Looking for a doctor or hospital?

Compare our plans
Enroll now

BCBSM Members can log in to access quality and cost information

Register for Member Secured Services

Whether you're looking for a doctor that participates in your plan or you want to find out how to contact a doctor you've seen before, use the Find a Doctor or Hospital button below to help you find the information you need.

Find a Doctor or Hospital


Important information for:

Medicare Plus Blue Essential, Vitality, Signature and Assure members

Medicare Plus Blue PPO Essential, Vitality, Signature and Assure Plan Members

This directory provides a list of Medicare Plus Blue network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

The "network providers" listed in this directory have agreed to provide you with your health care coverage. You may go to any of our network providers listed in this directory. If you have been going to one network provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-network providers.

If you receive medical services within the Medicare Plus Blue PPO service area, most will be covered at in-network levels. Services you receive from out-of-network providers will be covered at out-of-network levels and you will pay more out-of-pocket than if you choose an in-network plan provider, with the exception of emergencies and urgent care.

When you make your appointment, ask your doctor if he or she participates with Medicare Plus Blue PPO or call our Member Services department to find a participating plan provider. Call 1-877-241-2583, 8 a.m. to 8 p.m. seven days a week. TTY users should call 711; this number requires special telephone equipment and is only for people who have difficulties with hearing or speaking. Calls to this number are also free.

If you need out-of-network medical care, you may go to any doctor or hospital that accepts Medicare. To find a doctor or hospital near you, call our Member Services department at 1-877-241-2583, 8 a.m. to 8 p.m. seven days a week. TTY users should call 711.

If you receive care from an out-of-network or non-plan provider, the provider may bill you for the services you receive. Please mail your itemized bill along with your name and contract number to us so we can review it for payment. Mail the information to:

Member Service Inquiry
MC X510
600 E. Lafayette Blvd.
Detroit, MI 48226-2998

If you need emergency care, call 911 or go directly to an emergency room. If you are admitted to the hospital for the same condition within three days of your emergency room visit, you do not have to pay the emergency room copay. Emergency care can always be obtained in or out of the service area from the nearest available provider. You're also covered for emergency and urgent care worldwide. You may have to pay for the care you receive and seek reimbursement from us. See your Evidence of Coverage for more information.

When out of the service area, you can obtain dialysis treatment from any qualified dialysis provider.

What is the service area for Medicare Plus Blue PPO?

The Medicare Plus Blue PPO service area includes all counties in the state of Michigan. A map of the Medicare Plus Blue PPO service area is located on the back cover of this directory.

How do you find Medicare Plus Blue PPO providers in your area?

This directory lists Medicare Plus Blue PPO providers by county, then city, then zip code, so you can find the providers in your community. You can also check the alphabetical index of providers to see a list of those who participate in the Medicare Plus Blue PPO network. The index gives the page number where you can find a complete listing for the provider.

If you have questions about Medicare Plus Blue PPO please call our Member Services department at 1-877-241-2583, 8 a.m. to 8 p.m. seven days a week. TTY users should call 711. Or, visit www.bcbsm.com/medicare.

If you need durable medical equipment, prosthetic or orthotic devices, dental care, vision care, outpatient laboratory or fitness services:

  • Your doctor or specialist is responsible for determining your need for outpatient durable medical equipment, as well as prosthetic and orthotic devices and will write a prescription for the equipment. To locate an in-network provider, call Member Services at 1-877-241-2583, 8 a.m. to 8 p.m. seven days a week. Calls to this number are free. TTY users call 711.
  • Our dental network includes DenteMax dentists as well as dentists who contract directly with us. You must receive care from a Medicare participating network dentist for the services to be covered at in-network levels. If you're travelling outside of Michigan, you can receive in-network care from any Medicare participating DenteMax dentist. To find a network dentist near you, call our Member Services department at 1-877-241-2583. TTY users should call 711. Representatives are available from 8 a.m. to 8 p.m. seven days a week. To find a DenteMax dentist, you may also visit www.dentemax.com.
  • VSP provides your vision care services. VSP's network of doctors is conveniently located in retail, neighborhood, medical and professional settings, and many locations offer early morning, evening and weekend hours. To find a VSP provider near you, call 1-800-877-7195 Monday through Friday, 8 a.m. to 6 p.m., and Saturday from 9 a.m. to 5:30 p.m. TTY users should call 1-800-428-4833. Or, go to www.vsp.com.
  • Joint Venture Hospital Laboratories and Quest Diagnostics provide in-network outpatient laboratory services within the Medicare Plus Blue PPO service area. To locate a network laboratory, call our Member Services department at 1-877-241-2583. TTY users should call 1-800-579-0235. Representatives are available from 8 a.m. to 8 p.m. seven days a week.
  • For Vitality and Signature plan members, your fitness benefit is provided by SilverSneakers®. To find a participating location near you, call 1-888-423-4632 from 8 a.m. to 8 p.m. Eastern time, Monday through Friday. TTY users should call 711. Or, visit www.silversneakers.com.

