Simply Blue

Customer Center

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MDA Insurance provides the option of on-site visits to discuss the issues that apply to your particular situation. To set an appointment at your convenience, please call (800) 860-2272 and ask for an appointment.

Word to the Wise

Never submit manual claims for multiple family members to Blue Cross Blue Shield of Michigan in one envelope. For better service, use different envelopes.

The Major Differences Between Flexible Blue and Community Blue

Preventive care is an optional rider with Flexible Blue.
With Flexible Blue, the deductible must be met before any claims are paid by BCBSM. This means that in the case of a family contract, no claims will be paid until the entire deductible is met — even if one family member met the individual amount.
There are no "flat" copays for office visits with Flexible Blue.
There is no fourth quarter carryover with Flexible Blue.
Prescription drugs and medical have one integrated deductible with Flexible Blue.
Under Flexible Blue, if the group is also offering prescription drug coverage, it must be a Flexible Blue drug plan.
Deductible and coinsurance applies to all services, including human organ transplants, with Flexible Blue.

There are three different Flexible Blue plans to choose from and all three can be modified by adding preventive care, prescription coverage, and/or different percentage copay options.

MGIA

Simply Blue Coverage Options

Simple Blue 500 — Deductible $500 single, $1,000 family (in-network); $1,000 single, $2,000 (out-of-network); co-pays 20 percent in-network, 40 percent out-of-network; $20 office visit co-pay in network; $150 emergency room co-pay; 12 chiropractic visits

Simply Blue 1000 — Deductible $1,000 single, $2,000 family (in-network), $2,000 singles, $4,000 family (out-of-network); co-pays 20 percent in-network, 40 percent out-of-network; $30 office visit in-network; $150 emergency room co-pay; 12 chiropractic visits

Simply Blue 1500 — Deductible $1,500 single, $3,000 family (in-network); $3,000 single, $6,000 family (out-of-network); co-pays 20 percent in-network, 40 percent out-of-network; $30 office visit co-pay in-network; $150 emergency room; 12 chiropractic visits

Simply Blue 2500 — Deductible $2,500 single, $5,000 family (in-network), $5,000 single $10,000 family (out-of-network); co-pays 20 percent in-network, 40 percent out-of-network, $30 office visit co-pay in-network, $150 emergency room; 12 chiropractic visits

3657 Okemos Road, Suite 100 | Okemos, MI 48864 | Toll-free: (800) 860-2272 | Fax: (517) 484-5460

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