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.
Plan highlights
- 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
2023 plan details
Find out what's covered and how much you'll pay.
Coinsurance
10% (30% for out-of-network DME)
Annual deductible
$800
Annual coinsurance/copay maximum
$900
Coinsurance
In and out of network
10% (30% for out-of-network DME)
Annual deductible
In and out of network
$800
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% plus deductible
Specialist office visits
In and out of network
10% plus deductible
Online visits
In and out of network
10% plus deductible
Urgent care
In and out of network
$65 copay
Emergency room
In and out of network
$125 copay
SilverSneakers
In and out of network
Included at no additional cost, in network only
|
|||
---|---|---|---|
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10% (30% for out-of-network DME) | ||
|
$800 | ||
|
$900 | ||
|
$1,700 | ||
|
10% plus deductible | ||
|
10% plus deductible | ||
|
10% plus deductible | ||
|
$65 copay | ||
|
$125 copay | ||
|
Included at no additional cost, in network only |
Plan documents
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2023 Medicare Plus Blue PPO Summary of Benefits (PDF)Download
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2023 Medicare Plus Blue PPO Evidence of Coverage (PDF)Download
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2023 Medicare Plus Blue PPO Annual Notice of Change (PDF)Download
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2023 Medicare Plus Blue PPO Resource Guide (PDF)Download
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2023 TruHearing Routine Hearing Benefits (PDF)Download
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Medicare Plus Blue PPO Opt-Out Form (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.
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).
View monthly insurance rates
COVID-19 resources for Medicare members
We know you may have questions. We can help you find information about testing, reimbursement, prevention, online visits and mental health resources. View resources
