UAW Trust: Medicare Plus Blue Group PPO for Protected Members

As a UAW Retiree Medical Benefits Trust protected member, you have lower cost share for your medical benefits. The Medicare Plus Blue PPO plan for protected members includes Medicare Part D prescription drug coverage. In the coming months, we’ll share with you everything you need to know to make a seamless transition.

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Protected Medicare Advantage PPO

Are you eligible?

You should have received a letter from the Trust, which explains the eligibility criteria for the Protected member category in more detail.

If you have questions about the Protected category or your eligibility, call Retiree Health Care Connect at 1-866-637-7555.

Does someone else help with your coverage?

If a family member or close friend helps you with your health care coverage, have them file a Member Consent for Release of Protected Health Information form (PDF) so we can share your health information with someone you trust.

Plan documents for 2025

  • Annual Notice of Changes (PDF)
    Download
  • Benefit book - Protected (PDF)
    Download
  • Comprehensive formulary (PDF)
    Download
  • Evidence of Coverage - Protected (PDF)
    Download
  • Prior authorization and step therapy program (PDF)
    Download
  • Resource Guide (PDF)
    Download
  • Annual Notice of Changes (PDF)
    Download
  • Benefit book - Protected (PDF)
    Download
  • Comprehensive formulary (PDF)
    Download
  • Evidence of Coverage - Protected (PDF)
    Download
  • Prior authorization and step therapy program (PDF)
    Download
  • Resource Guide (PDF)
    Download
  • Annual Notice of Changes (PDF)
    Download
  • Benefit book - Protected (PDF)
    Download
  • Comprehensive formulary (PDF)
    Download
  • Evidence of Coverage - Protected (PDF)
    Download
  • Prior authorization and step therapy program (PDF)
    Download
  • Resource Guide (PDF)
    Download

Plan documents for 2024

  • Benefit book - Protected (PDF)
    Download
  • Evidence of Coverage (PDF)
    Download
  • Resource Guide (PDF)
    Download
  • 2024 Member Presentation - Missouri and Tennessee - Protected (PDF)
    Download

Protected MA PPO

This plan can save you hundreds of dollars per year

Best of all, there's no change to your health care coverage. You get all the benefits you're used to and maybe a few more.

SilverSneakers award winner

See how SilverSneakers can help to enrich your well-being.

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Need more help?

1-833-702-2555
8:30 a.m. to 6 p.m. ET
Monday through Friday
TTY users call 711

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.

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