Blue Care Network of Michigan: Enrolling is easy

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BCN Advantage » Enrolling is easy

Enrolling is easy

Enroll Online >

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

First, determine if you're eligible

You are eligible to enroll in BCN Advantage HMO if you:

Are entitled to Medicare benefits under Part A
Are enrolled in Medicare Part B
Reside in the BCN Advantage service area
Do not have end-stage renal disease*

The federal government limits when individuals can join Medicare Advantage plans to certain times during the year.

Learn more about eligibility and enrollment periods

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

Second, choose an option

BCN Advantage offers three 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.Options 2 and 3 provide medical coverage as well as Part D prescription drug coverage.

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 Option 2 or 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
- BCN Advantage enrollment form (PDF)
  Fax to: 866-601-4392
  Mail to:
  Mail Code C411
  20500 Civic Center Drive
  Southfield, MI 48076
For more information call
877-469-2583
TTY 800-481-8704
Seven days a week
8 a.m. to 8 p.m. Eastern Time
Medicare beneficiaries may enroll in BCN Advantage through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at medicare.gov. For more information contact the BCN Advantage at 877-469-2583.

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 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 is a health plan with a Medicare contract.

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page modified 09/29/2009