![]() Please remember to update your home address with the university. Your new coverage will become effective the first day of the month following the move or the receipt of this form, whichever is later. To enroll in a different health plan, download the Moving out a Managed Care Service Area form and submit your signed and completed within 30 days of the date of your move. ![]() If you are enrolled in the plan and move out of the service area, you must change your health plan. Members must live in the state of Michigan or within Fulton, Lucas, Williams or Woods counties in Ohio to be eligible for U-M Premier Care. However, members should keep in mind that they may have additional, out-of-pocket costs for services from these providers, even for a standard hearing aid. Members will continue to have access to Blue Cross Network (BCN) hearing services providers who are not in the Value Network. Contact TruHearing at (844) 815-7195 to speak with a hearing consultant or to locate a TruHearing provider, or go to /choice. TruHearing has an extensive nationwide network of highly qualified hearing aid providers who offer affordable hearing aid options. Value Network providers include Michigan Medicine Audiology Services and TruHearing providers.Ĭontact Michigan Medicine Audiology Services at (734) 936-8051 for more information or to locate a Michigan Medicine audiology provider, or view information online at Hearing Loss and Hearing Testing. The cost difference between what the provider charges for these buy-up options and the amount the plan pays for a standard hearing aid will be the member’s responsibility. Members may “buy up” to advanced or premium hearing aid options. Providers in the Value Network have agreed to offer standard hearing aid options that will not result in out-of-pocket costs. However, out-of-pocket costs may be less if you receive services from a provider in the Value Network for hearing services. 1, 2021, U-M’s hearing services benefits include a Hearing Services Value Network for U-M Premier Care and GradCare health plan members.Ĭoverage for hearing services has not changed. Pre-certification is required for certain services, and the member must register with BCN to obtain approval for out-of-area dependent coverage by calling 1 (800) 658-8878. The plan provides coverage for dependents who reside outside the network service area and meet eligibility guidelines. All providers, facilities and services are rendered in Michigan. You may not be able to receive services, such as home health care, home infusion, home hospice and medical equipment deliveries, in your home if you live outside Michigan. Important information for those living in Ohio: Before selecting this plan, please know that U-M Premier Care is a Michigan-based health plan. Members must live in the state of Michigan or within Fulton, Lucas, Williams or Woods counties in Ohio. Services received outside of Network 1 or Network 2 are not covered, except in the event of emergency (refer to plan documents for details). In order to visit a specialist or a Network 2 provider, you will need a referral from your PCP. Members must choose a Primary Care Physician (PCP) from Network 1. Mental health, behavioral health or substance abuse servicesįor complete information on benefits and coverage, please refer to the plan documents.No out-of-pocket cost to you after meeting the deductible for:.$2,000 individual/$4,000 family annual deductible.$3,000 individual/$6,000 family out-of-pocket maximum (Networks 1 and 2 combined).No out-of-pocket cost to you for outpatient surgery.No out-of-pocket cost to you for inpatient services.$25 copay for mental health, behavioral health or substance abuse services.$100 copay for emergency care (waived if admitted).$25 copay for office visit for injury or illness.No out-of-pocket cost to you for preventive care.You will not be able to change plans due to a physician’s or hospital’s disaffiliation with your health plan. Locate a U-M Premier Care provider or find out if your doctor accepts this plan. You can also visit other Michigan BCN providers in Network 2, with an annual deductible and referral from your Network 1 primary care physician. Members save money in Network 1, which includes Michigan Medicine providers along with several other provider groups. U-M Premier Care is administered by Blue Care Network (BCN) and offered only to the University of Michigan community. ![]() U-M Premier Care offers the lower costs of an HMO with the flexibility to access a state-wide network of providers if needed. ![]()
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |