WELCOME [www.uawtrust.org]

WELCOME
to the Blues
Open this
resource
guide first
to get the most
out of your 2015
Medicare Plus Blue
Group benefits
SM
2015
Medicare PLUS
Group PPO
Blue Cross Blue Shield of Michigan is a nonprofit
corporation and independent licensee of the
Blue Cross and Blue Shield Association.
PPO UAW Trust – Missouri
Medicare Plus Blue is a PPO plan with a Medicare contract.
Enrollment in Medicare Plus Blue depends on contract renewal.
H9572_O_2015URMBT-MORsrcGd FVNR 1014
Thank you for choosing Medicare Plus Blue!
Welcome to
the Blues.
We're
celebrating our
anniversary.
We're 75
years new!
Your Blues plan includes more than just reliable medical coverage. We know you
want all your health care benefits to be at your fingertips, ready to support you
and easy to understand, so we’ve pulled together the basics in this easy‑to‑use
Resource Guide. Hang on to it and use it throughout the year.
Table of Contents
What you can expect............................................................................. 2
Your Medicare Plus Blue Group plan replaces and enhances Original
Medicare. Learn what that means as your membership starts.
Learn the basics.................................................................................... 4
Find out what it means to be a member of a preferred provider organization,
or PPO, and the helpful basics of your Medicare Plus Blue Group plan.
Get the most of your benefits................................................................ 8
Whether you’re in good health or coping with an illness, you’ll find we have
programs and services you’ll want to use.
Save on products and services............................................................ 12
As a Blues member, you have access to loads of savings and special
discounts close to home and around the country.
Consider these helpful pointers.......................................................... 14
Discover a few state and federal programs that you should be aware
of and consider. Also, the guide on Page 14 helps you use your
Evidence of Coverage.
Resources.............................................................................. Back cover
We've pulled together many plan resources and contact information
for you in one handy list.
Benefits, provider network, premium and/or copayments/coinsurance may change
on January 1 of each year. The benefit information provided is a brief summary,
not a complete description of benefits. For more information contact the plan.
Limitations, copayments and restrictions may apply.
The Medicare Plus Blue website is www.bcbsm.com/UAWTrust. While website
addresses for other organizations are provided throughout this booklet, Blue Cross
Blue Shield of Michigan does not control these sites and is not responsible for
their content.
Five quick steps
You'll find these steps will help you get the most out of your Blues coverage.
STEP
1
STEP
2
STEP
3
4
STEP
STEP
5
Start using your ID card!
Use your Blues ID card the day your coverage starts. We send new
members their ID cards in a separate mailing.
Show your doctor and other providers your ID card every time you
need care.
Register in our members-only site online. Here’s why.
Track your health care spending, sign up to receive certain documents
online, and take advantage of member discounts by registering in the
secured member section of www.bcbsm.com/UAWTrust. You'll need
your Blues ID card when you first sign up.
Confirm your doctor.
If you don't have one, pick a primary care doctor who coordinates your
care. See Page 4 for how to find a doctor.
Fill out your annual health survey.
Complete your Medicare Advantage Health Assessment as soon as
you get it in the mail (we send it out a few weeks after the start of your
plan year). It's completely confidential and doesn't affect your coverage.
We’ll send you the results to discuss with your doctor.
Get your annual checkup.
Make an appointment for your annual checkup with your doctor so you can
begin taking advantage of your benefits, including free preventive care.
Tools you can use
Looking for more information about your plan benefits and extras? Want to
find helpful tools and health information online? It’s all at your fingertips!
1
Keep your Evidence of Coverage and plan riders handy. See Page 14
in this booklet for a guide to some of the most frequently requested
information.
:
Bookmark our website www.bcbsm.com/UAWTrust on your computer.
The secured member section opens up all kinds of helpful information
and online tools to help you live well, get better and stay healthy.
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n Five quick steps n 1
What you can expect from your Blues plan
Look for these
helpful icons
throughout
this guide
to get more
information
on the topics
covered.
(phone
numbers
:
online
information
mail
1paper
documents
How to use this guide
Your Medicare Plus Blue Group plan replaces and enhances Original Medicare.
We cover everything that Medicare does, plus more, all in one plan. We explain
many features of your plan here, starting with what you can expect to receive from
us and what you need to do as a Medicare Plus Blue Group member.
