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Health Insurance

Policy Summaries
Employee Health Premiums

BCBSM Plan Blue Summary of Benefits and Coverages

BCBSM Plan Blue Benefits at a Glance
BCBSM Plan Blue Prescription

BCBSM Plan Orange Summary of Benefits and Coverages

BCBSM Plan Orange Benefits at a Glance
BCBSM Plan Orange Prescription
Forms and Information

BCBSM Custom Formulary

BCBSM Enrollment/Change Form

Medco Mail Order Prescription Form

BCBSM Medical Claim Form

International Coverage

Informational Brochure

International Claim Form

Auto Accident Exclusion

Auto Exclusion FAQs

Retiree Health
2015 Retiree Health Insurance Policy
2015 BCBSM Medicare Plus Blue Group PPO Summary of Benefits
2015 MA EOC Benefit Chart
2015 MA Evidence of Coverage - MAPD
2015 MA Annual Notice of Changes
Required Notices & Policies

Janet's Law


Medicare Notice of Creditable Coverage

COBRA Initial Notice


ACA - Health Care Exchanges Required Employer Notice


Blue Cross Blue Shield of MI

Traveling with BCBSM? Find providers in the state/country you are visiting.

Customer Service Contacts
  • BCBSM (Blue or Orange Plan)
  • BCBSM (Medicare Advantage)
  • BCBSM Walk-In Customer Service (All Plans)
    (No phone calls or scheduled appointments available, all centers open Monday - Friday 9:00 am - 5:00 pm)

    151 Central Ave. Suite 100 (in the Central Ave. Financial Centre building)
    Holland, MI 49423

    86 Monroe Center
    Grand Rapids, MI 49503

    8175 Creekside, Suite 100
    Portage, MI 49024

    202 E. State Street
    Traverse City, MI 49684
Additional Information

Walmart $4 Prescriptions

Target $4 Prescriptions

Federal Government Online Hospital Care/Cost Search Tool