Blue Cross Blue Shield of Michigan
This plan is only available when the participant and all covered family members are enrolled in Medicare (Part B). The plan consists of Comprehensive Major Medical (CMM), which combines existing traditional catastrophic benefits with the added benefits of Major Medical. In addition, the providers submit claims on the members’ behalf. Members do not need to file claims unless they decide to use a non-participating provider.
The CMM plan covers all preventive services at 100 percent. Basic services are covered at 100% of the approved amount. Selective services are covered at 80% after the required annual deductible of $200 per member ($400 per family). The annual out-of-pocket maximum, which consists of applicable deductible and coinsurance, is $1,200 per member ($1,400 per family) per year.
For questions about specific coverage details, please call Blue Cross Blue Shield at 877-354-2583.
Coverage and Eligibility Information - Access via EBS Portal