2023 Medicare Plus BlueSM PPO Signature

This Blue Cross Blue Shield of Michigan plan offers generous medical and Part D coverage with no deductibles. You'll also get a comprehensive package of dental, vision and hearing benefits.

Plan highlights

 

  • Offers an allowance for preventive and comprehensive dental and vision care as well as hearing aids
  • Includes Part D prescription drug coverage
  • SilverSneakers® fitness membership nationwide

 

NETWORK SIZE

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PREMIUM COST

$$

Medical deductible

$0

Availability

You can enroll in this plan if you live anywhere in Michigan at least six months of the year. Learn more by viewing our map.

Use these tools to make sure this plan accepts your doctor and pharmacy and is available in your area.


Plan documents

Learn more about the important features and rules for this plan.

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

Medicare rates plans based on quality and performance every year. Called Medicare Star Ratings, these documents show you how well a plan is performing. For 2023, Blue Cross PPO received 4 1/2 out of 5 stars.

This brochure gives you an overview of all our Medicare plans to help you compare.

Plan star rating

Medicare rates plans based on quality and performance every year. Called Medicare Star Ratings, these documents show you how well a plan is performing. For 2023, Blue Cross PPO received 4 1/2 out of 5 stars.

Monthly premium

You'll need to give us your ZIP code to get an accurate price for this plan.

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This is the amount you'll pay each month in addition to your Medicare Part B premium.

Plan details

Deductible

Medical

In-network services: $0
Out-of-network services: $0

Pharmacy

$0

Out-of-pocket maximum

In-network services: $4,700

Combined in- and out-of-network services: $6,500

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

Office visits

Primary care physician

You pay $0.

Specialist

You pay $35.

Urgent care

You pay $0-$50.

Pharmacy

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

• $0 telehealth visits for primary care and behavioral health
• Advantage Dollars quarterly allowance for over-the-counter drugs and health products with rollover within the calendar year
• Hearing aid allowance every three years
• Annual allowance for preventive and comprehensive dental
• Annual allowance for vision items
• Worldwide emergency, urgent care and transportation coverage
• Meals benefit following hospital discharge for qualifying members
• One round trip per calendar year to an Annual Wellness Visit within the state of Michigan
• Transportation benefit for certain counties following hospital discharge
• SilverSneakers® fitness program
• Part D prescription drug coverage
• LASIK and radial keratotomy surgery for a $40 copay when you stay in network.
• Coverage while traveling outside of Michigan with the nationwide network of Blue Plan Providers (PDF).

Overview

Deductible

Medical

In-network services: $0
Out-of-network services: $0

Pharmacy

$0


Out-of-pocket maximum

In-network services: $4,700

Combined in- and out-of-network services: $6,500

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


Office visits

Primary care physician

You pay $0.

Specialist

You pay $35.

Urgent care

You pay $0-$50.


Pharmacy

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

• $0 telehealth visits for primary care and behavioral health
• Advantage Dollars quarterly allowance for over-the-counter drugs and health products with rollover within the calendar year
• Hearing aid allowance every three years
• Annual allowance for preventive and comprehensive dental
• Annual allowance for vision items
• Worldwide emergency, urgent care and transportation coverage
• Meals benefit following hospital discharge for qualifying members
• One round trip per calendar year to an Annual Wellness Visit within the state of Michigan
• Transportation benefit for certain counties following hospital discharge
• SilverSneakers® fitness program
• Part D prescription drug coverage
• LASIK and radial keratotomy surgery for a $40 copay when you stay in network.
• Coverage while traveling outside of Michigan with the nationwide network of Blue Plan Providers (PDF).


A woman and a child, each with glasses, smile as they look up from a book they're reading together.

Enhance your dental and vision coverage

You can add an optional supplemental package to your Medicare Advantage plan for an additional monthly cost. It offers:

  • Extra coverage for dental work including dentures, bridges and implants.
  • A generous allowance for elective contact lenses or glasses (lenses and frames). Polycarbonate lenses and anti reflective coating are covered in network.

Ready to enroll?

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To get help choosing a plan, call 1-866-875-1375. TTY users dial 711.

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