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Medicare Advantage

Learn more by using the links below.

Blue Cross Blue Shield of Michigan

    

Blue Care
Network


Terms & Conditions Web tool

Blue Cross Blue Shield of Michigan, in cooperation with the Blue Cross Blue Shield Association, is providing the Terms & Conditions Web tool, giving providers easy access to the appropriate terms and conditions for a Medicare Advantage member. Providers can use this tool by following these 3 easy steps:
 

  1. Enter the first 3 letters of the member's ID number on the BCBS Medicare Advantage PFFS card.
  2. For example: If the first 3 letters of the member's ID number are "XDV," you will need to select an appropriate plan name in the drop down box.
  3. Click "GO" to view the BCBS Medicare Advantage PFFS Plan's Terms & Conditions.
     

Alpha Prefix: 
 
Plan: 
 

 
GO
 

If you experience any difficulties, please contact 800-676-BLUE.
 

You will need Adobe® Reader® to view PDF documents. Download a copy of Adobe Reader from the Adobe Web site.
 

Medicare Advantage reporting changes: Effective Dec. 27, 2006, BCBSM EDI is implementing additional edits for all BCBSM Medicare Advantage claims. To ensure proper payment of these claims, you must follow reporting requirements detailed in this letter(PDF) you received recently.