Bluecare Network of MI - Midland County Area

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General Information

Plan Name:	Bluecare Network of MI
Service Area:	Midland County Area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	K51
Enrollment Code-Self & Family:	K52
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
___Biweekly	Self: $30.17	Self: & Family: $114.05
___Monthly	Self: $65.38	Self: & Family: $247.10
___Twice Biweekly	Self: $60.34	Self: & Family: $228.10
_
Annuitants
___Monthly	Self: $65.38	Self: & Family: $247.10
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $29.42	Self: & Family: $159.70
___Biweekly	Self: $13.58	Self: & Family: $73.71
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $29.42	Self: & Family: $221.69
___Biweekly	Self: $13.58	Self: & Family: $102.32
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $60.34	Self: & Family: $228.10
_
Certain Temporary Employees
___Biweekly	Self: $120.70	Self: & Family: $337.46
___Monthly	Self: $261.52	Self: & Family: $731.16
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Former Spouse Enrollees
___Biweekly	Self: $120.70	Self: & Family: $337.46
___Monthly	Self: $261.52	Self: & Family: $731.16
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Temporary Continuation of Coverage
___Monthly	Self: $266.75	Self: & Family: $745.78
___Biweekly	Self: $123.11	Self: & Family: $344.21
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FDIC
___Biweekly	Self: $13.58	Self: & Family: $73.71
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