Medicare Plus Blue Group members

Medicare Plus Blue Group PPO Plan Members

This directory provides a list of Medicare Plus Blue network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage.

The network providers listed in this directory have agreed to provide you with your health care coverage. You may go to any of our network providers listed in this directory. If you have been going to one plan provider, you are not required to continue going to that same provider. In some cases, you may get covered services from non-plan providers; however, your cost-sharing requirement may increase.

If you need medical care outside of the state of Michigan, you may obtain care from any provider that accepts Medicare and your Medicare Plus Blue Group PPO ID card. If you receive services outside the state of Michigan, in-network cost-sharing will apply for all Medical services (except durable medical equipment, prosthetics and orthotics — see below for more information on how to obtain these goods and services).

To locate a provider outside the state of Michigan, please call Member Services at 1-866-684-8216 from 8:30 a.m. to 5 p.m. Eastern time, Monday through Friday. TTY users should call 711; this number requires special telephone equipment and is only for people who have difficulties with hearing or speaking. Calls to this number are also free.

You're also covered for emergency and urgent care worldwide. You may have to pay for the care you receive and seek reimbursement from us. See your Evidence of Coverage for more information.

If you need emergency care, call 911 or go directly to an emergency room. If you are admitted to the hospital for the same condition within three days of your emergency room visit, you do not have to pay the emergency room copayment.

If you need durable medical equipment, prosthetic or orthotic devices, or outpatient laboratory services:

  • Your doctor or specialist is responsible for determining your need for outpatient durable medical equipment, as well as prosthetic and orthotic devices and will write a prescription for the equipment. To locate an in-network provider, call Member Services at 1-866-684-8216 from 8:30 a.m. to 5 p.m. Eastern time, Monday through Friday. Calls to this number are free. TTY users call 711.
  • Joint Venture Hospital Laboratories and Quest Diagnostics provide your outpatient laboratory services. To locate a network laboratory, call Member Services at 1-866-684-8216. TTY users should call 1-800-579-0235. Representatives are available from 8:30 a.m. to 5 p.m. Eastern time, Monday through Friday.

If you receive care from a non-plan provider within Michigan, the provider may bill you for the services you receive. Please mail your itemized bill along with your name and contract number to us so we can review it for payment. Mail the information to:

Medicare Plus Blue Group PPO — Mail Code X510
Blue Cross Blue Shield of Michigan
600 E. Lafayette Blvd.
Detroit, MI 48226-2998

See your Evidence of Coverage for more information regarding how to receive care, or call our Member Services department at 1-866-684-8216 from 8:30 a.m. to 5 p.m. Eastern time, Monday through Friday. TTY users should call 711.

What is the service area for Medicare Plus Blue Group PPO?

Medicare Plus Blue Group PPO is available only to members who live in our plan service area, which includes all 50 states and all territories of the United States. To stay a member of our plan, you must continue living in this service area.

See the back cover of this directory for a map of the Medicare Plus Blue service areas in Michigan.

How do you find Medicare Plus Blue Group PPO providers in your area?

This directory is a list of Medicare Plus Blue providers by Michigan county, then city, so you can find the providers in your community. You can also check the alphabetical index of providers to see a list of those who participate in the Medicare Plus Blue Group PPO network. The index gives the page number where you can find contact information for each provider.

Services obtained outside the state of Michigan or in the Michigan counties of Antrim, Benzie, Charlevoix, Cheboygan, Emmett, Grand Traverse, Kalkaska and Leelanau will be treated as in-network, regardless of the provider's PPO network status.

