UAW Trust: Medicare Plus BlueSM Group PPO

This is the Medicare Advantage PPO plan from Blue Cross Blue Shield of Michigan. It combines all the benefits of Medicare Part A and Part B plus extra benefits and services. This plan includes Medicare Part D prescription drug coverage. With this plan, you can get all of your medical and prescription drug services in one convenient member ID card.

Plan highlights
  • Available for UAW Trust members who qualify for Medicare and live in Alabama, Florida, Indiana, Michigan, Missouri or Tennessee
  • No monthly payments to the Trust — pay only your Medicare Part B premium
  • Prescription drug coverage is included

Eligibility

Medicare

PLAN TYPE

PPO

Availability

AL, FL, IN, MI, MO, TN

What this plan offers

  • A 24-hour nurse line access
  • SilverSneakers® gym membership included
  • In-Home Visit with a doctor, nurse practitioner or physician assistant through Signify Health® 
  • A personal advisor to help coordinate your care
  • Only one membership card and prescription card to carry
  • Manage your account 24/7 with the BCBSM app 

2023 Plan details

See what's covered and how much you'll pay.

Monthly contribution

$0 per person

Deductible

$150 per person

Out-of-pocket maximum

$500 per person

PCP office visit copay

$10 per visit

Individual deductible

In network

$150

Out of network

$490

Coinsurance for Michigan, Alabama, Florida and Indiana residents

In network

10%

Out of network

30%

Coinsurance for Missouri and Tennessee residents

In network

10%

Out of network

N/A

Individual out-of-pocket maximum

In network

$500

Out of network

$1,395

Primary care office visits

In network

$10

Out of network

50% after deductible

Specialist office visits

In network

$20

Out of network

50% after deductible

Urgent care copay

In network

$25

Out of network

$25

Emergency room copay

In network

$50

Out of network

$50

Generic pharmacy copay and immunizations

In network

$5

Out of network

N/A

SilverSneakers

In network

Included at no cost

Out of network

N/A

$150 $490

10% 30%

10% N/A

$500 $1,395

$10 50% after deductible

$20 50% after deductible

$25 $25

$50 $50

$5 N/A

Included at no cost N/A

Plan documents for 2023

2023 Addendum

What you need to know about online member accounts

Blue Cross Blue Shield of Michigan gives you the power and convenience of one online member account and mobile app to see all the details about your health care coverage. It's just one account for both your medical and for prescription drug benefits.

And now, we've updated your pharmacy coverage information, making it easier to use. You can check your out of pocket costs, review previous prescriptions and cover drug list, find in network pharmacy locations, and order medicine for delivery to your home.

Start by logging into your member account at www.bcbsm.com/uawtrust.

Starting January 1, 2023, you'll want to click on my coverage and then prescription. This will bring you to your main prescription drug benefits page, where you can quickly find information about your prescription drug benefits.

Click on the my prescriptions icon to see a list of the prescriptions you've filled under your health plan, prices, refill status, and more information about your medicine.

This is also where you can fill or refill a mail order prescription through Optum Home Delivery.

Click on order status, to track your orders and see when you'll receive your medication.

Click on price a drug to see which copay tier your drug falls into and what you will pay at the retail pharmacy or home delivery.

Click on the pharmacy locator icon con at the right side of the screen to find pharmacies near you that participate with your Blue Cross health plan.

Everything you need to know about your prescription drug benefits is in your online member account.

Check it out at www.bcbsm.com/uawtrust for more details.

What you need to know about mail order and home delivery

You can get anything delivered to your front door. Groceries, takeout from your favorite restaurant, even pet supplies. Why not your medication?

Let Blue Cross Blue Shield of Michigan make it easier to get the prescription medication you take regularly.

Your plan covers medication that's ordered and delivered through the mail for home delivery.

It's a convenient, safe and easy way to save money.

If you have a chronic health condition such as diabetes or high blood pressure, you likely take medication daily. You can get it delivered in a ninety day supply with free standard shipping.

Through Optum Home Delivery, it'll be faster and easier to refill your prescriptions on time so you can continue taking your medication as your doctor prescribed, helping you stay healthier. Optum Home Delivery is staffed by registered pharmacists and trained technicians.

