2013 Find a pharmacy | Blue Care Network Advantage

Find a participating pharmacy

The BCN Advantage^SM ID card is accepted at a wide range of network pharmacies, including most major chains.

Where to fill your prescriptions

You must use a network pharmacy to receive plan benefits. At preferred pharmacies, you may get your drugs at a lower copay or coinsurance. The pharmacies in our network can change at any time.

BCN Advantage HMO-POS has contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your area.

We have three categories of pharmacies in our network:

Preferred pharmacies offer members lower cost-sharing for covered drugs.
Non-preferred pharmacies may cost more than a preferred pharmacy but less than a non-contracted pharmacy.
Mail order pharmacies may save you money on medications you take for chronic conditions and offer the convenience of home delivery.

Fill your prescription at a BCN Advantage participating retail pharmacy

You may fill prescriptions at any of more than 2,400 participating retail pharmacies throughout Michigan and thousands of pharmacies in the United States.*
* Source: Blue Cross Blue Shield of Michigan Pharmacy Report August 2012

Download BCN Advantage Pharmacy Directory (PDF)

Fill your prescription through a network mail order pharmacy

If you have a BCN Advantage Basic, Classic, Prestige or Focus plan, you are eligible for mail order prescription service through a BCN Advantage mail order vendor. Prescription drugs that you get through any other mail order service are not covered. See frequently asked questions for additional information.

Walgreens Mail Order Customer Service (available 24 hours a day, 7 days a week) 1-800-489-2197, TTY: 1-800-924-0178
Walgreens Member Services Online
Walgreens Mail Registration & Prescription Order Form (PDF)
Medco Customer Service (available 24 hours a day, 7 days a week) 1-800-229-0832, TTY: 1-800-759-1089. Medco is now a part of the Express Scripts family of pharmacies.
Medco Online Registration
Medco Medicare Mail Order Form (PDF)

Special note:

You may go to a retail or use a mail order pharmacy to receive your covered prescription drugs. You can receive up to a 90-day supply of your maintenance medication through either our mail order service or through most retail pharmacies in the BCN Advantage network. You will find both preferred and non-preferred pharmacies in our BCN Advantage Provider/Pharmacy Directory.

Frequently asked questions

What’s a preferred pharmacy?

Preferred pharmacies are pharmacies in our network where members have lower cost sharing for covered drugs than at non-preferred network pharmacies. However, you will have lower drug prices at both preferred and non-preferred network pharmacies than at out-of-network pharmacies. You may go to either of these types of network pharmacies to receive your covered prescription drugs. Refer to your Provider/Pharmacy Directory, Comprehensive Formulary, Evidence of Coverage or call Customer Service to locate a preferred network pharmacy.

How do I get my prescription filled from a retail pharmacy?

To fill a prescription at a BCN Advantage network retail pharmacy, show your member ID card. You should always present your member ID card for each prescription you have filled. If you do not have your ID card with you when you fill your prescription, you may have to pay the full cost of the prescription (rather than paying just your copayment). If this happens, you can ask us to reimburse you for our share of the cost by submitting a claim (called a Direct Member Reimbursement) to us. To find out how to submit a claim, look in your Evidence of Coverage or call Customer Service.

Can I use an out-of-network pharmacy?

If you choose to go to an out-of-network pharmacy, you will pay the full cost of the prescription. See your Evidence of Coverage for details.

How do I fill a prescription through the mail order pharmacy service?

You must use a BCN Advantage mail order vendor (Walgreens or Medco Health Solutions, Inc.) if you want to use mail order services. Prescription drugs that you get through any other mail order service are not covered.

You can use the BCN Advantage mail order service to fill prescriptions for drugs that you take on a regular basis, for a chronic or long-term medical condition.

Our mail order pharmacies offer up to a 90-day supply of maintenance medications for 2½ times your usual copayment. Medications in Tier 5 (Specialty drugs) are limited to a 34-day supply by mail.

To ensure that you don’t run out of your medications when using our mail order prescription drug service, order at least two weeks before your prescription runs out. You can find your refill date on the prescription label and on the refill slip that comes with every order. If you don’t have enough medication, ask your doctor to give you a second prescription for a 30-day supply, and fill it at a local retail network pharmacy while you wait for your mail order supply to arrive.

You can obtain your refills by mailing the order form to Walgreens or Medco Health Solutions, Inc.

Walgreens: If you use Walgreens, call 1-800-489-2197, (TTY users should call 1-800-925-0178). The Walgreens automated phone system is available 24 hours a day, 7 days a week, as is the website, WalgreensHealth.com. You can order refills, check account balances, make payments, and check order status through the Interactive Voice Response system and website at anytime, day or night. Customer Care Professionals are accessible by phone toll free, available 24 hours a day, 7 days a week. A pharmacist is always available for emergency consultation.

