Bluecare Network of MI - Cheboygan and Roscommon Counties Area

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General Information

Plan Name:	Bluecare Network of MI
Service Area:	Cheboygan and Roscommon Counties Area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	G71
Enrollment Code-Self & Family:	G72
Link to Plan Home Page:	http://www.bcbsm.com
Telephone:	800/662-6667
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$20

Rates

Non-Postal
___Twice Biweekly	Self: $231.38	Self: & Family: $633.24
___Monthly	Self: $250.66	Self: & Family: $686.01
___Biweekly	Self: $115.69	Self: & Family: $316.62
_
Annuitants
___Monthly	Self: $250.66	Self: & Family: $686.01
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $98.03	Self: & Family: $276.28
___Monthly	Self: $212.40	Self: & Family: $598.61
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $104.32	Self: & Family: $304.89
___Monthly	Self: $226.02	Self: & Family: $660.60
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $231.38	Self: & Family: $633.24
_
Certain Temporary Employees
___Biweekly	Self: $213.55	Self: & Family: $540.03
___Monthly	Self: $462.69	Self: & Family: $1170.07
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Former Spouse Enrollees
___Monthly	Self: $462.69	Self: & Family: $1170.07
___Biweekly	Self: $213.55	Self: & Family: $540.03
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Temporary Continuation of Coverage
___Monthly	Self: $471.94	Self: & Family: $1193.47
___Biweekly	Self: $217.82	Self: & Family: $550.83
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FDIC
___Biweekly	Self: $98.03	Self: & Family: $276.28
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