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Enhanced benefits
Both Medicare Plus Blue PFFSSM and Medicare Plus Blue PPOSM allow employer groups to enhance their benefit plans by choosing enhanced benefits.
Medicare Plus Blue PFFS enhanced benefits are paid at the rates shown on the fee schedule (PDF).
Learn about Medicare Plus Blue PPO enhanced benefit reimbursement by logging into web-DENIS and clicking on BCBSM Provider Publications and Resources.
Information about how Medicare Plus Blue PPO enhanced benefits are paid can be found by logging into web-DENIS and clicking on BCBSM Provider Publications and Resources. Click on Entire Fee Schedules.
Enhanced benefits
Current and prior years' versions are listed below. Some enhanced benefits only apply to Medicare Plus Blue PFFS.
- Abortion
- Acupuncture
- Adult diapers and incontinence liners
- 2010 version (PDF) — Medicare Plus Blue PFFS only
- 2009 version (PDF)
- 2008 version (PDF)
- Biofeedback
- 2010 version (PDF) — Medicare Plus Blue PFFS only
- 2009 version (PDF)
- 2008 version (PDF)
- Bone mass measurement
- Chiropractic care
- Clinical trial
- Colorectal cancer screening
- Consultation services provided by a clinical psychologist
- 2010 version (PDF) — Medicare Plus Blue PFFS only
- 2009 version (PDF)
- 2008 version (PDF)
- Contraceptive devices
- Dental care
- Determination of refractive state
- Emergency room care
- Gradient compression stockings
- 2010 version (PDF) — Medicare Plus Blue PFFS only
- 2009 version (PDF)
- 2008 version (PDF)
- Hearing care services
- 2010 version (PDF) — Medicare Plus Blue PFFS only
- 2009 version (PDF)
- 2008 version (PDF)
- Home infusion therapy
- Hospice care
- Human organ transplant
- Inpatient hospital care
- Laser-assisted in-situ keratomileusis surgery
- 2010 version (PDF) — Medicare Plus Blue PFFS only
- 2009 version (PDF)
- 2008 version (PDF)
- Non-surgical weight reduction
- Outpatient therapy cap exceptions
- Private duty nursing
- Radial keratotomy
- Religious non-medical health care institution
- Routine hepatitis C screening
- Routine physical examinations
- Screening mammography
- Screening papanicolaou tests and pelvic examination
- Seasonal affective disorder lighting
- Skilled nursing facility
- Sterilization
- Temporomandibular joint appliance
- Total body skin examination
- Travel, meals and lodging
- Weight loss surgery
- 2010 version (PDF) — Medicare Plus Blue PFFS only
- 2009 version (PDF)
- 2008 version (PDF)
- Wigs
- 2010 version (PDF) — Medicare Plus Blue PFFS only
- 2009 version (PDF)
- 2008 version (PDF)
- World wide care — emergent, urgent and other services
(In 2008, this was called Foreign care.)
