Simply Blue HSA

Customer Center

Personal Appointments Available

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.

Your Vision Plan: A Benefit Worth Considering

Have you considered a springtime spruce-up for your current benefit structure at your practice? Currently, all MSAE members, staff and dependents covered by the MDA Insurance individually quarterly-billed health plans are eligible for an annual no-cost eye examination under this program. This benefit is offered through Vision Service Plan (VSP) and MDA Insurance. If you would like more information on what's available or need cost information, please give MDA Insurance a call at (800) 860-2272.

MSAE Members

Simply Blue HSA Coverage Options

Simply Blue HSA 1250 – 0% — Coverage Split: 100/0 percent; Deductible $1,250 single; $2,500 family (in-network); $2,500 single, $5,000 family (out-of-network); Co-pay: 0 percent in-network; 20 percent out-of-network; Chiropractic: 12 chiropractic visits

Simply Blue HSA 1250 – 0% — Same as above, but with addition of prescription drug card.

Simply Blue HSA 1250 – 20% — Coverage split: 80/20 percent; Deductible $1,250 single, $2,500 family in-network; $2,500 single, $5,000 family out-of-network; co-pay 20 percent in-network, 40 percent out-of-network; 12 chiropractic visits

Simply Blue HSA 1250 – 20% — Same as above, but with addition of prescription drug card.

Simply Blue HSA 3000 – 0% — Coverage Split: 100/0 percent; Deductible $3,000 single, $6,000 family in-network; $6,000 single, $12,000 family out-of-network, co-pay 0 percent in-network, 20 percent out-of-network, 12 chiropractic visits

Simply Blue HSA 3000 – 0% — Same as above, but with addition of prescription drug card.

Simply Blue HSA 3000 – 20% — Coverage split: 80/20 percent; Deductible $3,000 single, $6,000 family in-network; $6,000 single, $12,000 family out-of-network; co-pay 20 percent in-network, 40 percent out-of-network; 12 chiropractic visits

Simply Blue HSA 3000 – 20% — Same as above, but with addition of prescription drug card.

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

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This site is for informational purposes only. Insurance coverage cannot be made effective, altered or cancelled without speaking directly to an authorized representative of MDA Insurance