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November 2014

We’re preparing to launch new local network called Metro Detroit EPO

The Blues are partnering with health care providers in Southeast Michigan to offer cost-conscious consumers affordable, coordinated care through localized networks.

The Metro Detroit exclusive provider organization, or EPO, network includes 25 hospitals and more than 6,300 doctors located in Livingston, Macomb, Oakland, St. Clair, Washtenaw and Wayne counties. It’s part of our ongoing efforts to increase access to high-quality, lower cost health care for Michigan residents.

There is also a new Metro Detroit HMO that Blue Care Network is offering in three counties: Oakland, Macomb and Wayne. See November-December issue of BCN Provider News for complete details.

Here are three important points to keep in mind:

  • Other than eligible emergency services and accidental injuries, members who have enrolled in a Metro Detroit EPO plan do not have coverage if they visit a doctor that is outside the network.
  • Be sure to always refer members to health care providers that are in the Metro Detroit EPO network. You can use the Find a Doctor search tool on bcbsm.com to verify that a doctor or hospital is in this network.
  • Be sure your office staff knows if you are in this localized network.

Participating hospitals include:

  • Detroit Medical Center
    • DMC – Sinai Grace
    • DMC – Rehab Institute of Michigan
    • DMC – Huron Valley Sinai
    • DMC – Children’s Hospital
    • DMC – Harper-Hutzel
    • DMC – Detroit Receiving
  • Oakwood Healthcare
    • Oakwood Hospital Dearborn
    • Oakwood Hospital Southshore
    • Oakwood Hospital Taylor
    • Oakwood Hospital Wayne
  • St. John Providence Health System
    • St. John Macomb – Oakland Hospital Macomb Center
    • St. John Macomb – Oakland Hospital Oakland Center
    • St. John River District Hospital
    • St. John Hospital and Medical Center
    • Providence Park Hospital
    • Providence Hospital
  • Saint Joseph Mercy Health System/CHE Trinity Health
    • St. Joseph Mercy – Oakland
    • St. Joseph Mercy – Ann Arbor
    • St. Joseph Mercy – Livingston
    • St. Mary Mercy Hospital – Livonia
    • St. Joseph Mercy Chelsea
  • Botsford Hospital
  • Garden City Hospital
  • Stonecrest Center for Behavioral Health
  • Straith Hospital for Special Surgery

Product names include:

  • Blue Cross® Metro Detroit EPO Gold Extra
  • Blue Cross® Metro Detroit EPO Silver Extra
  • Blue Cross® Metro Detroit EPO Silver
  • Blue Cross® Metro Detroit EPO Bronze Extra
  • Blue Cross® Metro Detroit EPO Bronze

These products will be available to consumers beginning Nov. 15, when open enrollment begins, for coverage effective Jan. 1, 2015. They can be purchased on the Health Insurance Marketplace** and directly through BCBSM or independent insurance agents.

**Blue Cross Blue Shield of Michigan does not control this website or endorse its general content.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.