Specialty Care for Medicare Plus Blue℠ PPO
Medicare Plus Blue PPO allows all members direct access to health specialists for in-network routine, preventive and specialty services. For most services, individual members will have higher copayments when they see specialists rather than general care physicians such as general practice, family practice, internal medicine, obstetrics and gynecology, geriatricians, pediatrics, nurse practitioners and physician's assistants.
The higher in-network copayment for specialty services may apply to Medicare Plus Blue Group PPO members.
Blue Cross Blue Shield of Michigan encourages Medicare Advantage PPO practitioners (or their office staff) to assist members whenever possible in finding an in-network practitioner who can provide necessary services. If assistance is needed in arranging for specialty care (in- or out-of-network), please call our Provider Inquiry department at 1-866-309-1719.
Refer to Medicare Plus Blue PPO member benefit summaries for more information. For questions about group coverage benefits, access the member's benefit information through web-DENIS or contact Provider Inquiry at 1-866-309-1719.