Evidence of Coverage
Who is this for?
If you're a member of one of our individual Medicare Advantage or Part D prescription drug plans, these books explain how your plan works.
Your stove, furnace, car, T.V. and cell phone all come with an instruction manual. So do our Medicare Advantage and Prescription Blue℠ PDP plans. It's called your Evidence of Coverage and it's our contract with you. It also has lots of helpful information you need to know about using your plan. You can find yours here.
Medicare Plus Blue℠ PPO
This book is for members of these Medicare Plus Blue PPO plans:
BCN Advantage℠ HMO and HMO-POS
Not sure which plan you have? Call the Customer Service number on the back of your Blues ID card and we'll help.
|BCN Advantage HMO Local (Wayne County only)||Evidence of Coverage (PDF)|
|BCN Advantage HMO MyChoice Wellness (Kent, Muskegon and Oceana counties only)||Evidence of Coverage (PDF)|
|BCN Advantage HMO-POS plans: Basic, Classic and Prestige||Evidence of Coverage (PDF)|
|BCN Advantage HMO-POS Elements
||Evidence of Coverage (PDF)|
Prescription Blue PDP plans
This book is for both Option A and Option B prescription drug plans.