Expect to hear from us
Your membership confirmation and ID card
Shortly after we received notice of your membership, we sent you a letter
confirming your enrollment. If you’re new to the Blues or recently changed
from one Blues plan to another, we also sent your new Blues ID card.
KIT Member kit
New members: This resource guide is part of your Blues welcome kit,
which includes several documents that the federal government requires us
to send you. In this kit you’ll find:
1
Your Evidence of Coverage, or EOC, and any plan riders issued to you
(together, they make up your legal contract with us)
1
A provider locator flier with instructions for using our online provider
search tool
1
A PHI Authorization form and a wallet card benefit summary
Renewing members: This resource guide is part of your annual membership
kit. Your kit includes the documents listed above along with your Annual
Notice of Changes.
Read through them and keep them handy.
Medicare Advantage Health Assessment
In the next month or so, we’ll mail a Medicare Advantage Health Assessment
for you to fill out and return. The federal government requires us to send
this survey to all members each year. Rest assured, the information does
not affect your enrollment and is kept confidential. You’ll receive a report
back that you can share with your doctor.
2 n What you can expect n Medicare Plus Blue Group Resource Guide n UAW Trust – MO
What happens next?
(
You’ll hear from us throughout the year as we keep you informed
about your plan, your health and opportunities to take advantage of
as a member of Medicare Plus Blue.
We want to help you
First and foremost, we want to help
you make the best possible use of your
plan. Second, the federal Centers for
Medicare & Medicaid Services requires
us to send several documents to every
plan member at certain times of the year.
This includes your:
Evidence of Coverage
Annual Notice of Changes
Find it online
Did you know? We post many of
our plan documents on our website,
www.bcbsm.com/UAWTrust.
For example, you can:
Search for certain words or phrases
in the Evidence of Coverage
Sign up for electronic benefit
statements
Explanation of benefits statements
Find discounts and special offers for
Blues members
We want to save you money
And much more! Everything is right at
your fingertips.
To help keep the cost of health care
down, we do our best to combine
helpful information in a few general
documents – like our member magazine
MyBlueSM Medicare.
You may need special
information
There may be times when you’ll need
help with a chronic illness such as heart
disease or diabetes, so we'll send you
materials or call you about a specific
program. There also may be events
during the year that we want you to
be aware of, so we'll send notices of
those. It’s all part of your benefits as an
appreciated Blues member.
How are we doing?
You may receive surveys asking for your opinion of our
plan, our network doctors and the care you receive.
If you do, please complete and return each survey
as directed.
Our goal is to make sure your needs are met and
the care you receive meets the highest standards of
quality. We’re always looking for ways to provide better
coverage and service.
Please note: Your answers are confidential; they
don't affect your coverage. We simply appreciate your
honest feedback.
So check your mailbox throughout the
year. And don't be surprised if you get a
phone call from us.
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n What you can expect n 3
Learn the basics of your health plan
Look through You’re a member of a PPO
this section
What does that mean?
Preferred Provider Organizations contract with health care providers, such as
(and those
hospitals and doctors, to create a network of participating providers.
that follow)
As with any health plan, you should have a steady relationship with a trusted
for information primary care doctor for ongoing care. As a PPO group plan member, you don't
need a referral from your primary care doctor to see a specialist. Your primary
and tips to
doctor can coordinate your care.
help you all
We’ve made preventive care the foundation of our coverage because it’s easier
year long.
to stay healthy than it is to get healthy. We also help manage sudden and ongoing
medical conditions to help you feel your best.
Thousands of doctors accept your
Blues ID card
Show your Blues card to get your medical care
Our plan gives you access to thousands of primary care doctors and specialists.*
These doctors accept our payment and the share of the costs that you pay as
payment in full. However, you can go to any doctor who accepts Original Medicare
and your Medicare Plus Blue Group ID card.
Three ways to find a Blues Medicare Advantage
PPO doctor:
:
www.bcbsm.com/UAWTrust
–– Click on Find a Doctor.
–– Select the type of search you want to do.
You can also log in to our member website to do a more
personalized search.
1
Refer to your provider locator flier.
(Call Customer Service at the number on the back of this guide.
*Source: MA PPO Network Data report, August 2014.
4 n Your health plan basics n Medicare Plus Blue Group Resource Guide n UAW Trust – MO
Get the most from your next doctor visit
Focus on your main concerns when you see your doctor. You'll get quality time
and leave with a feeling of greater satisfaction.
Take a written list of your top two or three health concerns. For each one, ask
your doctor "What do I need to do?" and "Why?" Use the results from your
Medicare Advantage Health Assessment to start the conversation. Then jot down
the answers and other notes to refer to later.
See your
doctor and
get preventive
care. It's
important
to your
well‑being.
Conversations to have with your doctor
Your doctor can help with difficult or embarrassing topics, so don't be afraid to
speak up. Make it a point to talk with your doctor about the concerns listed below.
TOPIC
QUESTIONS TO ASK
Exercise and
physical activity
What kind of exercise is right for me?
Are there any limitations I have to be aware of?
Body mass
index (BMI)
What is a healthy weight for my height?
Why is my BMI so important to my well-being?
Am I at risk for any chronic conditions?
Memory and
mental health
Is it normal for me to forget things or to feel
sad or blue?
Bladder control
What can I do to prevent leaking when I laugh,
cough or sneeze?
Risks of slipping
and falling
Could my medication make me feel weak or dizzy?
What could cause me to fall repeatedly?
Age‑related
medication risks
Based on my age, are any of my medications risky
for me? What drugs should I stop taking?
Diabetes and blood
pressure medications
How does my blood pressure or cholesterol level
affect my diabetes? Do any of my medications affect
my diabetes?
Only your doctor can determine the right medication and frequency of tests for you.
Talk with your doctor and check your Evidence of Coverage for frequency and
coverage details.
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n Your health plan basics n 5
Get the most of your benefits
Your benefits
aren’t just
for when
you’re feeling
sick or coping
with a chronic
condition.
They can
help protect
and enhance
your health.
When you’re healthy
Free preventive care helps
you stay healthy
Fitness membership built
right in
Your Medicare Advantage coverage
includes free preventive screenings and
services. Make an appointment with
your doctor to get your appropriate
preventive care, including:
Your group plan includes membership in
the SilverSneakers® Fitness Program —
an exercise and wellness program that
helps you live a healthy, active lifestyle
through fun and social opportunities.
There are more than 11,000 participating
facilities nationwide.
Welcome‑to‑Medicare exam when
you’re new to Medicare.
Annual wellness visit when you’ve
been enrolled in Medicare for more
than a year. This visit includes
a personalized prevention plan
with advice, screening schedules,
referrals and education based on
your specific health situation.
Bone mass measurement to detect
osteoporosis and other bone issues.
Colorectal cancer screening.
Glaucoma screening.
Hepatitis C screening.
Immunizations including flu,
pneumonia and hepatitis B
vaccinations.
Mammogram and Pap smear.
Prostate screening.
Healthways is our SilverSneakers
partner. Find your nearest SilverSneakers
facility at:
:
www.silversneakers.com
(1‑855-678-1705
TTY users call 711.
8 a.m. to 8 p.m.
Monday through Friday
In-home checkups keep you
on track
If you haven’t been to your doctor
in a while, we have a program that
comes to you. We partner with Mobile
Medical Examination Services, Inc.™
(or MedXM) to provide this service. The
licensed MedXM professional checks
your basic vital signs and reviews your
medical history and medications. We
give you and your primary care doctor a
summary of the visit.
Eligible members receive a letter in
the mail asking them to participate.
6 n Get the most of your benefits n Medicare Plus Blue Group Resource Guide n UAW Trust – MO
When you’re sick
Support your good health through BlueHealthConnection®
24 hours a day, seven days a week
Sometimes health decisions aren’t easy. Our BlueHealthConnection programs
can assist you whether you’re researching a rash, coping with a life‑changing
illness, unsure about your medications or need help as you leave the hospital. Our
knowledgeable and compassionate nurses can offer guidance, provide tips and
educational material, suggest community resources and answer your questions.
(1‑800‑775‑2583
TTY users call 1‑800‑240‑3050. 24 hours a day, seven days a week
:
Review all our BlueHealthConnection programs online at
www.bcbsm.com/UAWTrust
–– Click on the LOGIN tab and log in to your secured member site.
