Public School Retirees: Medicare Plus BlueSM Group PPO
Michigan public school retirees with Medicare Plus Blue Group PPO can see any doctor in our network. Whether you're up north or in downtown Detroit, you can rest easy knowing Blue Cross Blue Shield of Michigan has you covered.
- 25 preventive services covered at 100%
- Covers everything that Original Medicare does, plus more, in one plan
- See any in-network doctor or specialist without referrals
PLAN ELIGIBILITY
Medicare
PLAN TYPE
PPO
What this plan offers
- Largest PPO network in Michigan
- Preventive services that help you stay healthy
- 24-hour nurse line access
- SilverSneakers® gym membership included
- Manage your account 24-hours a day, seven days a week with the BCBSM app
Find out what's covered and how much you'll pay.
Annual deductible
$800
Coinsurance
10% (30% for out-of-network DME)
Annual coinsurance/copay maximum
$900
Annual deductible
In and out of network
$800
Coinsurance
In and out of network
10% (30% for out-of-network DME)
Coinsurance/copay maximum
In and out of network
$900
Out-of-pocket maximum
In and out of network
$1,700
Office visits
In and out of network
10% after deductible
Specialist office visits
In and out of network
10% after deductible
Virtual visits
In and out of network
10% after deductible
Urgent care
In and out of network
$65 copay
Emergency room
In and out of network
$140 copay
SilverSneakers
In and out of network
Included at no additional cost, in network only
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|---|---|---|---|
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Annual deductible
|
$800 | ||
|
Coinsurance
|
10% (30% for out-of-network DME) | ||
|
Coinsurance/copay maximum
|
$900 | ||
|
Out-of-pocket maximum
|
$1,700 | ||
|
Office visits
|
10% after deductible | ||
|
Specialist office visits
|
10% after deductible | ||
|
Virtual visits
|
10% after deductible | ||
|
Urgent care
|
$65 copay | ||
|
Emergency room
|
$140 copay | ||
|
SilverSneakers
|
Included at no additional cost, in network only |
Plan documents
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2025 Medicare Plus Blue PPO Annual Notice of Change (PDF)Download
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2025 Medicare Plus Blue PPO Evidence of Coverage (PDF)Download
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2025 Medicare Plus Blue PPO Resource Guide (PDF)Download
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2025 Medicare Plus Blue PPO Summary of Benefits (PDF)Download
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2025 TruHearing Routine Hearing Benefits (PDF)Download
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2025 Your Member Benefit Guide (PDF)Download
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2025 Vaccine Guide (PDF)Download
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Medicare Plus Blue PPO Member Reimbursement Form (PDF)Download
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Member Flu and Pneumonia Shot Reimbursement Form (PDF)Download
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Understanding annual physical exams and annual wellness visits (PDF)Download
Medicare Part B select prescription drugs and vaccines
Find a pharmacy
See participating pharmacies near you.
Drug list
See if your prescription is covered.
Vaccine Coverage Guide
Staying up to date on your vaccinations can reduce your risk of contracting serious illnesses. Your retirement system health plan covers many vaccines to keep you healthy. Some of the vaccines are covered by your medical plan, administered by Blue Cross Blue Shield of Michigan. Other vaccines are covered by your prescription drug plan, administered by Optum Rx. Learn about both in the Michigan Office of Retirement Services Vaccine Coverage Guide (PDF).
Need help understanding your EOB?
Every time you go to a doctor or hospital, a claim is filed. Each time a claim is filed, you’ll get an explanation of benefits, or EOB, statement from us.
The statement shows you what services were billed, what we paid and what you pay.
Get to know the different parts of your EOB in Understanding your EOB (PDF).