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2020 BCN AdvantageSM HMO HealthyValue

Medicare Advantage plan

Is this plan for you?
  • If you go to the pharmacy a lot and you want the freedom to choose any doctor or hospital that accepts Medicare, this plan might be right for you.
 
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This plan costs $0.00 per month in County.

(Change ZIP code.)

About this plan

This is one of our most economical choices with a $0 monthly plan premium. You'll have a local network for your doctors and hospitals, but you'll have more benefit coverage. Plan benefits include:

  • Coverage beyond Original Medicare
  • Part D prescription drug coverage
  • Routine dental and vision care
  • Blue Cross Online VisitsSM
  • Nationwide access to SilverSneakers® fitness

 

Plan highlights

Here's what sets this plan apart:

  • $0 monthly plan premium
  • $3 copay for primary care office visits
  • Low medical and drug deductibles

Availability

You can enroll in this plan if you live in one of these 15 counties in Michigan at least six months of the year.

Related documents

This document lists important features and rules for this plan.

Summary of Benefits (PDF)

 

This booklet explains how to use this plan's benefits. It also lists some of the things this plan doesn't cover.

Evidence of Coverage (PDF)

 

Medicare rates plans based on quality and performance every year. Called Medicare Star Ratings, these documents show you how well a plan is performing.

Ready to choose a plan?

Check out your coverage options to find the plan that’s right for you.


 

More plan details

Learn more about the benefits of this plan so you can tell if it fits your needs.

Overview

Deductible

Medical

In-network services: $240

Pharmacy

Generic drugs: $0
All other covered drugs: $250

Out-of-pocket maximum

$4,500

Optional supplemental benefits don't count toward your maximum out-of-pocket.

Office visits

Primary care physician

You pay $3 after deductible.

Specialist

You pay $50 after deductible.

Urgent care

You pay $45.

Pharmacy

Copays start at $0 for certain generic drugs filled at a preferred network pharmacy.

There is no deductible for most generic drugs. You'll need to meet your $250 pharmacy deductible on drug tiers 3-5. Some drugs may cost more if you choose a pharmacy in our standard network.

Find your pharmacy.

Drug list

See if this plan covers your medication. Find your prescription (PDF).

You get more than Original Medicare

All benefits required by Original Medicare and more, including:

• Blue Cross Online VisitsSM
• Two dental exams and cleanings and one vision exam each year
• Worldwide emergency and urgent care coverage
• SilverSneakers® fitness program
• MyBlueSM Concierge program

 

 

 

Looking for extra dental, vision and hearing coverage?

You can add an optional supplemental package to your Medicare Advantage plan for an extra monthly cost.
This package will enhance your dental, vision and hearing benefits. We offer two options for HMO plans.
Both packages offer:

  • Extra coverage for dental work including fillings, fluoride treatments and root canals
  • A generous allowance for elective contact lenses or glasses (lenses and frames)
  • Coverage for hearing aids and hearing exams

You can add a coverage package when you enroll in your plan. Learn more by reading
the Optional Supplemental Brochure (PDF)

 

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BCN AdvantageSM HMO-POS Elements

This plan doesn't cover prescription drugs.
But it will keep you covered when you travel outside of Michigan.

Medicare Plus BlueSM PPO Vitality

For a moderate monthly cost, you'll get a plan with a low deductible and low doctor copay, all with access to our PPO network.

Still have questions? We have answers.

Use our FAQs to learn which plan will fit your needs.