BCN Advantage HMO-POS ... BCN Advantage offers: 1Source: BCN Medical Informatics Statewide Provider

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  • BCN Advantage HMO-POS

    2021 plan information

    BCN AdvantageSM is a HMO-POS plan with a Medicare contract. Enrollment in BCN Advantage depends on contract renewal.

    FOR UAW TRUST MEDICARE MEMBERS

  • Our website is www.bcbsm.com/uawtrust.

    Discover BCN Advantage HMO-POS

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    Look through your benefits.

    BCN Advantage can give you peace of mind.

    Questions about doctors

    or hospitals? Call us at 1-877-396-1893, Monday through Friday from 8 a.m. to 5 p.m. Eastern time, for up-to-date information or visit www.bcbsm.com/UAWTrust to learn more. TTY users, call 711.

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    Our growing network of providers

    Cost sharing and understanding important terms

    Summary of frequently used benefits

    Get the card that gives you more 9

    Important information and coverage map 10

    Contents

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    Our growing network of providers is ready to meet your health care needs

    We offer nearly 6,000 primary care physicians, over 51,000 specialists and 140 hospitals in our service area, including Bronson and Spectrum hospitals, health centers and physicians.1

    Zero dollar monthly contribution.*

    Zero percent coinsurance.

    Unlimited office visits with low copayments.

    Referrals aren’t always required if the specialist is in the plan’s network.

    Important terms/de�nitions Hospital care Call/nursing telephone support Hospital and other services Alternatives to hospital care

    Plan bene�ts Ready to join

    Who can join

    Beyond original medicare Other services Mental health and substance abuse treatment

    Leaving the hospital Questions DME

    SilverSneakers Preventive care Prescription drugs Deductible, coinsurance and dollar maximums

    Reasons to join

    Physicians/Providers

    Internet/bcbsm.com/online/live coaching

    MyBlue Medicare Magazine Physician o�ce services Outpatient diagnostic services Surgical services hearing

    Everyday savings Tobacco cessation Emergency services Coping with heart failure or COPD Facing a complex medical condi- tion

    Where am i covered

    Pneumonia

    Research monitors

    Missouri

    Shot

    Customer service

    Member

    Maternity care

    Eye care

    Important terms/de�nitions Hospital care Call/nursing telephone support Hospital and other services Alternatives to hospital care

    Plan bene�ts Ready to join

    Who can join

    Beyond original medicare Other services Mental health and substance abuse treatment

    Leaving the hospital Questions DME

    SilverSneakers Preventive care Prescription drugs Deductible, coinsurance and dollar maximums

    Reasons to join

    Physicians/Providers

    Internet/bcbsm.com/online/live coaching

    MyBlue Medicare Magazine Physician o�ce services Outpatient diagnostic services Surgical services hearing

    Everyday savings Tobacco cessation Emergency services Coping with heart failure or COPD Facing a complex medical condi- tion

    Where am i covered

    Pneumonia

    Research monitors

    Missouri

    Shot

    Customer service

    Member

    Maternity care

    Eye care

    BCN Advantage offers:

    1Source: BCN Medical Informatics Statewide Provider Counts report July 1, 2020.

    *You must continue to pay your Medicare Part B premium.

    Stay healthy

    We offer educational materials, reminders and other support for members with chronic conditions, like chronic obstructive pulmonary disease, depression, diabetes, heart disease, heart failure and kidney disease.

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    Nearly 6,000 primary care providers in 68 counties throughout Michigan.

    Online visits.

    Complete flexibility in your choice of plan. If you change your mind after switching to BCN Advantage, you can still switch to another qualified plan.