If you would like to view a provider directory for another region, you may view it on the CD you received in your enrollment kit or by calling Member Services to request a printed copy. If you have questions about Medicare Plus Blue Group PPO, please call our Member Services department at 1-866-684-8216 from 8:30 a.m. to 5 p.m. Eastern time, Monday through Friday. TTY users should call 711. Or, visit www.bcbsm.com/medicare.

Additional directories

H9572 S5584_W_Apr13BCBSMAdvWeb CMS Approved 04292013

Important information about these plans

Medicare Plus Blue PPOSM, BCN Advantage HMO-POSSM and BCN Advantage HMO FocusSM are health plans with Medicare contracts. Prescription Blue PDPSM is a stand-alone prescription drug plan with a Medicare contract.

Medicare Plus Blue PPO

Medicare Plus Blue PPO is available to all Medicare beneficiaries who are Michigan residents and are entitled to receive services under Medicare Part A and enrolled in Part B.

With the exception of emergency or urgent care, it will cost more to get care from non-plan or non-preferred providers. Your responsibility will be greater out-of-network when the out-of-network coinsurance is based on the Medicare-allowed amount and the contracted amount is lower. 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 www.bcbsm.com/medicare/provdirectory.shtml.

Prescription Blue PDP

Prescription Blue PDP is available to all Medicare beneficiaries who are Michigan residents entitled to receive services under Medicare Part A and/or enrolled in Part B.

Medicare Plus Blue PPO and Prescription Blue PDP

Premiums vary by county. You must continue to pay your Medicare Part B premium.

Limitations, copayments and restrictions may apply.

Our network includes approximately 2,300 Michigan retail pharmacies, of which an estimated 86 percent are network pharmacies. Nationwide, most chain pharmacies are in our network, as well as long-term care and home infusion pharmacies and Indian/Tribal/Urban (Indian Health Service) pharmacies.

In general, benefits are only available at contracted network pharmacies. Plan drugs may be covered in special circumstances; for instance, illness while traveling outside of the plan's service area where there is no network pharmacy. You may have to pay more than your normal cost-sharing amount if you get your drugs at an out-of-network pharmacy. Quantity limitation and restrictions may apply. In addition, you will likely have to pay the pharmacy's full charge for the drug and submit documentation to receive reimbursement from Blue Cross Blue Shield of Michigan. For additional information on network pharmacies, please call Member Services at 1-877-241-2583, 8 a.m. to 8 p.m. Eastern time, Monday through Friday, with weekend hours Oct. 1 through Feb. 14. TTY users call 711. Certain services available 24/7 through our automated telephone response system. TTY users call 711. You may also write to: Blue Cross Blue Shield of Michigan, 600 E. Lafayette Blvd., Mail Code X510, Detroit, MI 48226.

If you decide to have your plan premium withheld from your Social Security check or deducted from your checking or savings account, it may take up to three months for the automatic deduction to begin. If your premium amount is currently withheld from your Social Security check or deducted from your checking or savings account and you wish to receive a monthly bill instead, the change may also take up to three months to become effective. During this time, you will be responsible for paying your premium.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and or copayments/coinsurance may change on Jan. 1 of each year.

Medicare beneficiaries may enroll in Medicare Plus Blue PPO, BCN Advantage HMO-POS, BCN Advantage HMO or Prescription Blue PDP through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. BCBSM does not control Medicare's website and is not responsible for its content.

For more information, please contact Blue Cross Blue Shield of Michigan at 1-877-469-2583. TTY users call 711. Hours are: 8 a.m. to 8 p.m. Eastern time, Monday through Friday, with weekend hours Oct. 1 through Feb. 14. TTY users call 711. Certain services available 24/7 through our automated telephone response system.

You may only enroll in Medicare Plus Blue PPO or Prescription Blue PDP during specific times of the year. To learn more about enrollment periods, contact Member Services.

BCN Advantage HMO-POS

BCN Advantage HMO-POS is available in these counties: Allegan, Barry, Bay, Calhoun, Clare, Clinton, Crawford, Eaton, Genesee, Gladwin, Grand Traverse, Gratiot, Huron, Ingham, Ionia, Isabella, Jackson, Kalamazoo, Kalkaska, Kent, Lapeer, Livingston, Macomb, Mecosta, Midland, Missaukee, Monroe, Montcalm, Muskegon, Newaygo, Oakland, Oceana, Ottawa, Roscommon, Saginaw, St. Clair, Sanilac, Shiawassee, Tuscola, Van Buren, Washtenaw and Wayne. Premiums vary by county. You must continue to pay your Medicare Part B premium.

