Blue Cross Blue Shield of MichiganNews

BCN Deductible Plans 01/22/05
Blue Care Network of Michigan in the HMO Marketplace -
New Deductible Products That Offer Customers More Options

Blue Care Network of Michigan (BCN) has increased its product portfolio for area businesses by introducing deductibles into its plan options. This is the first product by BCN that is deductible-based. The effective date for the new products was January 1, 2005.

There will be several standard deductible arrangements, according to Paula Brawdy, Director of Sales and Marketing for the Blues. "In response to customer demand, we've developed three standard plans with deductibles which have been added to the small group menu," she explains. The deductible arrangements include a $250 per member/$500 per family/$500 per member/$1,000 per family and $1,000 per member/$2,000 per family.

For groups with 100 or more enrolled contracts, the new deductible riders can be added to the BCN 10 Certificate to build a custom product. The BCN 10 Certificate is the base for this product; no other BCN certificates apply. For groups under 100, BCN is adding three deductible plans to the small group menu. The deductible plans will not be available to Medicare members.

Brawdy says the plans were developed to appeal to groups that want to offer HMO coverage at the lowest possible premium cost. "They also expand groups" coverage options so BCN can offer plans similar to those offered by other HMOs.

BCN will administer the deductibles similarly to Blue Cross Blue Shield of Michigan's policies with the following differences:

  • Preventive services and routine maternity care are not included in the deductible
  • Behavioral and substance abuse services, laboratory, durable medical equipment and prosthetics and orthotics are also excluded from the deductible.
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