–– Click on BlueHealthConnection in the right‑hand column
Get help to give up tobacco
Our phone‑based program provides
support and resources to increase your
chances for success. You’ll speak with
a nurse who can help you create a plan
to quit, set a date to start a new life
without tobacco and coach you through
the process.
(1-800-811-1764
TTY users call 1‑800‑240‑3050.
9 a.m. to 9 p.m.
Monday through Saturday
Look online for reliable
health information
and tools
Coping with
a chronic
medical
condition or
dealing with
a sudden
illness can be
a challenge.
Your plan
includes
programs
to help you
whatever
life brings
your way.
Sign in to our secured member
website to access a wealth of credible,
timely health information and tools.
Access the site by going to:
:
www.bcbsm.com/UAWTrust
–– Click on the LOGIN tab
and log in to your secured
member site.
–– Click on BlueHealthConnection
in the right‑hand column
:
www.aHealthierMichigan.org
This site provides resources to
help you make better decisions
about diet and exercise, as well
as find supportive organizations
in your community. You don't
have to live in Michigan to benefit
from the wealth of information at
this site.
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n Get the most of your benefits n 7
Receive extra help when you’re seriously
ill or injured
When something serious happens,
you can count on our dedicated nurse
case managers to help find the right
care for you. They'll also give you the
information and resources you need.
We offer case management services
based upon your medical claims
or when your doctor refers you for
assistance. In some cases, we partner
with independent, non-Blue companies
to provide services on our behalf.
24/7 Nurse Line
If you’re uncertain about whether you
need to see your doctor or just want
educational health materials sent to
you, the knowledgeable, skilled and
compassionate nurses on our 24/7
Nurse Line are well prepared to help.
You can also access our AudioHealth
Library to listen to recordings on a
variety of topics. Both are free and
confidential.
Considering surgery?
(1-855-678-1705
If you’re thinking about having
surgery, it’s important to consider
recommendations from your doctor.
That’s why Medicare Plus Blue members
have free access to a new online,
support program called Welvie.
Please note: This line is not for
emergencies. If you have a medical
emergency, call 911 or go to the nearest
emergency room.
The program’s six steps guide you
from diagnosis to recovery. You’ll learn
how to:
1. Get the right diagnosis
2. Find the right doctor
3. Make a treatment decision
4. Learn about hospitals
5. Prepare for surgery
6. Recover at home
TTY users call 1-800-240-3050
Behavioral health services
Care is available for conditions that
cause emotional or mental distress,
including struggles with alcohol. When
you call, we’ll evaluate your needs and
arrange for services, including urgently
needed care.
(1-888-803-4960
TTY users call 711.
24 hours a day, seven days a week
Learn more at:
:
www.welvie.com
8 n Get the most of your benefits n Medicare Plus Blue Group Resource Guide n UAW Trust – MO
Serious illness
Chronic conditions
Diagnosis of a serious illness can be
overwhelming. Our Care Management
nurses work with your doctor to help
you and your family:
Understand your medical condition
Nurses from our Chronic Condition
Management Program help you
understand and cope with your
condition, develop skills for managing
it and feel in control again. You’ll work
with your nurse to create a care plan
and set goals to improve your health.
Coordinate care
Review treatment options
Connect with community resources
Obtain equipment and medical
supplies
We also offer coaching and support
through end-of-life issues.
Also, you may be offered in‑home
monitoring devices if your condition
needs extra attention. Monitors help
detect changes in your medical
condition and send health status alerts
to your doctor.
A personal care management nurse will
support you and your loved ones as
you consider options, make treatment
decisions and handle emotional
concerns. You'll find the support you
need to feel more in control.
If you’re hospitalized, we can also
help with the transition to your home
or another facility to ensure you get the
care you need.
(1-800-845-5982
TTY users call 1-800-696-8350.
8 a.m. to 5 p.m. Monday through
Friday
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n Get the most of your benefits n 9
Save on products and services
As a Blues
member,
you can
get special
discounts and
big savings
that can save
you a bundle.
Basic discounts
Around the U.S.
You also automatically have access to the tools and discounted offers available
through Blue365®, a national program that helps you find health and wellness
information, support and services you need 365 days a year.
