What are the mid-year benefit changes?

Stay up to date on important notices and announcements that may impact your coverage, like mid-year changes to your benefits or plan rules.

Tricuspid transcatheter edge-to-edge repair

Blue Cross Blue Shield of Michigan and Blue Care Network will cover a heart valve repair procedure known as tricuspid transcatheter edge-to-edge repair, or T-TEER, for a condition called tricuspid regurgitation.

This condition occurs when the tricuspid valve in the heart doesn't close properly, causing blood to leak back into the heart's upper right chamber. To qualify for this procedure, a member must meet specific requirements. 

Respiratory assist device

Blue Cross Blue Shield of Michigan and Blue Care Network will pay for a special breathing aid called a respiratory assist device, or RAD, with a backup rate feature for use at home.

This device provides intense noninvasive ventilation to help treat members with chronic respiratory failure due to chronic obstructive pulmonary disease, also known as COPD. This coverage is available for an initial period of six months, as long as certain conditions are met. 

Home mechanical ventilator

Blue Cross Blue Shield of Michigan and Blue Care Network will pay for a home mechanical ventilator, or HMV, that is set to a specific mode to help treat members with chronic respiratory failure due to chronic obstructive pulmonary disease, also known as COPD, but only if the member shows certain medical symptoms or conditions.

For more information, call the number on the back of your member ID card.

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