Blue Care Network of Michigan: UAW-GM Hourly Retirees

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UAW-GM Hourly Retirees

New to Medicare? Looking to change your current Medicare plan?

Whether you’ve just turned 65 and are choosing a Medicare plan for the first time or you’re currently enrolled in a plan but are exploring other options, we want to help you pick the plan that meets your needs and fits your budget.

Consider BCN Advantage HMO, a Medicare-approved health maintenance organization plan offered by Blue Care Network. BCN Advantage is the Medicare Advantage HMO backed by Blue Cross Blue Shield of Michigan.

Why choose BCN Advantage?

We’re proud of the popularity of our plan, and we think you’ll like it too. After all, you’ll get all the benefits of Original Medicare and much more – more coverage, more savings and more peace of mind. And you’ll have the security and recognition of the Blue Cross and Blue Shield on your side.

Our plan is easy to use

You’ll choose a primary care physician from our network of more than 3,000* doctors. Your PCP will be your health care partner and help coordinate your care. And you’ll have one ID card for all covered services. Just show your BCN Advantage ID card each time you visit your network physician, and you’re assured that your coverage will always be accepted.

Our Customer Service team is dedicated to you

The BCN Advantage Customer Service team is specially trained to serve you. They’re dedicated to BCN Advantage members, and they’re available to answer your Medicare questions.

You’ll like our benefits**

As a UAW-GM BCN Advantage member, you’ll enjoy:

No deductible
Low-cost coverage that includes hospital and doctor visits
Coverage for preventive tests, immunizations and annual physical exams
Hearing care coverage, including one exam and hearing aid per ear per year
Your choice of thousands of contracted doctors and other health care providers
Access to care management programs for certain chronic medical conditions
Benefits for routine and follow-up care while on extended stays outside of Michigan – great for snowbirds!

Additional key benefits include:

$25 copayment for office visits
$50 copayment for emergency care
No copayment for urgent care
Special members-only discounts

Please contact us at 866-966-2583 to inquire about other benefits or to receive an enrollment kit containing a Summary of Benefits. Representatives are available 8 a.m. to 8 p.m. seven days a week. TTY users should call 800-431-7944.

Your retiree status determines the benefit plan available to you. If you have questions about your retiree status, please contact the GM Benefits Service Center (Fidelity) at 800-489-4646 for assistance. Representatives are available 7:30 a.m. to 6 p.m., Monday through Friday. TTY users should call 800-649-3777.

Are you eligible?

You may enroll in BCN Advantage if:

You are eligible for Medicare Part A and enrolled in Medicare Part B.
You live in one of the following counties: Bay, Clinton, Eaton, Genesee, Ingham, Jackson, Lapeer, Livingston, Macomb, Midland, Monroe, Oakland, Saginaw, Shiawassee, St. Clair, Tuscola, Washtenaw and Wayne. View service area map (PDF).
You’re willing to obtain health care services in the GM BCN Advantage service area (PDF) if you don’t live within it.

Note: If you enroll in BCN Advantage, dependent members on your contract who are not eligible for Medicare must enroll in a Blue Care Network plan. You will need to complete an election form for them.

How to enroll

If you have questions about BCN Advantage or would like to request an enrollment kit, please call:

BCN Advantage:

866-966-2583
TTY users may call 800-431-7944.
Representatives are available from 8 a.m. to 8 p.m., seven days a week.

If you have questions about when you can enroll, or if you need clarification on current retiree status (i.e., protected vs. general), please call:

GM Benefits Service Center:

800-489-4646
TTY users may call 800-649-3777.
Representatives are available 7:30 a.m. to 6 p.m., Monday through Friday.

Or visit gmbenefits.com.

* Source: BCN Provider Count Report, August 2009
** Limits and copays apply.

Important information about this plan

BCN Advantage Group 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 Group HMO will be responsible for the costs. Out-of-network services authorized by BCN Advantage Group HMO will be covered.

If you are enrolled in BCN Advantage Group 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 Group HMO, 2311 Green Road, Ann Arbor, MI 48105.

The BCN Advantage Group 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 Group 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 group members should call 866-966-2583, from 8 a.m. to 8 p.m., seven days a week. TTY users should call 800-431-7944.

Benefits, formulary, pharmacy, network, premium and/or coinsurance may change on Jan. 1, 2011. Please contact BCN Advantage Group 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 Group HMO is issued by Blue Care Network, which contracts with the federal government. BCN Advantage Group 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 Group HMO is a health plan with a Medicare contract.

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page modified 10/01/2009