Public School Retirees: Medicare Plus BlueSM Group PPO

Michigan public school retirees with Medicare Plus Blue Group PPO can see any doctor in our network. Whether you're up north or in downtown Detroit, you can rest easy knowing Blue Cross Blue Shield of Michigan has you covered.

Plan highlights
  • 25 preventive services covered at 100%
  • Covers everything that Original Medicare does, plus more, in one plan
  • See any in-network doctor or specialist without referrals

PLAN ELIGIBILITY

Medicare

PLAN TYPE

PPO

What this plan offers

  • Largest PPO network in Michigan
  • Preventive services that help you stay healthy
  • 24-hour nurse line access
  • SilverSneakers® gym membership included 
  • Manage your account 24-hours a day, seven days a week with the BCBSM app

2025 plan details

Find out what's covered and how much you'll pay.

Annual deductible

$800

Coinsurance

10% (30% for out-of-network DME)

Annual coinsurance/copay maximum

$900

Annual deductible

 In and out of network

$800

Coinsurance

 In and out of network

10% (30% for out-of-network DME)

Coinsurance/copay maximum

 In and out of network

$900

Out-of-pocket maximum

 In and out of network

$1,700

Office visits

 In and out of network

10% after deductible

Specialist office visits

 In and out of network

10% after deductible

Virtual visits

 In and out of network

10% after deductible

Urgent care

 In and out of network

$65 copay

Emergency room

 In and out of network

$140 copay

SilverSneakers

 In and out of network

Included at no additional cost, in network only

$800

10% (30% for out-of-network DME)

$900

$1,700

10% after deductible

10% after deductible

10% after deductible

$65 copay

$140 copay

Included at no additional cost, in network only

Plan documents

  • 2025 Medicare Plus Blue PPO Annual Notice of Change (PDF)
    Download
  • 2025 Medicare Plus Blue PPO Evidence of Coverage (PDF)
    Download
  • 2025 Medicare Plus Blue PPO Resource Guide (PDF)
    Download
  • 2025 Medicare Plus Blue PPO Summary of Benefits (PDF)
    Download
  • 2025 TruHearing Routine Hearing Benefits (PDF)
    Download
  • Vaccine Guide (PDF)
    Download
  • Medicare Plus Blue PPO Member Reimbursement Form (PDF)
    Download
  • Member Flu and Pneumonia Shot Reimbursement Form (PDF)
    Download
  • Understanding annual physical exams and annual wellness visits (PDF)
    Download

Medicare Part B select prescription drugs and vaccines

Find a pharmacy

See participating pharmacies near you.

Drug list

See if your prescription is covered.

Vaccine Coverage Guide

Staying up to date on your vaccinations can reduce your risk of contracting serious illnesses. Your retirement system health plan covers many vaccines to keep you healthy. Some of the vaccines are covered by your medical plan, administered by Blue Cross Blue Shield of Michigan. Other vaccines are covered by your prescription drug plan, administered by Optum Rx. Learn about both in the Michigan Office of Retirement Services Vaccine Coverage Guide (PDF).

Need help understanding your EOB?

Every time you go to a doctor or hospital, a claim is filed. Each time a claim is filed, you’ll get an explanation of benefits, or EOB, statement from us.

The statement shows you what services were billed, what we paid and what you pay.

Get to know the different parts of your EOB in Understanding your EOB (PDF).

View monthly insurance rates

See rates
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