H9572 802
Inpatient behavioral health care. Plan pays 100%; 190-day lifetime limit. 30% coinsurance after deductible; 190-day lifetime limit. Inpatient substance use disorder care. Plan pays 100%. 30% coinsurance after deductible. Outpatient behavioral health care and substance use disorder care, in hospital (including virtual visits with your own doctor)
4 out of 5 stars* for plan year 2024. Medicare Plus Blue PPO Signature (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Blue Cross Blue Shield of Michigan. Plan ID: H9572-001-003. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $150.00 Monthly Premium.
Wi-Fi is a brand name for short-distance wireless communication networking technology, based on 802.11 standards that Wi-Fi Alliance adopted from IEEE, while wireless stands for co...You need to enable JavaScript to run this app.4 out of 5 stars* for plan year 2024. Medicare Plus Blue PPO Vitality (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Blue Cross Blue Shield of Michigan. Plan ID: H9572-002-004. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $78.00 Monthly Premium.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Medicare Plus Blue PPO Signature (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $150.00. Annual Deductible: $0. Annual Initial Coverage Limit (ICL):2022 Medicare Advantage Plan Details. Medicare Plan Name: Medicare Plus Blue PPO Essential (PPO) Location: Wayne, Michigan Click to see other locations. Plan ID: H9572 - 004 - 6 Click to see other plans. Member Services: 1-877-241-2583 TTY users 711.
January 1 - December 31, 2024 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Complete Blue PPO Signature (PPO)Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Blue Cross Medicare Advantage (PPO) 2024: H8634-813: Blue Cross Medicare Advantage (PPO) 2024: H8634-815: Blue Cross Medicare Advantage Elite (PPO) 2024: H8634-016: Cigna View payer . Plan Name Effective Year Benefit Package;This is the Medicare Advantage PPO plan from Blue Cross Blue Shield of Michigan. It combines all the benefits of Medicare Part A and Part B plus extra benefits and services. This plan includes Medicare Part D prescription drug coverage. With this plan, you can get all of your medical and prescription drug services in one convenient member ID card.Teladoc Health® is an independent company that provides Virtual Care Solutions for Blue Cross Blue Shield of Michigan and Blue Care Network. State of Michigan employee and retirees, explore plans with Blue Cross Blue Shield of Michigan, find a doctor, sign up for an online account and more here.2024. H4624-012. Zing Dual Complete Select MI (HMO D-SNP) 2024. H4624-019. Zing Elite Diabetes & Heart IL (HMO C-SNP) 2024. H4624-028. Discover Medicare insurance plans accepted by Chris Tanner, NP and find primary care doctors accepting Medicare near you.
Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-8014 out of 5 stars* for plan year 2024. $0.00 Monthly Premium. Medicare Plus Blue + Meijer (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Blue Cross Blue Shield of Michigan. Plan ID: H9572-007-004. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.High. $0 - $500. A flexible, quality health plan that offers PPO coverage. Access to more than 69,000 doctors and 191 hospitals statewide. Fitness and preventive benefits keep employees active and healthy.You need to enable JavaScript to run this app.That means that you have first dollar coverage. Some plans have a deductible that must be paid (in full) prior to the prescription coverage assisting in your prescription costs (see cost-sharing below). The maximum deductible for 2022 is $480. This plan (Medicare Plus Blue PPO Essential (PPO)) has no deductible.Secure .gov websites use HTTPS A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.
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The Michigan Office of Retirement Services (ORS) administers a Defined Benefit plan, two hybrid plans, and a Defined Contribution plan for public school employees. ORS also administers two retiree healthcare plans: the premium subsidy benefit and the Personal Healthcare Fund. Contact your human resources office if you need to review your election.of Medicare Plus Blue PPO. Medicare Plus Blue. is a Medicare Advantage Prescription Drug plan from Blue Cross Blue Shield of Michigan. This type of plan — otherwise known as Medicare Part C — combines all the benefits of MedicareMedicare Advantage Plans 20 24 January 1 — December 31, 2024 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Medicare Plus Blue PPO + Meijer2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Rebecca Levine, MD and find primary care doctors accepting Medicare near you.2024. H4624-012. Zing Dual Complete Select MI (HMO D-SNP) 2024. H4624-019. Zing Elite Diabetes & Heart IL (HMO C-SNP) 2024. H4624-028. Discover Medicare insurance plans accepted by Chris Tanner, NP and find primary care doctors accepting Medicare near you.
