Summary of Benefits

Who is this for?

If you want to compare our individual Medicare Advantage and Part D prescription drug plans and see their key features, you'll want to look at a summary of benefits.

Want to see the list of benefits a plan covers and what it costs? Interested in how plans compare side-by-side to each other and Original Medicare? You can find that information and more in a Summary of Benefits.

It's important to remember that these booklets don't include all plan benefits. They don't list all the rules, either. But they'll give you a good overview.

Tip: We recommend printing these documents, especially if you want to compare the plans. They're easier to read when printed.

Medicare Plus BlueSM PPO plans

This booklet has information about the cost and benefits of these individual Medicare Plus Blue PPO plans:

  • Essential
  • Vitality
  • Assure
  • Signature

2021 Medicare Plus Blue PPO Summary of Benefits (PDF)

2022 Medicare Plus Blue PPO Summary of Benefits (PDF)

BCN AdvantageSM HMO-POS plans

This booklet has features and prices for these individual BCN Advantage HMO-POS plans:

  • Prime Value
  • Community Value
  • Elements
  • Classic
  • Prestige

2021 BCN Advantage HMO-POS Summary of Benefits (PDF)

2021 BCN Advantage HMO-POS Community Value Summary of Benefits (PDF)

2022 BCN Advantage HMO-POS Summary of Benefits (PDF)

2022 BCN Advantage HMO-POS Community Value Summary of Benefits (PDF)

BCN Advantage HMO-POS Region 3 plans

This booklet has information about the cost and benefits of the BCN Advantage HMO-POS Region 3 plan. This HMO-POS plan is only available in these counties: 

  • Alcona, Alpena, Arenac, Bay, Charlevoix, Cheboygan, Clare, Crawford, Gladwin, Huron, Iosco, Kalkaska, Luce, Mackinac, Montmorency, Preque Isle, Oscoda, Ogemaw, Roscommon, Saginaw, Sanilac, Schoolcraft, Shiawassee, Tuscola.

2021 BCN Advantage HMO-POS Region 3 Summary of Benefits (PDF)

2022 BCN Advantage HMO-POS Region 3 Summary of Benefits (PDF)

BCN Advantage HMO plans

Some of our individual Medicare Advantage plans are only available in certain areas of the state. They have separate benefit summaries. They don't have comparisons to our other plans, but you can see how they compare to Original Medicare.

  • BCN Advantage HMO ConnectedCare (Arenac, Genesee, Iosco, Kalamazoo, Livingston, Macomb, Oakland, Saginaw, St. Clair, Washtenaw or Wayne County only)

2021 BCN Advantage ConnectedCare Summary of Benefits (PDF)

2022 BCN Advantage ConnectedCare Summary of Benefits (PDF)

Prescription BlueSM PDP plans

Most of our Medicare Advantage plans include prescription drug coverage. You'll find that information in the plan's Summary of Benefits. But if you only need a prescription drug plan, this booklet tells you about our Prescription Blue PDP plan options.

2021 Prescription Blue PDP Summary of Benefits (PDF)

2022 Prescription Blue PDP Summary of Benefits (PDF)