    Important terms/de�nitions Hospital care Call/nursing telephone support Hospital and other services Alternatives to hospital care

    Plan bene�ts Ready to join

    Who can join

    Beyond original medicare Other services Mental health and substance abuse treatment

    Leaving the hospital Questions DME

    SilverSneakers Preventive care Prescription drugs Deductible, coinsurance and dollar maximums

    Reasons to join

    Physicians/Providers

    Internet/bcbsm.com/online/live coaching

    MyBlue Medicare Magazine Physician o�ce services Outpatient diagnostic services Surgical services hearing

    Everyday savings Tobacco cessation Emergency services Coping with heart failure or COPD Facing a complex medical condi- tion

    Where am i covered

    Pneumonia

    Research monitors

    Missouri

    Shot

    Customer service

    Member

    Maternity care

    Eye care

    Important terms/de�nitions Hospital care Call/nursing telephone support Hospital and other services Alternatives to hospital care

    Plan bene�ts Ready to join

    Who can join

    Beyond original medicare Other services Mental health and substance abuse treatment

    Leaving the hospital Questions DME

    SilverSneakers Preventive care Prescription drugs Deductible, coinsurance and dollar maximums

    Reasons to join

    Physicians/Providers

    Internet/bcbsm.com/online/live coaching

    MyBlue Medicare Magazine Physician o�ce services Outpatient diagnostic services Surgical services hearing

    Everyday savings Tobacco cessation Emergency services Coping with heart failure or COPD Facing a complex medical condi- tion

    Where am i covered

    Pneumonia

    Research monitors

    Missouri

    Shot

    Customer service

    Member

    Maternity care

    Eye care

    Important terms/de�nitions Hospital care Call/nursing telephone support Hospital and other services Alternatives to hospital care

    Plan bene�ts Ready to join

    Who can join

    Beyond original medicare Other services Mental health and substance abuse treatment

    Leaving the hospital Questions DME

    SilverSneakers Preventive care Prescription drugs Deductible, coinsurance and dollar maximums

    Reasons to join

    Physicians/Providers

    Internet/bcbsm.com/online/live coaching

    MyBlue Medicare Magazine Physician o�ce services Outpatient diagnostic services Surgical services hearing

    Everyday savings Tobacco cessation Emergency services Coping with heart failure or COPD Facing a complex medical condi- tion

    Where am i covered

    Pneumonia

    Research monitors

    Missouri

    Shot

    Customer service

    Member

    Maternity care

    Eye care

    The choice is yours

    In most cases, if you already receive Social Security you may have enrolled in Medicare Part A and B. If you have not received your Medicare card showing enrollment in parts A and B, you should contact Social Security to verify enrollment. Enrollment in Part B is required. If you wish to enroll in another plan, call Retiree Care Connect at 1-866-637-7555, Monday through Friday from 8:30 a.m. to 4:30 p.m. Eastern time, to discuss your options. TTY users call 711.

    Plan changes are effective the first day of the second month following the date of your change request, but no earlier than Jan.1, 2021.

    The UAW Trust offers BCN Advantage HMO-POS as one of the Medicare Advantage health plans for consideration by its Medicare-eligible members.

    The UAW Trust provides health care benefits for UAW retirees and their eligible dependents. BCN Advantage is designed to promote healthy living, give you access to the doctors and hospitals you want, and provide the most value for your health care dollar.

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    2021 Cost share summary

    Deductible Note: Deductible doesn’t apply to Protected Class. Protected Class members are responsible for copays only.

    $400 per member

    $675 per family

    Percent coinsurance None

    Maximum out-of-pocket $1,000 (includes deductible and fixed dollar copays —

    all coinsurance is 0%)

    Dollar maximums None

    Important terms/de�nitions Hospital care Call/nursing telephone support Hospital and other services Alternatives to hospital care

    Plan bene�ts Ready to join

    Who can join

    Beyond original medicare Other services Mental health and substance abuse treatment

    Leaving the hospital Questions DME

    SilverSneakers Preventive care Prescription drugs Deductible, coinsurance and dollar maximums

    Reasons to join

    Physicians/Providers

    Internet/bcbsm.com/online/live coaching

    MyBlue Medicare Magazine Physician o�ce services Outpatient diagnostic services Surgical services hearing

    Everyday savings Tobacco cessation Emergency services Coping with heart failure or COPD Facing a complex medical condi- tion

    Where am i covered

    Pneumonia

    Research monitors

    Missouri

    Shot

    Customer service

    Member

    Maternity care

    Eye care

    Deductible, coinsurance, copayments and dollar maximums

    Payment amounts are based on the Blue Care Network approved amount, less any applicable deductible and copay amounts required by the plan. This coverage is provided in keeping with a contract with the federal government. Some tests, prescription drugs or other services may require prior authorization arranged by the member’s primary care physicia