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Health Insurance

Policy Summaries
   
2014-15
Employee Health Premiums
Summaries

BCBSM Plan Blue Summary of Benefits and Coverages

BCBSM Plan Blue Benefits at a Glance
BCBSM Plan Blue Prescription

BCBSM Plan Orange Summary of Benefits and Coverages

BCBSM Plan Orange Benefits at a Glance
BCBSM Plan Orange Prescription
 
Forms and Information
 

BCBSM Custom Formulary

BCBSM Enrollment/Change Form

Medco Mail Order Prescription Form

BCBSM Medical Claim Form

International Coverage

Informational Brochure

International Claim Form

Auto Accident Exclusion

Auto Exclusion FAQs

 
Retiree Health
 

2014 Retiree Health Insurance Policy

2014 BCBSM Medicare Plus Blue Group PPO

2015 Retiree Health Insurance Policy
 
Required Notices & Policies
 

Janet's Law

     

Medicare Notice of Creditable Coverage

COBRA Initial Notice

     

ACA - Health Care Exchanges Required Employer Notice

 
Links
 

Blue Cross Blue Shield of MI

Traveling with BCBSM? Find providers in the state/country you are visiting.

 
Customer Service Contacts
 
  • BCBSM (Blue or Orange Plan)
    1.888.890.5712
  • BCBSM (Medicare Advantage)
    1.866.684.8216
  • BCBSM Walk-In Customer Service (All Plans)
    (No phone calls or scheduled appointments available, all centers open Monday - Friday 9:00 am - 5:00 pm)

    151 Central Ave. Suite 100 (in the Central Ave. Financial Centre building)
    Holland, MI 49423

    86 Monroe Center
    Grand Rapids, MI 49503

    8175 Creekside, Suite 100
    Portage, MI 49024

    202 E. State Street
    Traverse City, MI 49684
Additional Information
 

Walmart $4 Prescriptions

Target $4 Prescriptions

Federal Government Online Hospital Care/Cost Search Tool