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November 2023
University of Michigan retirees can join our Medicare Advantage plans, effective Jan. 1University of Michigan retirees can choose either our Medicare Plus Blue℠ or BCN Advantage℠ plan, effective Jan. 1, 2024. These plans provide coverage for medical and surgical benefits. Magellan Rx, an independent company, administers the group’s prescription drug benefits. How to recognize a U-M Medicare Advantage member U-M retirees with Medicare Plus Blue plans will have Blue Cross Blue Shield of Michigan identification cards that indicate “Medicare Plus Blue Group PPO.” The group number is 007005187 and the alphanumeric prefix of the enrollee ID is X3L See sample ID card below:
The U-M BCN Advantage plan is called U-M PremierCare Advantage, and the logo will be displayed at the top right. The ID card will indicate Blue Care Network of Michigan at the top left. The group number is 00124316, and the enrollee ID number will have an alpha prefix of XYK. The HMO-POS logo next to the MA suitcase image at the bottom center shows that members have a point-of-service option. See sample ID card below:
Note: Providers should verify eligibility and coverage at every visit. To verify eligibility and check coverage, log in to our provider portal, Availity Essentials, at availity.com.** Enhanced benefits U-M Medicare Advantage members have some additional enhanced benefits not available to other groups. Visit Medicare Plus Blue PPO Enhanced Benefits Policies or BCN Advantage Enhanced Benefits Policies for more information. What to know about prior authorization Like our other Medicare Advantage plans, U-M Medicare Advantage benefits require prior authorization for all acute inpatient admissions and specified high-tech radiology services. Prior authorization is also required for skilled nursing, long-term acute care and inpatient rehabilitation admissions. For information about prior authorization requirements, refer to the appropriate provider manual listed below: Availity is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal services. **Blue Cross Blue Shield of Michigan and Blue Care Network don’t own or control this website. |
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