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Terms and conditions

BCBSM's terms and conditions apply to Michigan and out-of-state providers when treating Medicare Plus Blue PFFSSM members.


Treating Medicare Advantage members from other Blue plans

Private fee-for-service plan members may seek services from any health care provider who is willing to treat them and who accepts the terms and conditions associated with the member's contract.


When you treat a private fee-for-service member from another Blue plan, the terms and conditions associated with that plan apply, not BCBSM's. For example, when you treat a Highmark Blue Cross Blue Shield Medicare Advantage member, Highmark's terms and conditions apply.


Terms and conditions Web tool

Find the appropriate terms and conditions for a Medicare Advantage member:

  1. Enter the first three letters of the member's ID number on the BCBS Medicare Advantage PFFS card.
  2. For example: If the first three letters of the member's ID number are "XDV," you will need to select an appropriate plan name in the drop down box.
  3. Click "GO" to view the BCBS Medicare Advantage PFFS plan's terms and conditions.

Alpha Prefix: 
 
Plan: 
 

 

GO

If you experience any difficulties, please contact 1-800-676-BLUE (2583).
 

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