H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Medicare Plus Blue PPO Essential (PPO) 2024: H9572-004: Medicare Plus Blue PPO Part B Credit (PPO) 2024: H9572-006: Medicare Plus Blue PPO Signature (PPO) 2024: H9572-001: Medicare Plus Blue PPO UT: 2024: H9572-806: Medicare Plus Blue PPO Vitality (PPO) …Medicare Plus Blue PPO Vitality (PPO) is a Medicare Advantage (Part C) Plan by Blue Cross Blue Shield of Michigan. Premium: $75.00. Enroll Now. This page features plan details for 2024 Medicare Plus Blue PPO Vitality (PPO) H9572 – 002 – 6 available in Region 6. IMPORTANT: This page has been updated with plan and premium data for 2024.H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Medicare Plus Blue PPO UT: 2024: H9572-806: H5883-012 - BCN Advantage HMO-POS Community Value ...H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Blue Cross Medicare Advantage (PPO) 2024: H8634-813: Blue Cross Medicare Advantage (PPO) 2024: H8634-815: Blue Cross Medicare Advantage Elite (PPO) 2024: H8634-016: Cigna View payer . Plan Name Effective Year Benefit Package;Coverage Details; Vision benefits: In-Network: Eye Exams: Copayment for Medicare Covered Benefits $0.00 to $35.00 Copayment for Routine Eye Exams $0.00 Maximum 1 Routine Eye Exam every year; Copayment for Lasik & RK $35.00 Eyewear: Copayment for Medicare-Covered Benefits $0.00 Copayment for Eyeglass Lenses $0.00. Maximum 1 …Sep 8, 2023 · Out-of-network. 40% of the approved amount. In-network. You pay $75 copay for Medicare-covered outpatient hospital non-surgical services. You pay $150 copay for Medicare-covered outpatient hospital surgical services. Out-of-network. 30% of the approved amount. You may receive other services while in an outpatient hospital facility.Michigan, le claims with: If you suspect fraud: 800-482-3787. Blue Care Network Mental health/substance P.O. Box 68710 abuse treatment: 800-482-5982. Grand Rapids, MI 49516-8710 Providers outside Michigan, le claims with Dental Servicing: 888-826-8152.Medicare Plus Blue PPO Signature (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Copayment for Routine Care $35.00.Medicare Plus Blue PPO Vitality (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Blue Cross Blue Shield of Michigan Plan ID: H9572-002-0062022 Plan Information Summary for Massachusetts. Disclaimer: In some cases, the enrollee share of premiums for the Self Plus One enrollment type will be higher than the Self and Family enrollment type. Enrollees who wish to cover one eligible family member are free to elect either the Self and Family or Self Plus One enrollment type.3.5 out of 5 stars* for plan year 2023. Aetna Medicare Essential Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-082-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $77.00 Monthly Premium. Virginia Medicare beneficiaries may ...
H5309-003. Aetna Medicare Eagle Plus II Plan (PPO) 2024. H5309-004. Allina Health Aetna Medicare Value (PPO) 2024. H3219-007. Allina Health Aetna Medicare SmartFit (PPO) 2024.
Fill H9572, Edit online. Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. Try Now!Y0074_BCBSMBCNWeb_M_2024_B CMS Accepted 04212024; Page Last Updated Mon May 20 10:48:48 EDT 2024H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Blue Cross Medicare Advantage (PPO) 2024: H8634-813: Blue Cross Medicare Advantage (PPO) 2024: H8634-815: Blue Cross Medicare Advantage Elite (PPO) 2024: H8634-016: Cigna View payer . Plan Name Effective Year Benefit Package;4 out of 5 stars* for plan year 2024. Medicare Plus Blue PPO Essential (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Blue Cross Blue Shield of Michigan. Plan ID: H9572-004-002. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Medicare Plus Blue Group PPO allows for enrollment changes at any time during the year. Please contact the Michigan Office of Retirement Services (ORS) at 1-800-381-5111, Monday through Friday, 8:30 a.m. to 5 p.m. Eastern time, for more information.SunFireMatrixCopayment for Physician Specialist Office Visit $45.00. Out-of-Network: Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $50.00. Inpatient Hospital Care. In-Network: Acute Hospital Services: $350.00 per day for days 1 to 6. $0.00 per day for days 7 to 90.
