GradCare

GradCare, an HMO with low out-of-pocket costs, is exclusively available to benefit-eligible graduate students, including Graduate Student Instructors (GSIs), Graduate Student Staff Assistants (GSSAs), Graduate Student Research Assistants (GSRAs), benefit-eligible fellowship holders, medical school students, and their eligible dependents. GradCare is administered by Blue Care Network (BCN). As with all U-M health plans, prescription drug coverage is included with enrollment.

Summary of Benefits

Level 1 Providers (On Campus)

  • No annual deductible
  • No out-of-pocket cost to you for preventive care
  • $25 copay for office visit for injury or illness ($0 copay at University Health Service)
  • $30 copay for specialist visit
  • $25 copay for urgent care
  • $100 copay for emergency care (waived if admitted)
  • $25 copay for mental health, behavioral health or substance abuse services
  • No out-of-pocket cost to you for inpatient services
  • No out-of-pocket cost to you for outpatient surgery
  • $3,000 individual/$6,000 family out-of-pocket maximum (Levels 1, 2, and 3 combined)

Level 2 Providers (Off-Site Academic Study or Field Placement)

Level 2 benefits are the same as Level 1, except inpatient services are only covered in case of medical emergency. Registration with BCN and prior authorization are required. Care must be medically necessary.

Level 3 Providers (Traveling or During Non-Working School Breaks)

Level 3 benefits are the same as Levels 1 and 2, except you are responsible for any charges above the BCN fee schedule. Prior authorization is required and care must be medically necessary.

For complete information on benefits and coverage, please refer to the plan documents.

Emergency Care

In a life-threatening emergency, visit any hospital and notify BCN as soon as possible, preferably within 48 hours. Elective hospitalizations and substance abuse care are not covered unless provided by GradCare network providers or approved by BCN in view of special circumstances.

Using the Plan

GradCare members must select a Primary Care Physician (PCP) from a network that includes the University of Michigan Hospital System (UMHS), University Health Service, and all U-M Premier Care Network 1 providers. If you do not choose a PCP, BCN will assign one to you. You can change your PCP at any time by calling BCN Customer Service at (800) 658-8878.

When you enroll in GradCare you will receive an ID card from BCN. The card will show the U-M Premier Care logo on the right hand corner.

Coverage Levels and Rates

Rates for Benefits-Eligible Fellowship Holders, GSIs, GSSAs, and GSRAs
Coverage Level Grad Student Monthly Deduction University Monthly Contribution Total Premium
You Only $0 $224 $224
You Plus Adult $0 $448 $448
You Plus Child(ren) $0 $394 $394
You Plus Adult Plus Child(ren) $0 $618 $618
Rates for Medical Students
Coverage Level Grad Student Monthly Deduction University Monthly Contribution Total Premium
You Only $176.67 $47.33 $224
You Plus Adult $400.67 $47.33 $448
You Plus Child(ren) $570.67 $47.33 $618
You Plus Adult Plus Child(ren) $346.67 $47.33 $394

Spring and Summer Benefits Continuation for GSIs, GSSAs, and GSRAs

If you are a GEO member and were enrolled in benefits during the previous fall and the current winter terms, you are eligible for university contributions during the spring/summer terms.

If you are a GEO member or a GSRA, you are participating in any U-M benefit plans during the winter term (Term II), and you will be re-employed for the following fall term (Term I) with a one-quarter or greater employment fraction, benefits may continue during spring/summer term (Term III).

To ensure continuation of your benefits, your department must confirm your eligible Term I appointment in writing with the Benefits Office by April 10. The cost of your benefits will be charged to your Winter Term II department/unit.

Review your April pay stub to see if benefits premiums have been deducted for the summer.

Plan Documents and Forms

Plan Contact Information

bcbsm.com

(800) 658-8878

Blue Care Network
2311 Green Road
Ann Arbor, MI 48105

Group number: 001243160002