Blue Care Network of Michigan: BCN Advantage doctors and hospitals

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BCN Advantage is the most recommended drug coverage in Michigan*

For more information call:
1-877-469-2583
TTY 1-800-481-8704
Seven days a week
8 a.m. to 8 p.m. Eastern Time

At Blue Care Network, we’re committed to delivering our best every day, and we’re proud that many of our members recommend BCN Advantage coverage to their friends and family.

In fact, members rated BCN Advantage number one in the state in terms of their willingness to recommend the plan for prescription drug coverage.

The 2009 Consumer Assessment of Healthcare Providers and Systems^®† survey administered by the Centers for Medicare and Medicaid Services scored BCN Advantage above the state average in all CAHPS overall ratings and composite measures.

We shine on the national level too. BCN Advantage scored significantly higher than the national average in the following measures:

Getting care quickly, a composite measure based on the combined results of three survey questions
Getting needed care, a composite measure based on the combined results of two survey questions
Overall rating of personal doctor
Overall rating of specialist
Influenza vaccination
Pneumonia vaccination

Our CAHPS results, along with other quality measures, are used by U.S. News & World Report to compile its annual “Best Health Plans” list. In 2009, BCN Advantage was ranked among the top 40 Medicare plans in the nation‡.

CAHPS evaluates member satisfaction with the plan and its doctors using a standardized survey of patients’ experiences. Health care organizations, purchasers, consumers and researchers use CAHPS results to assess the patient-centeredness of care, compare and report on performance and improve quality of care.

Make your opinion count

If you’re already a BCN Advantage member, you may soon receive a survey about BCN Advantage and your primary care physician. Please fill it out and mail it in. Your responses on a 0 to 10 scale (with 10 being the most satisfied) let us know how we’re doing. It’s important to us and to your physician that we deliver care and services that you rate a 10.

* Source: 2009 Medicare Advantage Plan CAHPS Results, issued October 2009 by the Centers for Medicare & Medicaid Services. With a score of 3.61 on a four-point scale, BCN Advantage received the highest average rating out of the nine Michigan health plans surveyed for member responses to the question, “Would you recommend your Health Plan for coverage of prescription drugs to other people like yourself?” When adjusted for case-mix, over 95 percent of the 251 members surveyed answered “Definitely yes” or “Somewhat yes.”

† CAHPS^® is a registered trademark of the Agency for Healthcare Research and Quality.

‡ Source: U.S. News & World Report, 2009 Best Health Plans, November 2009.

Important information about this plan

BCN Advantage HMO is available in these counties: Allegan, Barry, Bay, Calhoun, Clinton, Eaton, Genesee, Gratiot, Ingham, Ionia, Jackson, Kalamazoo, Kent, Lapeer, Livingston, Macomb, Midland, Monroe, Montcalm, Muskegon, Newaygo, Oakland, Oceana, Ottawa, Saginaw, Shiawassee, St. Clair, Tuscola, Van Buren, Washtenaw and Wayne. Premiums vary by county. You must continue to pay your Medicare Part B premium.

You must use plan providers except in emergent or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers neither Medicare nor BCN Advantage HMO will be responsible for the costs. Out-of-network services authorized by BCN Advantage HMO will be covered.

If you are enrolled in BCN Advantage HMO Option 2 or Option 3, you must use a network pharmacy to access your prescription drug benefit, except under non-routine circumstances when you cannot reasonably use a network pharmacy. Our pharmacy network includes the majority of chain pharmacies, mail order through Medco or Walgreens, as well as long-term care and home infusion pharmacies. For additional information on network pharmacies, please call Customer Service at 800-450-3680, 8 a.m. to 8 p.m., seven days a week. TTY users should call 800-430-3211. You may also write to: BCN Advantage HMO, 2311 Green Road, Ann Arbor, MI 48105.

The BCN Advantage HMO benefit information provided is not comprehensive. Additional information should be requested before making a decision about your coverage. For full information on BCN Advantage HMO benefits, current members should call our Customer Service department at 800-450-3680, from 8 a.m. to 8 p.m., seven days a week. TTY users should call 800-430-3211. Prospective members should call 877-469-2583, from 8 a.m. to 8 p.m., seven days a week. TTY users should call 800-481-8704.

Benefits, formulary, pharmacy, network, premium and/or coinsurance may change on Jan. 1, 2011. Please contact BCN Advantage HMO for details.

If you decide to have your BCN Advantage HMO premium withheld from your Social Security check or deducted from your checking or savings account, it may take up to three months for the automatic deduction to begin. If your premium amount is currently withheld from your Social Security check or deducted from your checking or savings account and you wish to receive a monthly bill instead, the change may also take up to three months to become effective. During this time, you will be responsible for paying your premium.

BCN Advantage HMO is issued by Blue Care Network, which contracts with the federal government. BCN Advantage HMO’s contract with CMS is renewed annually and the availability of coverage beyond the end of the contract year is not guaranteed.

BCN Advantage HMO^SM is a health plan with a Medicare contract.

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page modified 03/09/2010