U-M Premier Care

U-M Premier Care offers the lower costs of an HMO with the flexibility to access a state-wide network of providers if needed. Premier Care is administered by Blue Care Network (BCN) and offered only to the University of Michigan community. Members save money in Network 1, which includes University of Michigan Health System providers along with several other provider groups, but can also visit other Michigan BCN providers with an annual deductible in Network 2.

Summary of Benefits

Network 1 Providers

  • No annual deductible
  • No out-of-pocket cost to you for preventive care
  • $25 copay for office visit for injury or illness
  • $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
  • $6,350 individual/$12,700 family out-of-pocket maximum (Networks 1 and 2 combined)

Network 2 Providers (referral needed)

  • $2,000 individual/$4,000 family annual deductible
  • No out-of-pocket cost to you for preventive care
  • No out-of-pocket cost to you after meeting the deductible for:
    • Office visit for injury or illness
    • Specialist visit
    • Inpatient services
    • Outpatient surgery
    • Mental health, behavioral health or substance abuse services
  • $25 copay for urgent care
  • $100 copay for emergency care (waived if admitted)
  • $6,350 individual/$12,700 family out-of-pocket maximum (Networks 1 and 2 combined)

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

Using the Plan

U-M Premier Care is managed care plan. Members must choose a Primary Care Physician (PCP) from Network 1. In order to visit a specialist or a Network 2 provider, you will need a referral from your PCP. Services received outside of Network 1 or Network 2 are not covered, except in the event of emergency (refer to plan documents for details).

Members must live in the state of Michigan, though the plan provides coverage for dependents who reside outside the network service area and meet eligibility guidelines. Pre-certification is required for certain services, and the member must register with BCN to obtain approval for out-of-area dependent coverage by calling 800-658-8878.

Plan Documents & Forms

Plan Contact Information

bcbsm.com

800-658-8878

Blue Care Network
2311 Green Road
Ann Arbor, MI 48105

Group number: 001243160001