos recetados y atención médica de Medicare desde el 1 de enero hasta el 31 de diciembre de 2024.

PDF

Medicare Plus Blue PPO Essential Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 Medicare Plus Blue PPO Essential.

PDF

Medicare Plus Blue PPO Vitality Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 Medicare Plus Blue PPO Vitality.

PDF

Medicare Plus Blue PPO Signature Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 Medicare Plus Blue PPO Signature.

PDF

Medicare Plus Blue PPO Assure Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 Medicare Plus Blue PPO Assure.

PDF

Medicare Plus Blue PPO + Meijer Evidence of Coverage Booklet for 2024

If you have Medicare Plus Blue PPO + Meijer, this booklet will explain how your 2024 plan works.

PDF

Medicare Plus Blue PPO Part B Credit Evidence of Coverage Booklet for 2024

If you have Medicare Plus Blue PPO Part B Credit, this booklet will explain how your 2024 plan works.

BCN Advantage HMO ConnectedCare

PDF

BCN Advantage HMO ConnectedCare Evidence of Coverage for 2024

This booklet explains how the 2024 BCN Advantage HMO ConnectedCare plan works. Note: This plan is only available in Arenac, Genesee, Iosco, Kalamazoo, Livingston, Macomb, Oakland, Saginaw, St. Clair, Washtenaw and Wayne counties.

BCN Advantage HMO ConnectedCare Evidence of Coverage for 2024 - Spanish

Su cobertura de medicamentos recetados, servicios y beneficios médicos de Medicare como miembro de BCN Advantage Local HMO

PDF

BCN Advantage HMO ConnectedCare Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 BCN Advantage HMO ConnectedCare. Note: This plan is only available in Arenac, Genesee, Iosco, Kalamazoo, Livingston, Macomb, Oakland, Saginaw, St. Clair, Washtenaw and Wayne counties.

BCN Advantage Local HMO

PDF

BCN Advantage Local HMO Evidence of Coverage for 2024

If you have BCN Advantage Local HMO, this booklet will explain how your 2024 plan works. Note: This plan is only available in Macomb, Oakland and Wayne counties.

PDF

BCN Advantage Local HMO Evidence of Coverage for 2024 - Spanish

Su cobertura de medicamentos recetados, servicios y beneficios médicos de Medicare como miembro de BCN Advantage Local HMO

PDF

BCN Advantage Local HMO Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 BCN Advantage Local HMO. Note: This plan is only available in Macomb, Oakland and Wayne counties.

BCN Advantage HMO-POS Prime Value

PDF

BCN Advantage HMO-POS Prime Value Evidence of Coverage for 2024

If you have BCN Advantage HMO-POS Prime Value, this booklet will explain how your 2024 plan works.

PDF

BCN Advantage HMO-POS Prime Value Evidence of Coverage for 2024 - Spanish

Su cobertura de medicamentos recetados, servicios y beneficios médicos de Medicare como miembro de BCN Advantage HMO-POS Prime Value.

PDF

BCN Advantage HMO-POS Prime Value Annual Notice of Changes for 2024

his document tells you what benefits have changed since last year for 2024 BCN Advantage HMO-POS Prime Value.

BCN Advantage HMO-POS Classic

PDF

BCN Advantage HMO-POS Classic Evidence of Coverage for 2024

If you have BCN Advantage HMO-POS Classic, this booklet will explain how your 2024 plan works.

PDF

BCN Advantage HMO-POS Classic Evidence of Coverage for 2024 - Spanish

Su cobertura de medicamentos recetados, servicios y beneficios médicos de Medicare como miembro de BCN Advantage HMO-POS Classic.

PDF

BCN Advantage HMO-POS Classic Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 BCN Advantage HMO-POS Classic.

BCN Advantage HMO-POS Prestige

PDF

BCN Advantage HMO-POS Prestige Evidence of Coverage for 2024

If you have BCN Advantage HMO-POS Prestige, this booklet will explain how your 2024 plan works.

PDF

BCN Advantage HMO-POS Prestige Evidence of Coverage for 2024 - Spanish

Su cobertura de medicamentos recetados, servicios y beneficios médicos de Medicare como miembro de BCN Advantage HMO-POS Prestige.

PDF

BCN Advantage HMO-POS Prestige Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 BCN Advantage HMO-POS Prestige.

BCN Advantage HMO-POS Elements

PDF

BCN Advantage HMO-POS Elements Evidence of Coverage for 2024

If you have BCN Advantage HMO-POS Elements, this booklet will explain how your 2024 plan works.

PDF

BCN Advantage HMO-POS Elements Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 BCN Advantage HMO-POS Elements.

BCN Advantage HMO-POS Community Value

PDF

BCN Advantage HMO-POS Community Value Evidence of Coverage for 2024

If you have BCN Advantage HMO-POS Community Value, this booklet will explain how your 2024 plan works. Note: This plan is only available in Genesee, Livingston, Macomb, Oakland, St. Clair, Washtenaw and Wayne counties.

PDF

BCN Advantage HMO-POS Community Value Evidence of Coverage for 2024 - Spanish

Su cobertura de medicamentos recetados, servicios y beneficios médicos de Medicare como miembro de BCN Advantage HMO-POS Community Value

PDF

BCN Advantage HMO-POS Community Value Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 BCN Advantage HMO-POS Community Value. Note: This plan is only available in Genesee, Livingston, Macomb, Oakland, St. Clair, Washtenaw and Wayne counties.

Prescription Blue PDP

For individuals with Prescription Blue PDP Select or Premium plans

PDF

Prescription Blue PDP Select and Premium Evidence of Coverage for 2024

If you have Prescription Blue PDP Select or Premium, this booklet will explain how your 2024 plan works.

PDF

Prescription Blue PDP Select and Premium Evidence of Coverage for 2024 - Spanish

Este documento le brinda los detalles de su cobertura de medicamentos recetados de Medicare desde el 1 de enero hasta el 31 de diciembre de 2024.

PDF

Prescription Blue PDP Select Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 Prescription Blue PDP Select.

PDF

Prescription Blue PDP Premium Annual Notice of Changes for 2024

This document tells you what benefits have changed since last year for 2024 Prescription Blue PDP Premium.

Medicare plans from an employer

If you have a Blue Cross Medicare plan from your employer, log in to see your Evidence of Coverage and information specific to your plan.