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H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Blue Cross Medicare Advantage (PPO) 2024: H8634-813: Blue Cross Medicare Advantage (PPO) 2024: H8634-815: Blue Cross Medicare Advantage Elite (PPO) 2024: H8634-016: Cigna View payer . Plan Name Effective Year Benefit Package;Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801Inpatient hospital - psychiatric. In-Network: $100 per day for days 1 through 6 / $0 per day for days 7 through 90. Out-of-Network: 30% per stay. Outpatient group therapy visit with a psychiatrist ...2024. H4624-012. Zing Dual Complete Select MI (HMO D-SNP) 2024. H4624-019. Zing Elite Diabetes & Heart IL (HMO C-SNP) 2024. H4624-028. Discover Medicare insurance plans accepted by Nikki L. Tocco, MD and find primary care doctors accepting Medicare near you.2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Rebecca Levine, MD and find primary care doctors accepting Medicare near you.AARP Medicare Rx Preferred from UHC (PDP) Call today! We can help you find the right plan. Our licensed advisors are here to help you find a plan that fits your lifestyle. 1-888-387-9975 (TTY 711) Mon - Fri, 8 AM - 8 PM Central.Teladoc Health® is an independent company that provides Virtual Care Solutions for Blue Cross Blue Shield of Michigan and Blue Care Network. State of Michigan employee and retirees, explore plans with Blue Cross Blue Shield of Michigan, find a doctor, sign up for an online account and more here.H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Blue Cross Medicare Advantage (PPO) 2024: H8634-813: Blue Cross Medicare Advantage (PPO) 2024: H8634-815: Blue Cross Medicare Advantage Elite (PPO) 2024: H8634-016: Cigna View payer . Plan Name Effective Year Benefit Package;Medicare Advantage Plans for Williamson County, Tennessee 65 Total Plans; 40,906 Seniors Eligible for Medicare; 16,559 Seniors on Medicare Advantage (40%)THIS IS A REAL COW SKULL & REAL COW HORNS ?. NOT A CHEAP PLASTIC IMITATION. Makes a perfect wall mount decoration ?. gives that real western décor look. Many people hang these over their fireplace to make a real western scene. ….
2021 Blue Cross Blue Shield of Michigan (H9572) Star Rating Details. Medicare Plus Blue PPO Vitality (PPO) (H9572-002-4) Benefit Details. The Medicare Plus Blue PPO Vitality (PPO) (H9572-002-4) in Delta, MI: CMS MA Region 11 which includes: MI. Plan Monthly Premium: $80.00 Deductible: $100. Star Rating Category & Measures.2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Joel Augustin, MD and find primary care doctors accepting Medicare near you.Medicare Plus Blue PPO Employer CY (PPO) H9572-802-0: Local PPO: No : $0: No: 14,847 : Blue Cross Blue Shield of Michigan: Medicare Plus Blue PPO UT (PPO) H9572-806-0: Local PPO: No : $0: No: 8,569 : Blue Cross Blue Shield of Michigan: Medicare Plus Blue PPO Essential (PPO) H9572-004-6: Local PPO: $125 per Quarter Yes:1. Premium/Cost-sharing Table for Medicare Plus Blue PPO. Premiums vary by county in which you permanently reside (rates are based on the use and cost of health care services in each regionalJanuary 1, 2020 – December 31, 2020. 35894606-613 11/19. Medicare Plus Blue is a PPO plan with a Medicare contract. Enrollment in Medicare Plus Blue depends on contract renewal. H9572_SOM20MABAAG_M FVNR 1120. Note: Your provider may be required to seek preauthorization for some of the above services.H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Medicare Plus Blue PPO UT: 2024: H9572-806: H5883-012 - BCN Advantage HMO-POS Community Value ...We would like to show you a description here but the site won't allow us.Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801From Las Vegas to Miami, there are hotels-within-hotels hiding in plain sight. Here are a few and the perks that come with booking in a stay in one. Even if you've been to Las Vega... H9572 802, Health Services Rating: Drug Services Rating: Every year, Medicare evaluates plans based on a 5-star rating system. Medicare rates plans on their health and drug services. This lets you easily compare plans based on quality and performance. More stars mean a better plan – for example, members may get better care and better, faster customer ..., description. All over lace A-Line halter with beaded embroidery. This halter style gown has a beaded lace split front A-line skirt with beaded embroidery at the empire waist. Sweep train. Shown in Ivory. Available in stores and online in Ivory. White available by special order in stores. Fully lined. Back zip., 2020 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc, H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Blue Cross Medicare Advantage (PPO) 2024: H8634-813: Blue Cross Medicare Advantage (PPO) 2024: H8634-815: Blue Cross Medicare Advantage Elite (PPO) 2024: H8634-016: Cigna View payer . Plan Name Effective Year Benefit Package;, 4 out of 5 stars* for plan year 2024. Medicare Plus Blue PPO Signature (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Blue Cross Blue Shield of Michigan. Plan ID: H9572-001-001. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $95.00 Monthly Premium., 3.5 out of 5 stars* for plan year 2023. Aetna Medicare Essential Plan (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Aetna Inc. Plan ID: H5521-082-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $77.00 Monthly Premium. Virginia Medicare beneficiaries may ..., H9572_802 A e PLUS oup PPO SM XYM888888888 Rx n 8 CLAIMCR n MPSERS e:.: 0 0: 0 0 6 0. 6 3 E 3 8 s 9 m Issuer (80840) VALUED CUSTOMER XYO918888888 9101003777 Enrollee ID RxBIN 005947 RxPCN RxGRP Michigan Public School Employees Retirement System 59000 Group Number Plan H9572_802 A e PLUS oup PPO SM XYM888888888 Rx Best of health, 1. Premium/Cost-sharing Table for Medicare Plus Blue PPO. Premiums vary by county in which you permanently reside (rates are based on the use and cost of health care services in each regional, Coverage Details; Vision benefits: In-Network: Eye Exams: Copayment for Medicare Covered Benefits $0.00 to $35.00 Copayment for Routine Eye Exams $0.00 Maximum 1 Routine Eye Exam every year; Copayment for Lasik & RK $35.00 Eyewear: Copayment for Medicare-Covered Benefits $0.00 Copayment for Eyeglass Lenses $0.00. Maximum 1 …, Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801, Get 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801, ÐÏ à¡± á> þÿ © « þÿÿÿž Ÿ ¡ ¢ £ ¤ ¥ ¦ ª ..., 2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by John Matera, MD and find primary care doctors accepting Medicare near you., Medicare Advantage Plans 20 24 January 1 — December 31, 2024 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Medicare Plus Blue PPO, Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801, 20 Medicare Plus Blue SM. PPO . Part B Credit . 24 . January 1 — December 31, 2024 . Evidence of Coverage . Your Medicare Health Benefits and Services and Prescription Drug, H5309-003. Aetna Medicare Eagle Plus II Plan (PPO) 2024. H5309-004. Allina Health Aetna Medicare Value (PPO) 2024. H3219-007. Allina Health Aetna Medicare SmartFit (PPO) 2024., Get 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Blue Cross Medicare Advantage (PPO) 2024: H8634-813: Blue Cross Medicare Advantage (PPO) 2024: H8634-815: Blue Cross Medicare Advantage Elite (PPO) 2024: H8634-016: Cigna View payer . Plan Name Effective Year Benefit Package;, 2024. H4624-019. Zing Elite Diabetes & Heart IL (HMO C-SNP) 2024. H4624-028. Zing ESRD Select MI (HMO C-SNP) 2024. H4624-023. Discover Medicare insurance plans accepted by Elsina John, NP and find primary care doctors accepting Medicare near you., Medicare Plus Blue PPO Part B Credit (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Blue Cross Blue Shield of Michigan. Plan ID: H9572-006-004. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., Inpatient hospital - psychiatric. In-Network: $100 per day for days 1 through 6 / $0 per day for days 7 through 90. Out-of-Network: 30% per stay. Outpatient group therapy visit with a psychiatrist ..., Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801, 2021 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc, Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801, We would like to show you a description here but the site won’t allow us., Plan Name Effective Year Benefit Package; Medicare Plus Blue PPO Employer CY (PPO) 2024: H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801, Medicare Plus Blue PPO Signature (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Copayment for Routine Care $35.00., Medicare Plus Blue PPO Assure (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Blue Cross Blue Shield of Michigan Plan ID: H9572-003-002, Aetna Medicare Advantra Credit Value (PPO) | H5522-017 | $0 2024 Summary of Benefits for H5522-017 9. Vision services Benefit Your in‑network costs Your out‑of‑network costs Diagnostic eye exam (includes diabetic eye exams) $0 ‑ $50. $0 for diabetic eye exams $50 for all other Medicare‑covered eye exams 40% after your plan deductible ..., Forge data provides a fascinating lens into how fast things changed and offers advice to startups when it comes to taking lumps in the fundraising market. Here on the eve of Thanks..., H9572-802: Medicare Plus Blue PPO Employer Rx CY (PPO) 2024: H9572-801: Blue Cross Medicare Advantage (PPO) 2024: H8634-813: Blue Cross Medicare Advantage (PPO) 2024: H8634-815: Blue Cross Medicare Advantage Elite (PPO) 2024: H8634-016: Cigna View payer . Plan Name Effective Year Benefit Package;