To access our Blue365 discount programs, go to the secured member section of
our website. Create your personal account and log in to see all the savings right at
your fingertips. You'll need to have your ID card handy the first time you sign in.
:
www.bcbsm.com/medicare
–– Click on the blue For Members tab then Medicare Advantage Extras
on the drop-down menu.
–– Scroll down and click on Discounts.
On dental care products
To help keep your smile healthy and bright, we’ve partnered with Crest® and
Oral‑B® to offer significant discounts on oral care products. These products,
normally offered only through your dentist, are designed to help promote a clean,
healthy mouth.
To access these discounts, log in to the secured member section at:
:
www.bcbsm.com/medicare
–– Click on the LOGIN tab and log in to our member website.
–– Click on the Health & Wellness tab
–– Scroll down to find Exclusive discounts on Crest® and Oral B® dental care
products in the right‑hand column
On hearing aids
We’ve partnered with TruHearing, so you can enjoy exclusive savings on the newest
hearing aid models. Blues members can save as much as $1,200 per hearing aid.
Plus, if your Blues plan has them, you can combine the discount with your hearing
aid benefits for greater savings.
:
www.bcbsm.com/medicare
–– Click on the blue For Members tab then Medicare Advantage Extras
on the drop-down menu.
–– Scroll down and click on Discounts.
–– Click on Blue365 and log in to the secured member website.
10 n Save on products and services n Medicare Plus Blue Group Resource Guide n UAW Trust – MO
Extra discounts
As a Blues Medicare Advantage member, you have access to savings arranged just
for you! Here are just a few of the special values that you can enjoy as a plan member.
:
Visit www.bcbsm.com/medicare every now and then
to see more!
–– Click on the blue For Members tab then Medicare Advantage Extras
on the drop-down menu.
–– Scroll down and click on Discounts.
Get in‑home help
Comfort Keepers® helps you maintain your highest level of independent living with
in‑home services, including hands‑on care giving, meal preparation, medication
reminders, light housekeeping, transportation, bathing and more. Save 5 percent
off the hourly rate. For more information, visit:
Remember
to tell these
businesses
that you’re
a member
of Medicare
Plus Blue to
receive your
discounts.
:
www.comfortkeepers.com
Sign up for home‑delivered meals
Save 12 percent on delicious dinners, delivered to your home by Magic Kitchen.
These frozen, chef‑prepared entrées include low‑fat, low‑carb, low‑sodium,
dairy‑free and gluten‑free options for fast, healthy and convenient meals.
(1‑877‑516‑2442
TTY users call 711.
:
www.magickitchen.com
Stay at home safely
Save up to 30 percent with Guardian Medical Monitoring on personal medical
and home alarms, medication dispensers, video monitors, smoke detectors,
pressure‑sensitive floor mats, door and window contacts, motion detectors
and residential security systems.
(1‑888‑401‑7113
TTY users call 1‑248‑423‑6675.
:
www.guardianmedicalmonitoring.com
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n Save on products and services n 11
Consider these helpful pointers
Take
advantage
of these state
and federal
programs.
Help yourself and others
Help with health care costs
We partner with My Advocate to help
us identify and enroll members who
may be eligible for a Medicare Savings
Program or Part D prescription drug
coverage assistance. My Advocate,
formerly called Social Service
Coordinators, is an independent
company that finds community
programs that may save you money
on health care needs such as medical
supplies, medications and everyday
living expenses.
TM
Representatives from My Advocate
contact you to help you complete the
program application; they assist in
gathering the necessary enrollment
documentation.
My Advocate also makes calls to
remind you to get needed care and
services. For more information, call the
My Advocate Outreach Center at:
(1‑866‑855‑2717
TTY users call 1‑877‑644‑3244.
9 a.m. to 6 p.m.
Monday through Friday
Plan ahead for your
personal care
Sometimes you can't make health care
decisions for yourself due to an accident
or serious illness. You have the right to
say what kind of care you want — and
don’t want — even if you’re in this situation.
Advance directives are the legal
documents that you use to spell out
your directions before something
happens. They include a Durable Power
of Attorney for Health Care so you can
assign someone to speak for you and
carry out your wishes.
Each state requires its own legal forms and
arrangements. Forms that are suitable for
use in Michigan are available at no cost.
