Blue Care Network of Michigan: Enrolling is easy

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BCN Advantage » Enrolling is easy

Enrolling is easy

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

First, determine if you're eligible

The federal government limits who can join Medicare Advantage plans. There are also certain times during the year during which someone can enroll in Medicare Advantage plans.

*Some exceptions apply. For more information, please call Customer Service.

Second, choose an option

BCN Advantage offers four coverage options. Option 1 provides medical coverage only, and is a great choice for those who don’t need Medicare Part D prescription drug coverage, such as veterans. Our Basic, Option 2 and Option 3 plans provide medical coverage as well as Part D prescription drug coverage. Depending on the plan selected, dental, vision, hearing, fitness and transportation benefits are covered.

If you’re already enrolled in a Medicare Advantage plan that includes Part D prescription drug coverage (known as an MA-PD), and you want to change to BCN Advantage, you’ll need to choose Basic, Option 2 or Option 3 in order for your drug benefits to continue. You won’t be able to retain the prescription drug coverage from your previous plan.

Third, complete the enrollment form

You can enroll in the following ways:

Enroll Online
Complete an enrollment form and return it to us by fax or mail

Download the BCN Advantage enrollment form (PDF)
Fax to: 866-601-4392
Mail to:
Mail Code C411
20500 Civic Center Drive
Southfield, MI 48076
Medicare beneficiaries may enroll in BCN Advantage through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at medicare.gov.

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

Finally, decide if you’d like your BCN Advantage monthly premiums to be paid automatically from your checking or savings account.

It’s easy to sign up for automatic payments. Here’s how:

Download the Authorization for Automatic Payments form (PDF).
Print the form and fill it out.
Return the form to us at the address indicated on the form.

Requests received the by 15th of the month will take effect the following month. Withdrawals will occur on the 5th of each month. We will send you written notice of the date your automatic payments begin.

Remember, each BCN Advantage member must complete a separate authorization agreement, even when two or more members share a savings or checking account.

Important information about this plan

BCN Advantage HMO-POS℠
BCN Advantage HMO-POS 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 have both Part A and B and continue to pay your Medicare Part B premium.

You must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor BCN Advantage HMO-POS will be responsible for the costs, and your care may cost more than in-network pricing. Limitations, copayments and restrictions may apply.

If you are enrolled in BCN Advantage HMO-POS Basic, 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. Quantity limitations and restrictions may apply. 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 Services at 1-800-450-3680, 8 a.m. to 8 p.m., seven days a week. TTY users should call 1-800-430-3211. You may also write to: BCN Advantage HMO-POS, P.O. Box 5184, Mail Code A103, Southfield, MI 48086-5184

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1, 2012.

If you decide to have your BCN Advantage HMO-POS 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.

Medicare beneficiaries may enroll in BCN Advantage HMO-POS through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. For more information, please contact Blue Cross Blue Shield of Michigan at 1-877-469-2583, 8 a.m. to 8 p.m. seven days a week. TTY users should call 1-800-481-8704. Beneficiaries may only enroll during specific times of the year. You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:

1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or
Your State Medicaid Office.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for up to one hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

Please call customer service at the number listed above to have any information verbally translated into another language.

A health plan with a Medicare contract.

H5883_BCNAdvantageWebR2 CMS Approved 05242011

page modified 09/23/2011