Bluecare Network of MI - Southeast MI

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General Information

Plan Name:	Bluecare Network of MI
Service Area:	Southeast MI
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	LX1
Enrollment Code-Self & Family:	LX2
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
___Monthly	Self: $48.26	Self: & Family: $144.35
___Twice Biweekly	Self: $44.54	Self: & Family: $133.24
___Biweekly	Self: $22.27	Self: & Family: $66.62
_
Annuitants
___Monthly	Self: $48.26	Self: & Family: $144.35
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $21.72	Self: & Family: $64.96
___Biweekly	Self: $10.02	Self: & Family: $29.98
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $10.02	Self: & Family: $31.35
___Monthly	Self: $21.72	Self: & Family: $67.93
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $44.54	Self: & Family: $133.24
_
Certain Temporary Employees
___Monthly	Self: $193.03	Self: & Family: $577.40
___Biweekly	Self: $89.09	Self: & Family: $266.49
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Former Spouse Enrollees
___Monthly	Self: $193.03	Self: & Family: $577.40
___Biweekly	Self: $89.09	Self: & Family: $266.49
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Temporary Continuation of Coverage
___Monthly	Self: $196.89	Self: & Family: $588.95
___Biweekly	Self: $90.87	Self: & Family: $271.82
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FDIC
___Biweekly	Self: $10.02	Self: & Family: $29.98
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