2013 Getting care at home and when you travel | BCN Advantage

Getting care at home and when you travel

Your BCN Advantage℠ coverage travels with you. You are covered for urgent and emergency medical care worldwide. Some services require prior authorization from BCN Advantage.

In Michigan, members must seek services in the BCN Advantage network. If you choose to go to a doctor outside of our network, you must pay for these services yourself. Neither BCN Advantage nor the Original Medicare plan will pay for these services, except for emergency medical or urgent care services.

Inside the service area

BCN Advantage Group products are available throughout lower Michigan. The service area for this plan includes the lower peninsula of Michigan, but BCN Advantage has extensive networks in the following counties: Allegan, Barry, Bay, Calhoun, Clare, Crawford, Clinton, Eaton, Gladwin, Genesee, Grand Traverse, Gratiot, Huron, Ingham, Ionia, Isabella, Jackson, Kalamazoo, Kalkaska, Kent, Lapeer, Livingston, Macomb, Mecosta, Midland, Missaukee, Monroe, Montcalm, Muskegon, Newaygo, Oakland, Oceana, Ottawa, Roscommon, Saginaw, Sanilac, Shiawassee, St. Clair, Tuscola, Van Buren, Washtenaw and Wayne.

View Map of the BCN Advantage Service Area (PDF)

Outside the service area within Michigan

You are covered for urgent and emergency medical services from any provider. Contact your primary care doctor as soon as possible so he or she can coordinate your follow-up care when you return home.

Outside of Michigan and within the United States

The BlueCard^® Program, a national network of Blues plans, allows you to arrange for care when you travel or temporarily live outside of Michigan for less than six months. Talk with your primary care physician before you arrange care away from home.

To locate a doctor:

Visit BlueCard or call BlueCard at 1-800-810-BLUE (810-2583) 24 hours a day, seven days a week. TTY users should call 711.

Outside of the United States

You are always covered for urgent and emergency medical care no matter where you travel – even when that care is provided by a non-network provider. For service outside the United States, you may have to pay the bill and request reimbursement from BCN Advantage.

H5883_BCNAdvantageWebR5.4 Pending CMS Approval

Important Plan and Benefit Information

Important information for BCN Advantage group plans

The references to BCN Advantage℠ HMO-POS Evidence of Coverage and riders on this Web site are intended as an overview of BCN Advantage HMO-POS group products. This is not a contract. An official description of benefits is contained in applicable BCN Advantage Evidence of Coverage and riders. Payment amounts are based on the BCN-approved amount, less any applicable deductible and/or copayment amounts required by the plan. Services must be provided or arranged by the member's primary care physician or health plan.

If you are enrolled in a BCN Advantage plan with Part D prescription drug coverage, 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, call Customer Service at the number on the back of your BCN Advantage ID card. Service hours are 8 a.m. to 8 p.m., Monday through Friday, with weekend hours Oct. 1 through Feb. 14. TTY users should call 711. You may also write to: BCN Advantage, 2311 Green Road, Ann Arbor, MI 48105.

BCN Advantage HMO-POS is a health plan with a Medicare contract and is open to all Medicare beneficiaries with both Medicare Part A and Part B who enroll as part of a group. The group sponsor or member must continue to pay the Part B premium. Members must use BCN Advantage HMO-POS providers for covered services. Benefits are subject to exclusions and limitations. This coverage is provided pursuant to a contract with the federal government. Our contract with the federal government is renewed annually; the availability of coverage beyond the current contract year is not guaranteed.

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2013 Group plan coverage

Getting care at home and when you travel

Getting care at home and when you travel

Inside the service area

Outside the service area within Michigan

Outside of Michigan and within the United States

Outside of the United States

Important information for BCN Advantage group plans