You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor BCN Advantage will be responsible for the costs. Out-of-network services authorized by BCN Advantage will be covered. Our point-of-service benefit allows you to get care from providers not in our network under certain conditions. If you're traveling outside of Michigan, you're covered under our point-of-service BlueCard benefit and can access out-of-network doctors, specialists or hospitals that participate with Blues plans. You may receive most plan-covered services at in-network out-of-pocket cost sharing. You may need to pay higher cost-sharing for routine care from non-network providers.

If you are enrolled in BCN Advantage ClassicSM or PrestigeSM plans, you must use a network pharmacy to access your prescription drug benefit, except under non-routine circumstances when you cannot reasonably use a network pharmacy. Our pharmacy network includes the majority of chain pharmacies, mail order through Medco Pharmacy® (now a part of the Express Scripts family of pharmacies) or Walgreens, as well as long-term care and home infusion pharmacies. For additional information on network pharmacies, call Customer Service at 1-800-450-3680, 8 a.m. to 8 p.m., seven days a week. TTY users call 711. You may also write to: BCN Advantage, 2311 Green Road, Ann Arbor, MI 48105.

BCN Advantage HMO Focus

BCN Advantage HMO Focus is available only to residents of Wayne County. You must use BCN Advantage Focus plan providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers, neither Medicare nor BCN Advantage will be responsible for the costs. You must continue to pay your Medicare Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments and restrictions may apply. Medicare beneficiaries may also enroll in BCN Advantage through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. BCN Advantage's contract with CMS is renewed annually and the availability of coverage beyond the end of the contract year is not guaranteed. Benefits, formulary, pharmacy, network, premium and/or coinsurance may change on Jan. 1 of each year.

BCN Advantage HMO Focus plan members must use a network pharmacy to access their prescription drug benefit, except under non-routine circumstances when they cannot reasonably use a network pharmacy. Our pharmacy network includes the majority of chain pharmacies, mail order through Medco Pharmacy® (now a part of the Express Scripts family of pharmacies) or Walgreens, as well as long-term care and home infusion pharmacies. For more information call the Customer Service number on the back of your ID card from 8 a.m. to 8 p.m., Monday through Friday, with weekend hours October 1 through February 14. TTY users should call 711. Certain services are available 24/7 through our automated telephone response system. You may also write to: BCN Advantage, 2311 Green Road, Ann Arbor, MI 48105.

The BCN Advantage benefit information provided on this website is not complete. Additional information should be requested before making a decision about your coverage. For full information on BCN Advantage benefits, current members should call our Customer Service department at 1-800-450-3680, from 8 a.m. to 8 p.m., seven days a week. TTY users call 711. Prospective members should call 1-877-469-2583. TTY users call 711. Hours are: 8 a.m. to 9 p.m. Eastern time, Monday through Friday, Feb. 15 through Sept. 30; 8 a.m. to 9 p.m. Eastern time, seven days a week, Oct. 1 to Feb. 14.

Benefits, formulary, pharmacy, network, premium and/or coinsurance may change on Jan. 1 of each year. Contact BCN Advantage for details.

If you decide to have your BCN Advantage premium withheld from your Social Security check or deducted from your checking or savings account, it may take up to three months for the automatic deduction to begin. If your premium amount is currently withheld from your Social Security check or deducted from your checking or savings account and you wish to receive a monthly bill instead, the change may also take up to three months to become effective. During this time, you will be responsible for paying your premium. Medicare beneficiaries may enroll in BCN Advantage through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at medicare.gov. For more information, contact BCN Advantage at 1-877-469-2583. TTY users call 711. Hours are: 8 a.m. to 9 p.m. Eastern time, Monday through Friday, Feb. 15 through Sept. 30; 8 a.m. to 9 p.m. Eastern time, seven days a week, Oct. 1 to Feb 14.

Legacy Medigap

Legacy Medigap offers access to any hospital, doctor or other health care provider in the U.S. or its territories that accepts Medicare assignment. The plan does not require members to use a specified provider network. Legacy Medigap is a Medigap health insurance policy administered by Blue Cross Blue Shield of Michigan. Neither Blue Cross Blue Shield of Michigan nor agents authorized to sell Blue Cross Blue Shield of Michigan policies are connected with Medicare.