Medco: If you use Medco, call 1-800-229-0832, TTY users should call 1-800-759-1089, 24 hours a day, seven days a week (except Thanksgiving and Christmas), or visit medco.com.

Generally, it takes five days to process your order and ship it to you. However, sometimes your mail order may be delayed. If your mail order is delayed, call Medco or Walgreens directly.

You are not required to use mail order prescription drug services to obtain an extended supply of mail order medications. Instead, you have the option of using a preferred 90-day retail pharmacy or a standard (non-preferred) 90-day retail pharmacy in the BCN Advantage network. Some of these retail pharmacies may agree to accept the mail-order cost-sharing amount for an extended supply of mail order medications, which may result in no difference in your out-of-pocket cost. Other retail pharmacies may not agree to accept the mail order cost-sharing amounts. In this case, you will be responsible for the difference in price.

H5883_W_BCNAdvantageWebR5.5 Pending CMS Approval

Important Plan and Benefit Information

Important information for BCN Advantage HMO-POS℠ plans

BCN Advantage HMO-POS℠ is available in these counties: Allegan, Barry, Bay, Calhoun, Clare, Clinton, Crawford, Eaton, Genesee, Gladwin, 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, St. Clair, Sanilac, Shiawassee, Tuscola, Van Buren, Washtenaw and Wayne. Premiums vary by county. You must continue to pay your Medicare Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments and restrictions may apply. Medicare beneficiaries may also enroll in BCN Advantage through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. BCN Advantage's contract with CMS is renewed annually and the availability of coverage beyond the end of the contract year is not guaranteed. Benefits, formulary, pharmacy, network, premium and/or coinsurance may change on Jan. 1 of each year.

You must use plan providers except in emergency medical or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers without prior authorization from the plan, neither Medicare nor BCN Advantage will be responsible for the costs. Out-of-network services authorized by BCN Advantage will be covered. Our point-of-service benefit allows you to get care from providers not in our network under certain conditions. If you're traveling outside of Michigan, you're covered under our point-of-service BlueCard benefit and can access out-of-network doctors, specialists or hospitals that participate with Blues plans. You may receive most plan-covered services at in-network out-of-pocket cost sharing. You may need to pay higher cost-sharing for routine care from non-network providers.

If your plan includes 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 Pharmacy® (now a part of the Express Scripts family of pharmacies) or Walgreens, as well as long-term care and home infusion pharmacies. For more information, call the Customer Service number on the back of your ID card from 8 a.m. to 8 p.m., Monday through Friday, with weekend hours Oct. 1 through Feb. 14. TTY users should call 711. Certain services are available 24/7 through our automated telephone response system. You may also write to: BCN Advantage, 2311 Green Road, Ann Arbor, MI 48105.

The BCN Advantage benefit information provided on this website is not complete. Additional information should be requested before making a decision about your coverage. For full information on BCN Advantage benefits, call the Customer Service number on the back of your ID card from 8 a.m. to 8 p.m., Monday through Friday, with weekend hours Oct. 1 through Feb. 14. TTY users should call 711. Certain services are available 24/7 through our automated telephone response system. If you decide to have your BCN Advantage 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. For more information, contact BCN Advantage at 1-877-469-2583. TTY users call 711. Hours are: 8 a.m. to 9 p.m. Eastern time, Monday through Friday, Feb. 15 through Sept. 30; 8 a.m. to 9 p.m. Eastern time, seven days a week, from Oct. 1 to Feb. 14.

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

Important information for the BCN Advantage HMO Focus℠ plan

BCN Advantage HMO Focus℠ is available only to residents of Wayne County. You must use BCN Advantage Focus plan providers except in emergency medical or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers without prior authorization from the plan, neither Medicare nor BCN Advantage will be responsible for the costs. You must continue to pay your Medicare Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments and restrictions may apply. Medicare beneficiaries may also enroll in BCN Advantage through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. BCN Advantage's contract with CMS is renewed annually and the availability of coverage beyond the end of the contract year is not guaranteed. Benefits, formulary, pharmacy, network, premium and/or coinsurance may change on Jan. 1 of each year.

BCN Advantage HMO Focus℠ plan members must use a network pharmacy to access their prescription drug benefit, except under non-routine circumstances when they cannot reasonably use a network pharmacy. Our pharmacy network includes the majority of chain pharmacies, mail order through Medco Pharmacy® (now a part of the Express Scripts family of pharmacies) or Walgreens, as well as long-term care and home infusion pharmacies. For more information call the Customer Service number on the back of your ID card from 8 a.m. to 8 p.m., Monday through Friday, with weekend hours Oct. 1 through Feb. 14. TTY users should call 711. Certain services are available 24/7 through our automated telephone response system. You may also write to: BCN Advantage, 2311 Green Road, Ann Arbor, MI 48105.

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

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2013 Individual plan coverage

Find a pharmacy