Bluecare Network of MI - Mid Michigan

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General Information

Plan Name:	Bluecare Network of MI
Service Area:	Mid Michigan
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	LN1
Enrollment Code-Self & Family:	LN2
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: $61.73	Self: & Family: $160.85
___Twice Biweekly	Self: $123.46	Self: & Family: $321.70
___Monthly	Self: $133.75	Self: & Family: $348.50
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Annuitants
___Monthly	Self: $133.75	Self: & Family: $348.50
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $44.07	Self: & Family: $120.51
___Monthly	Self: $95.49	Self: & Family: $261.10
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $109.11	Self: & Family: $323.09
___Biweekly	Self: $50.36	Self: & Family: $149.12
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Worker's Compensation Recipients
___Twice Biweekly	Self: $123.46	Self: & Family: $321.70
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Certain Temporary Employees
___Biweekly	Self: $159.59	Self: & Family: $384.26
___Monthly	Self: $345.78	Self: & Family: $832.56
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Former Spouse Enrollees
___Biweekly	Self: $159.59	Self: & Family: $384.26
___Monthly	Self: $345.78	Self: & Family: $832.56
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Temporary Continuation of Coverage
___Biweekly	Self: $162.78	Self: & Family: $391.95
___Monthly	Self: $352.70	Self: & Family: $849.21
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FDIC
___Biweekly	Self: $44.07	Self: & Family: $120.51
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