Protect your privacy
All health plans are required to have
written permission to share your personal
information or discuss your health care
with others, even family members.
Make sure you fill out and return the
PHI Authorization form in your member
kit while you're in good health.
:
www.bcbsm.com/medicare
–– Click on the blue Help tab then
Frequently Asked Questions on
the drop-down menu.
–– Click on the Other Topics link
on the left-hand side
–– Click on What's an advance
directive?
12 n Helpful pointers n Medicare Plus Blue Group Resource Guide n UAW Trust – MO
Fraud costs you money: report it
We’re serious about fighting health care
fraud. We work with local, state and federal
law enforcement agencies to investigate
reports of Medicare fraud, waste and
abuse. By reducing fraud, we’re helping
to keep down the cost of health care.
You can help, too!
Some examples of Medicare fraud,
waste and abuse include:
An individual or organization pretends
to represent Medicare or Social Security
and asks you for your Medicare or
Social Security number, bank account
number or credit card number.
Someone asks you to sell your
Medicare health insurance or
prescription drug card.
Someone asks you to get drugs
for them using your Medicare
prescription drug card.
You were offered cash or a gift
worth more than $15 to sign up for a
Medicare plan.
You were billed for services or drugs
you didn’t receive.
We need your help
Do any of the above situations sound
familiar? If you suspect any kind of fraud,
please let us know immediately.
Toll‑free Medicare anti‑fraud hotline
(1‑888‑650‑8136
TTY users call 711.
8:30 a.m. to 4:30 p.m.
Monday through Friday
Women’s health protection acts
Breast reconstruction following
a mastectomy
The Women’s Health and Cancer Rights
Act of 1998 includes important protection
for breast cancer patients who choose
breast reconstruction in connection
with a mastectomy. Medicare Plus Blue
Group coverage complies with this
legislation, which includes the following:
Reconstruction of the breast after a
mastectomy for treatment of cancer
Surgery and reconstruction of the
other breast to produce an even
appearance
Prostheses and other care to lessen
physical complications of all stages
of a mastectomy
Obstetrical stays
The Newborns’ and Mothers’ Health
Protection Act of 1996 prohibits health
plans from limiting hospital lengths of
stay for childbirth to less than 48 hours
following a vaginal delivery or 96 hours
following a cesarean section. A doctor
or other health provider doesn’t need
to get authorization for these lengths
of stays for childbirth. However, the
attending physician or certified nurse
midwife, in consultation with the mother,
may discharge the mother or newborn
earlier than 48 hours following a
vaginal delivery or 96 hours following a
cesarean section.
These two
laws protect
women of
all ages.
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n Helpful pointers n 13
A guide to your Evidence of Coverage EOC
Check out
these helpful
chapters
Your Evidence of Coverage and plan riders are important documents that explain
your medical coverage through Medicare Plus Blue Group. A copy is included
in your welcome kit. If you're a renewing member, we sent your EOC with your
Annual Notice of Changes.
How much do I pay for…
My monthly premium?............................................................ Chapter 1, section 4.1
My annual deductible?........................................................... Chapter 4, section 2.1
Chapter 1
tells you what to
do with your red,
white and blue
Medicare card
and explains
other Medicare
basics.
Chapter 2
tells you how to
contact Medicare
Plus Blue and the
Social Security
Administration.
My doctor office copayments?.............................................. Chapter 4, section 2
Tell me about my Medicare Plus Blue Group plan.
What are my rights and responsibilities as a
Medicare Plus Blue Group member?..................................... Chapter 6
How do I use network doctors, hospitals and vendors?........ Chapter 3, section 1
What does my primary care doctor do for me?..................... Chapter 3, section 1.2
How do I get care from a specialist or from an
out‑of‑network doctor?.......................................................... Chapter 3, section 1
Am I covered for emergency and urgently needed care?........ Chapter 3, section 2
How do I coordinate my Medicare Plus Blue Group
coverage with other insurance?............................................. Chapter 2, section 8
What am I covered for?
Your benefits are described in the Medical
Benefits Chart......................................................................... Chapter 4, section 2
There are some services that we don’t cover........................ Chapter 4, section 3
Chapter 10
gives definitions
of key terms.
