UAW Trust: BCN AdvantageSM HMO-POS

This Medicare Advantage HMO plan is offered through Blue Care Network. It provides all the benefits of Original Medicare Part A and Part B with popular extras.

Plan highlights
  • Available in 68 select counties in Michigan for UAW Trust members eligible for Medicare.
  • Preventive tests, immunizations and an annual physical exam
  • Benefits that travel with you throughout the U.S. 

Eligibility

Medicare

PLAN TYPE

HMO

Availability

MI

What this plan offers

  • Affordable copays and deductibles
  • Worldwide emergency medical and urgent care
  • Programs for chronic medical conditions
  • Discount programs for health, safety and fitness services and products
  • In-home visit with a doctor, nurse practitioner or physician assistant through Signify Health® 
  • Manage your account 24/7 with the BCBSM app 

2024 Plan details

See what's covered and how much you'll pay.

Individual monthly contribution

$0

Family monthly contribution

$0

Out-of-pocket maximum

$1,000 per person

PCP office visit copay

$15 per person

Individual deductible

In network

$250

Out of network

Not covered

Family deductible

In network

$525

Out of network

Not covered

Coinsurance

In network

No coinsurance

Out of network

Not covered

Individual out-of-pocket maximum

In network

$1,000 including deductibles and copays

Out of network

Not covered

Primary care office visit

In network

$15

Out of network

Not covered

Specialist office visit

In network

$25

Out of network

Not covered

Urgent care copay

In network

$15

Out of network

$15

Emergency room copay

In network

$50

Out of network

N/A

SilverSneakers

In network

Included

Out of network

N/A

$250 Not covered

$525 Not covered

No coinsurance Not covered

$1,000 including deductibles and copays Not covered

$15 Not covered

$25 Not covered

$15 $15

$50 N/A

Included N/A

Plan documents

2024 Benefits-at-a-Glance (PDF)
Download
2024 Evidence of Coverage (PDF)
Download
2024 Resource Guide (PDF)
Download

2023 Plan details

See what's covered and how much you'll pay.

Individual monthly contribution

$0

Family monthly contribution

$0

Out-of-pocket maximum

$1,000 per person

PCP office visit copay

$25 per person

Individual deductible

In network

$400

Out of network

Not covered

Family deductible

In network

$675

Out of network

Not covered

Coinsurance

In network

No coinsurance

Out of network

Not covered

Individual out-of-pocket maximum

In network

$1,000 including deductibles and copays

Out of network

Not covered

Primary care office visit

In network

$25

Out of network

Not covered

Specialist office visit

In network

$35

Out of network

Not covered

Urgent care copay

In network

$25

Out of network

$25

Emergency room copay

In network

$50

Out of network

$50

SilverSneakers

In network

Included

Out of network

N/A

$400 Not covered

$675 Not covered

No coinsurance Not covered

$1,000 including deductibles and copays Not covered

$25 Not covered

$35 Not covered

$25 $25

$50 $50

Included N/A

Plan documents

2023 Evidence of Coverage with Benefit Riders (PDF)
Download
2023 Member Presentation (PDF)
Download
2023 Resource Guide (PDF)
Download
2023 Summary of Benefits (PDF)
Download
Medical Drug and Step Therapy Prior Authorization List for Medicare Plus Blue and BCN Advantage members (PDF)
Download

2023 Addendum

Part B Addendum (PDF)
Download

Helpful resources

Find a doctor

BCN covers 26 counties in Michigan. With our online tool you can search by name, location, specialty and more. You can even read reviews from other patients.

Save money with Blue Cross discounts

Want great discounts on healthy products and services? You can get them through Blue365®. Find out about the big bargains available.

Medicare Advantage PPO

Learn more about the comprehensive Medicare Plus Blue Group PPO plan available to UAW Trust members through Blue Cross Blue Shield of Michigan.

Opt out

If you don't want to receive communications from Blue Cross Blue Shield of Michigan or our vendors, call 1-800-222-5992, have your membership ID available and let us know which campaigns you wish to opt of.

Need help?

Prospective enrollees
Call 1-877-396-1893
TTY users call 711
8:30 a.m. to 6 p.m.
Monday through Friday

Retiree Health Care Connect
Call 1-866-637-7555
TTY users call 711
8:30 a.m. to 4:30 p.m.
Monday through Friday

Current members
Call 1-800-222-5992
TTY users call 711
8 a.m. to 5:30 p.m.
Monday through Friday

Medicare Plus BlueSM and BCN AdvantageSM are PPO, HMO, and HMO-POS plans with Medicare contracts. Enrollment in Medicare Plus Blue and BCN Advantage depends on contract renewal.

With the exception of emergency or urgent care, it will 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. To find a network provider, visit Find a Doctor.

Limitations, copayments and restrictions may apply. You must continue to pay your Medicare Part B premium. Consult your Evidence of Coverage for specific information about your benefits and cost-sharing responsibilities.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan's Customer Service center. Benefits, premium, copayments or coinsurance may change on Jan. 1 of each year.