Young Member Blue PPO
Member Value Blue PPO •   Benefit Chart •   Eligibility Requirements •   How To Apply For Coverage •   Premium Rates •   Preexisting Condition Waiting Period

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Member Value Blue PPO

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The Member Value Blue PPO plan is designed for individuals and families who want affordable coverage for major health care services, including maternity care and prescription drugs.

The Member Value Blue PPO plan does not have a deductible for you to meet before services will be covered. Blue Cross Blue Shield of Michigan (BCBSM) will pay 70% for most in-network services, or 50% for most out-ofnetwork services. You would pay the remaining 30% in-network or 50% outof-network as your coinsurance. The maximum you'll pay in coinsurance for in-network covered services is $2,500 per year. At that point, BCBSM will pay 100% of your covered benefits for general in-network services for the remainder of that calendar year.

The Member Value Blue PPO plan does not cover office visits.

Prescription drug coverage

Prescription drug coverage is included in the price of the Member Value Blue PPO plan. For each prescription or refill, you'll pay 50% with a minimum copayment of $10 and a maximum copayment of $100. There is a $2,500 annual benefit maximum for prescription coverage per member. Once BCBSM has paid $2,500 in prescription drug benefits for you or a covered dependent for the calendar year, you may continue to purchase prescriptions at network pharmacies and you will pay the BCBSM negotiated rate rather than retail price for your prescription. This rate may be lower than the rate charged to other pharmacy customers not enrolled in this plan.

Blue Preferred PPO network

When you belong to our Member Value Blue PPO plan, you'll have an entire network of more than 16,000 Blue Preferred Provider Organization (PPO) physicians and more than 140 hospitals in Michigan available to you to get the best benefits at the best price. The network also extends nationwide for those who travel out of state. Most services are also covered if you choose to use a provider who is not in the PPO network, however, you will be responsible for higher coinsurance, and some services may not be covered.