You may ask for reimbursement for a bill
for covered services............................................................... Chapter 5
What if I have a problem with my coverage?
Look up step‑by‑step directions if you want to appeal
a medical coverage decision.................................................. Chapter 7
14 n Helpful pointers n Medicare Plus Blue Group Resource Guide n UAW Trust – MO
Notes
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n Notes n 15
16 n Notes n Medicare Plus Blue Group Resource Guide n UAW Trust – MO
2015 at-a-glance calendar
S
4
11
18
25
JANUARY
M T W T F
1 2
5 6 7 8 9
12 13 14 15 16
19 20 21 22 23
26 27 28 29 30
S M
5
12
19
26
6
13
20
27
S M
5
12
19
26
S
4
11
18
25
6
13
20
27
APRIL
T W T
1 2
7 8 9
14 15 16
21 22 23
28 29 30
JULY
T W T
1 2
7 8 9
14 15 16
21 22 23
28 29 30
F
3
10
17
24
S S
3
1
10 8
17 15
24 22
31
S S
4
11 3
18 10
25 17
24
31
FEBRUARY
M T W T F
2 3 4 5 6
9 10 11 12 13
16 17 18 19 20
23 24 25 26 27
MAY
M T W T F
1
4 5 6 7 8
11 12 13 14 15
18 19 20 21 22
25 26 27 28 29
S S M
7
1 2
14 8 9
21 15 16
28 22 23
29 30
MARCH
T W T
3 4 5
10 11 12
17 18 19
24 25 26
31
F
6
13
20
27
S
7
14
21
28
S S M
2
1
9
7 8
16 14 15
23 21 22
30 28 29
JUNE
T W T
2 3 4
9 10 11
16 17 18
23 24 25
30
F
5
12
19
26
S
6
13
20
27
AUGUST
SEPTEMBER
F S S M T W T F S S M T W T F
3 4
1
1 2 3 4
10 11 2 3 4 5 6 7 8
6 7 8 9 10 11
17 18 9 10 11 12 13 14 15 13 14 15 16 17 18
24 25 16 17 18 19 20 21 22 20 21 22 23 24 25
31
23 24 25 26 27 28 29 27 28 29 30
30 31
OCTOBER
M T W T F
1 2
5 6 7 8 9
12 13 14 15 16
19 20 21 22 23
26 27 28 29 30
S S
3
1
10 8
17 15
24 22
31 29
NOVEMBER
M T W T F
2 3 4 5 6
9 10 11 12 13
16 17 18 19 20
23 24 25 26 27
30
S S
7
14 6
21 13
28 20
27
DECEMBER
M T W T F
1 2 3 4
7 8 9 10 11
14 15 16 17 18
21 22 23 24 25
28 29 30 31
S
5
12
19
26
S
5
12
19
26
UAW Trust – MO n Medicare Plus Blue Group Resource Guide n 2015 at-a-glance calendar n 17
Resources
Do you have
questions or
want more
information?
Keep this handy
list at your
fingertips.
Medicare Plus Blue Group Customer Service
(1‑888-322-5616. TTY users call 1-888-444-6240.
8 a.m. to 7 p.m. Eastern time, Monday through Friday
This number is also on the back of your ID card.
UAW Retiree Medical Benefits Trust
Retiree Health Care Connect
(1-866-637-7555. TTY users call 711.
8:30 a.m. to 4:30 p.m. Eastern time, Monday through Friday
Your prescription drug coverage is provided by
Express Scripts, not BCBSM
(1-866-662-0274. TTY users call 711.
Durable medical equipment, prosthetics and orthotics provider
(Customer Service, above.
Lab providers
(Customer Service, above.
Behavioral health and substance abuse care
(1‑888‑803‑4960. TTY users call 711.
24 hours a day, seven days a week
Report fraud
(1‑888‑650‑8136
TTY users call 711.
8:30 a.m. to 4:30 p.m. Monday through Friday
After business hours, leave a voicemail message, and your call will be
returned the next business day.
www.bcbsm.com/UAWTrust
600 E. Lafayette, Detroit, MI 48226
DB 14044 OCT 14
Blue Cross Blue Shield of Michigan is a nonprofit corporation and
independent licensee of the Blue Cross and Blue Shield Association.
PPO UAW Trust – Missouri
R027881