We’re updating Benefit Explainer to include Medicare Plus Blue benefit information

We’re making updates to Benefit Explainer to improve the information available to you online and make it easier for you to do business with us. These changes will give you access to the same medical and benefit policy information for our Medicare Plus Blue℠ members as you already have for our commercial plan members.

Benefit Explainer will continue to have Blue Cross Blue Shield of Michigan benefit information only; Blue Care Network benefit information isn’t included.

What you need to know

As of Nov. 7, we added a new link and tab for Medicare Plus Blue benefits. The new tab and link are labeled “Medicare Advantage Policy.” Although the new link and tab are visible to you now, the data won’t be loaded until a later date. Once the Medicare information is loaded, the new tab and link will be available for use. We’ll share more information with you as we get closer to the data launch.

The tab and link previously titled “Medical/Payment Policy” are now labeled “Commercial Policy.”

These tabs and links, along with others, will continue to function as usual.

Other changes

• The coverage limitation previously labeled “Facility Emergency” is now labeled “Outpatient Facility Emergency.”
• The coverage limitation previously titled “Discharge Diagnosis” is now labeled “Admitting Diagnosis.”

The Communications tab has a new field called “Commercial/Medicare Advantage Identifier.”

If you have any questions or need additional information, call Provider Inquiry.