Medicare Plus Blue PFFSSM combines coverage for hospital and doctor visits with prescription drug coverage. You can go to any doctor or hospital that accepts our plan's payment. Medicare Plus Blue PFFSSM includes all your current Medicare benefits and much more.
You'll like our plan:
Available in every Michigan county
Keep your own doctor
No referrals needed to see specialists
Diabetes self-monitoring training and supplies
Statewide and nationwide coverage
Worldwide emergency care coverage
Virtually no paperwork
One ID card for health, drug and preventive dental coverage
Contact an independent agent licensed to sell Blues Medicare Advantage plans, or call us for more information:
1-877-469-2583
TTY 1-800-481-8704
Customer service representatives are available 8 a.m. to 8 p.m., seven days a week.
If you're turning 65 or qualify for Medicare under special circumstances, you don't have to wait for Medicare's annual enrollment period, from Nov. 15 through Dec. 31.
Medicare Plus Blue PFFSSM is a health plan with a Medicare contract.
Medicare Plus Blue PFFSSM is available to all Medicare beneficiaries who are Michigan residents entitled to Part A of Medicare and enrolled in Part B. Premiums vary by county. You must continue to pay your Medicare Part B premium.
A Medicare Advantage private fee-for-service plan works differently than a Medicare supplement plan. Your doctor or hospital can continue to treat you if it agrees to accept our terms and conditions of payment, and thus may choose not to treat you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not to provide health care services to you, except in emergencies. Providers can find the plan's terms and conditions on our Web site at bcbsm.com/ma. You can also read more about how private fee-for-service plans work for you in our downloadable flyer (PDF 160K).
In Michigan, 86 percent of pharmacies are network pharmacies; nationwide, more than 80 percent of pharmacies are in the network, including the majority of chain pharmacies, as well as long-term care and home infusion pharmacies and Indian/Tribal/Urban (Indian Health Service) pharmacies (Source: 2010 Pharmacy Directory). In general, benefits are only available at contracted network pharmacies. Plan drugs may be covered in special circumstances, for instance, illness while traveling outside of the plan's service area where there is no network pharmacy. You may have to pay more than your normal cost sharing amount if you get your drugs at an out-of-network pharmacy. In addition, you will likely have to pay the pharmacy's full charge for the drug and submit documentation to receive reimbursement from Medicare Plus Blue PFFSSM. For additional information on network pharmacies, please call Customer Service at 1-877-469-2583, 8 a.m. to 8 p.m., seven days a week. TTY users should call 1-800-481-8704. You may also write to: Medicare Plus Blue PFFSSM, 600 E. Lafayette Blvd., Mail Code X435, Detroit, MI 48226.
If you decide to have your Medicare Plus Blue PFFSSM 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.
The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. This is an advertisement; for more information contact the plan Benefits, formulary, pharmacy, network, premium and/or coinsurance may change on Jan. 1, 2011. Please contact Blue Cross Blue Shield of Michigan for details.
In addition to enrolling through this Web site, Medicare beneficiaries may enroll in Medicare Plus Blue PFFSSM through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at medicare.gov. For more information, please contact Medicare Plus Blue PFFSSM at 1-877-469-2583, 8 a.m. to 8 p.m. seven days a week. TTY users should call 1-800-481-8704. You may only enroll in Medicare Plus Blue PFFSSM during specific times of the year. To learn more about enrollment periods, please contact Customer Service.
This document is available in alternate formats or languages. For more information, call 1-877-469-2583, 8 a.m. to 8 p.m. seven days a week. TTY users should call 1-800-481-8704.
Medicare Plus Blue PFFSSM is issued by Blue Cross Blue Shield of Michigan, which contracts with the federal government. Medicare Plus Blue PFFS'sSM contract with CMS is renewed annually and the availability of coverage beyond the end of the contract year is not guaranteed.
You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:
1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day, seven days a week;
The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call 1-800-325-0778; or
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