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. Starting in January 2023, it will include 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

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

$150

$490

10%

30%

10%

30%

$530

$1,395

$10

50% after deductible

$20

50% after deductible

$25

$25

$50

$50

Included at no cost

N/A

$150 $490

10% 30%

10% 30%

$530 $1,395

$10 50% after deductible

$20 50% after deductible

$25 $25

$50 $50

Included at no cost N/A

Plan documents for 2023

Plan documents for 2022

Member testimonial

Need help?

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.

Questions prior to enrolling

Call 1-877-336-0377
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 1-888-322-5616
TTY users call 711
8 a.m. to 7 p.m.
Monday through Friday