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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Preexisting Condition Waiting Period

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Services for preexisting conditions other than prescription drugs are not covered during the first 365 days after enrollment. This waiting period for coverage applies to conditions for which you have had medical advice, diagnosis, care or treatment recommended or received within six months prior to enrollment. There is also a 12-month waiting period for removal of tonsils and/or adenoids and voluntary sterilization. All applicants are subject to the preexisting condition waiting period.

Maternity waiting period

There is 12-month waiting period for maternity care. The maternity waiting period works like this: if you are pregnant on the date BCBSM receives your application, the pregnancy will not be covered. If your date of conception is after the date BCBSM receives your application, and you're approved for coverage, the maternity will be covered from your paid effective date of coverage. A letter from your doctor stating the approximate date of conception may be necessary to process any maternity claims in the first 12 months of coverage. All applicants are subject to the maternity waiting period.