They follow the same safety precautions and provide the same medication in information as your local pharmacy, and they can answer your questions by phone 24/7.

Starting January 1, 2023, log in to your online member account at www.bcbsm.com/uawtrust.

Click on my coverage, then prescription, and then order online. You'll need to provide your payment information for your prescription to be processed.

Your doctor can also send a new prescription electronically to OptumRx, or you can call the Optum Home Delivery pharmacy at1-855-856-0837.

24 hours a day, 7 days a week.

TTY users call 711.

You can easily set up Optum Home Delivery to have your medication delivered to your door.

Check out your online member account for more information.

Plan documents for 2022

Find a Pharmacy

With Medicare Plus Blue Group you have access to thousands of network pharmacies nationwide. Our extensive network gives you the flexibility to fill your prescriptions close to your home or when you’re on the go. Plus, many retail pharmacies will fill a 90-day prescription.
Find a Pharmacy

Helpful resources

Find a doctor

Use our online search tool to find a doctor or hospital who works with your plan. You can search by name, location, specialty and more. You can even read reviews from other patients.

Informational events

Informational events Learn more about this plan by attending an event. We offer meetings online, in person and by phone to make it convenient for you.

Part D Drug Coverage

Starting in 2023, Medicare Plus Blue PPO will include Part D prescription drug coverage.

Member testimonial

I'm Sally Miller and now I'm getting a 2018 Richard L. Swanson award for SilverSneakers. The ceremony this morning was very important for the family of ours. I have grandchildren that are a sophomore and junior in St. Johns and that's where it was being held, at the Snap Fitness, and we've been participating in the SilverSneakers program.

 

Blue Cross really sent me a letter and told me that they were changing my insurance to another insurance of my choice and they would pay the difference, and at the same time my husband was doing traditional GM. And we were comfortable in both insurances, but we weren't using either one, we weren't hurt, sick, needing any more than the annual doctor appointments.

 

After the letter that I received we both went to the PPO advantage. So when we switched it was a SilverSneaker program and I thought that'd be cool cause our son was already convinced that we should belong to it and I dragged my feet of course, because I was already set in my ways. Crafting, breakfast, lunch, soap operas. Being afraid of going to do something different is a challenge but just go and try it. It causes a lot of friendship, a lot of people are not couples anymore at our age and they look forward to your smiling face, a comment, a slap on the hands, saying hello and I enjoy it I look forward to my friends, and they enjoy me as you can tell today in the award show it was just like, slapping hands and smiling at each other and say, "See ya Thursday," cause we do have a standing date.

 

Going to the gym makes you stronger. It's surprising how just walking down the country road can lighten your heart, lighten your mind, but you need physical strength to endure. It used to be nursery school, go to work, it used to be bowling it used to be real girls with red hatters things like this and now people are thinking more physical. If they keep their health at a safer pace, their longevity is gonna last longer, their memory is gonna last longer, their heart's gonna work better.

Timely Tips videos

Need help?

Prospective enrollees
Call 1-877-396-1893
TTY users call 711
8:30 a.m. to 6 p.m.
Monday through Friday

Retiree Health Care Connect
Call 1-866-637-7555
TTY users call 711
8:30 a.m. to 4:30 p.m.
Monday through Friday

Current members
Call 1-800-222-5992
TTY users call 711
8 a.m. to 5:30 p.m.
Monday through Friday

Medicare Plus BlueSM and BCN AdvantageSM are PPO, HMO, and HMO-POS plans with Medicare contracts. Enrollment in Medicare Plus Blue and BCN Advantage depends on contract renewal.

With the exception of emergency or urgent care, it will cost more to get care from non-plan or non-preferred providers. You may receive services from any provider who accepts Original Medicare. Your out-of-pocket costs will be lower if you choose a network provider. To find a network provider, visit Find a Doctor.

Limitations, copayments and restrictions may apply. You must continue to pay your Medicare Part B premium. Consult your Evidence of Coverage for specific information about your benefits and cost-sharing responsibilities.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan's Customer Service center. Benefits, premium, copayments or coinsurance may change on Jan. 1 of each year.