The Record header image

Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article

November 2023

New enhanced benefits will be available to Medicare Advantage members in 2024

Medicare Plus Blue℠ and BCN Advantage℠ are adding three new enhanced benefits to their comprehensive Medicare Advantage plans for the 2024 plan year. Beginning Jan. 1, 2024, members can capitalize on the following new benefits:

  • Ambulance services without transport
  • Enhanced annual wellness visit
  • Mobile crisis and crisis stabilization for behavioral health (available for members who reside in select counties)

Note: Check your patient’s eligibility and benefits in our provider portal (availity.com)** to verify coverage for these new benefits.

Details on new enhanced benefits

Ambulance services without transport: Currently, if a member or another person calls for an ambulance for a member’s health emergency, and the member isn’t transported, the service isn’t covered. Beginning Jan. 1, 2024, if the ambulance providers are able to stabilize the member at the current location without transporting to a facility, the plan covers the services with the applicable cost sharing. This service isn’t covered outside of the U.S. or its territories.

Enhanced annual wellness visit: After having Medicare Part B for longer than 12 months, members can get an annual wellness visit every 12 months.

The annual wellness visit:

  • Can help members develop or update a personalized prevention plan based on their current health and risk factors
  • Allows them to get the visit anytime throughout a calendar year, regardless of the date of the previous year’s visit

No cost sharing applies for this benefit.

Mobile crisis and crisis stabilization for behavioral health: This benefit offers improved care for people experiencing a behavioral health crisis. Services include mobile crisis intervention by eligible providers through telehealth or face-to-face, on-site services and crisis stabilization. Members can be treated at their home or another location, and at participating outpatient psychiatric centers available in certain counties in Michigan. Cost sharing applies for these services. For more information on crisis care services and locations, visit our crisis care webpage.

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 doesn’t own or control this website.

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 2022 American Medical Association. All rights reserved.