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Medicare Advantage with drug coverage · HMO-POS · Plan ID H5883-002-7

BCN Advantage Classic (HMO-POS)

Offered by Blue Care Network (Blue Cross Blue Shield of Michigan Mutual Ins. Co.) · available in 4 counties in MI

Monthly premium$158health + drug coverage
Yearly out-of-pocket max$4,800in network
Drug deductible$200Enhanced Alternative
Star Rating★★★★½ 4.5 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids
Over-the-counter items$30 per quarter allowance
FitnessFitness benefit (gym membership or program)
MealsMeal benefit (usually after a hospital stay or for a qualifying condition)
Personal emergency response systemMedical alert device or service

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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