Blue Care Network BCN Advantage HMO POS Review

Blue Care Network is administered throughBlue Cross Blue Shieldof Michigan.  They offer all types of health coverage for all people throughout the state of Michigan.  The BCN Advantage plans are Medicare Advantage plans that are available to you if you have Medicare.  They offer four different HMO-POS plans that offer different levels of coverage.  The plans are BCN Advantage Elements, Basic, Classic, and Prestige.  Since they are offered through BCBS of Michigan, you know they have a solid backing, but that does not always translate into the best benefits for you.  Let’s take a look at how each plan covers the main benefits that you may use in a year:

BCN Advantage Elements (HMO-POS)

  • Premium – $13 – $33/monthly
  • Deductible – $160/annual
  • Out of Pocket Maximum – $4,600
  • Referrals Required for some Specialists
  • Hospital Copay – $180/day Days 1-5
  • Doctor’s Visits – Primary = $20; Specialist = $40
  • Outpatient Surgery – $50 – $125 copay
  • Labs – $0  copay
  • Diagnostic Procedures/Tests - $0 – $40 copay
  • X-rays – $20 – $40
  • No Part D Drug coverage offered with this plan
  • Preventative Dental – $0 copay for 2 cleanings/exams and 1 x-ray per year
  • Preventative hearing – $25 copay for hearing exam and up to $1000 for hearing aids
  • No vision coverage
  • Transportation – $0 copay for 12 round trips

BCN Advantage Basic (HMO-POS)

  • Premium – $0/monthly
  • Deductible – $250/annual
  • Out of Pocket Maximum – $5,200
  • Referrals Required for some Specialists
  • Hospital Copay – $225/day Days 1-5
  • Doctor’s Visits – Primary = $25; Specialist = $45
  • Outpatient Surgery – $50 – $125 copay
  • Labs – $0  copay
  • Diagnostic Procedures/Tests - $0 – $40 copay
  • X-rays – $20 – $40
  • Part D Deductible = $320/annual
  • Part D Copays – All Tiers = 25% copay after deductible
  • No Preventative Dental, Vision, or Hearing coverage

BCN Advantage Classic (HMO-POS)

  • Premium – $60 – $103/monthly
  • Deductible – $125/annual
  • Out of Pocket Maximum – $4,400
  • Referrals Required for some Specialists
  • Hospital Copay – $130/day Days 1-5
  • Doctor’s Visits – Primary = $15; Specialist = $35
  • Outpatient Surgery – $40 – $100 copay
  • Labs – $0  copay
  • Diagnostic Procedures/Tests - $0 – $40 copay
  • X-rays – $20 – $40
  • Part D Deductible = $0/annual
  • Part D Copays – Tier 1 = $3; Tier 2 = $40; Tier 3 = $80; Tier 4 = 25%; Tier 5 = 30%
  • Pay 50% for Tier 1 drugs during coverage gap
  • Dental – $0 copay for 2 cleanings/exams and 1 x-ray per year
  • Preventative hearing – $25 copay for hearing exam and up to $1000 for hearing aids
  • Vision coverage – $10 copay for routine eye exam and glasses/contacts up to $100
  • Transportation – $0 copay for 12 round trips

BCN Advantage Prestige (HMO-POS)

  • Premium – $200 – $246/monthly
  • Deductible – $50/annual
  • Out of Pocket Maximum – $4,200
  • Referrals Required for some Specialists
  • Hospital Copay – $90/day Days 1-5
  • Doctor’s Visits – Primary = $10; Specialist = $25
  • Outpatient Surgery – $30 – $75 copay
  • Labs – $0  copay
  • Diagnostic Procedures/Tests - $0 – $20 copay
  • X-rays – $10 – $20
  • Part D Deductible = $0/annual
  • Part D Copays – Tier 1 = $3; Tier 2 = $35; Tier 3 = $75; Tier 4 = 25%; Tier 5 = 30%
  • Pay $5 copay for Tier 1 drugs during coverage gap
  • Dental – $0 copay for 2 cleanings/exams and 1 x-ray per year
  • Preventative hearing – $25 copay for hearing exam and up to $1000 for hearing aids
  • Vision coverage – $10 copay for routine eye exam and glasses/contacts up to $100
  • Transportation – $0 copay for 12 round trips
These offerings give you plenty to consider when choosing your coverage.  None of these plans jump out at me as outstanding value!  Be aware of the Elements plan which does NOT offer drug coverage.  Between the other three plans I would probably avoid the Prestige Plan.  It carries a hefty price tag, and the coverage is really not that outstanding for the price.  Since these plans are HMO’s you want to make sure that you verify that your providers are in the plan’s network!

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