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December 2014

Blue Cross® Premier Platinum Extra with Dental and Vision to launch in 2015

Blue Cross Blue Shield of Michigan will introduce a platinum qualified health plan — Blue Cross® Premier Platinum Extra with Dental and Vision — on the BCBSM PPO network for our individual customers in 2015.

The plan offers our richest level of coverage available, and features our lowest deductible, coinsurance and out-of-pocket maximum. It also includes dental and vision benefits for all family members.

As part of the new plan, members will receive a platinum colored ID card. The look and feel of the card will be slightly different, so we want to make sure that our health care providers are familiar with this option. See example of the card below:

For more information about this plan or any other of our 2015 product offerings, visit bcbsm.com/platinum.

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.