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Summary of Benefits

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Medicare Help Center | Documents | Summary of Benefits

If you want to compare our individual Medicare Advantage and Part D prescription drug plans and see their key features, you'll want to look at a summary of benefits.

Want to see the list of benefits a plan covers and what it costs? Interested in how plans compare side-by-side to each other and Original Medicare? You can find that information and more in a summary of benefits.

It's important to remember that these booklets don't include all plan benefits. They don't list all the rules, either. But they'll give you a good overview. If you want a lot more information about a plan, consider looking at the Evidence of Coverage.

Tip: We recommend printing these documents, especially if you want to compare the plans. They're easier to read when printed.

Looking for 2016 summary of benefits?

If you're buying a 2016 plan and want to see our summary of benefits, you can go here.

Medicare Plus Blue℠ PPO plans

This booklet has information about the cost and benefits of these individual Medicare Plus Blue PPO plans:

  • Essential
  • Vitality
  • Assure
  • Signature

2017 Summary of Benefits (PDF)

BCN Advantage℠ HMO-POS plans

This booklet has features and prices for these individual BCN Advantage HMO-POS plans:

  • Elements
  • Basic
  • Classic
  • Prestige

2017 Summary of Benefits (PDF)

BCN Advantage HMO plans

Two of our individual Medicare Advantage plans are only available in certain areas of the state. They have separate benefit summaries. They don't have comparisons to our other plans, but you can see how they compare to Original Medicare.

  • BCN Advantage HMO ConnectedCare (Arenac, Genesee, Iosco, Kalamazoo, Livingston, Macomb, Oakland, Saginaw, St. Clair, Washtenaw or Wayne County only) 
  • 2017 Summary of Benefits (PDF)

  • BCN Advantage HMO MyChoice Wellness (Kent, Muskegon, Oceana and Ottawa County only)
  • 2017 Summary of Benefits (PDF)

  • BCN Advantage HMO HealthySaver
     (Kent, Muskegon, Oceana or Ottawa counties) 
    2017 Summary of Benefits

    (Arenac, Iosco, Genessee, Kalamazoo, Livingston, Macomb, Oakland, Saginaw, St. Clair, Washtenaw or Wayne counties)
    2017 Summary of Benefits

Prescription Blue℠ PDP plans

Most of our Medicare Advantage plans include prescription drug coverage. You'll find that information in the plan's Summary of Benefits. But if you only need a prescription drug plan, this booklet tells you about Prescription Blue PDP Option A and Option B.

2017 Summary of Benefits (PDF)

Blue Cross® Medicare Private Fee for Service plan

This booklet has information about the cost and benefits of our individual Blue Cross® Medicare Private Fee for Service plan.

2017 Summary of Benefits (PDF)