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Why don’t you cover the procedure my doctor is suggesting?

Who is this for?

Michigan Health Insurance – Customer Service – HMO Plans

If you're a Blue Care Network member, this information can help you learn why a procedure your doctor is suggesting is not covered.

In order for a procedure to be covered, it has to:

  • Meet our medical criteria
  • Be included in your plan’s benefits
  • Be provided by your primary care physician, or a specialist in your network who was referred by your primary care physician

For more information about your coverage, log in to your account at Click My Coverage and then What’s Covered to get your benefits.

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