Simply Blue HSA

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Consulting on new federal health care law? Here's help

The Patent Protection and Affordability Care Act was signed into law by President Obama on March 23, 2010. The companion bill, the Health Care and Education Reconciliation Act was signed into law March 30, 2010. Together, these two laws constitute the new federal health care reform law. There is a high degree of uncertainty associated with the impact of reform legislation as key regulatory guidance is still pending. MDA Insurance is providing the document Helping Group Health Plan Sponsors Navigate the Federal Health Care Reform, an easy-to-read synopsis from Blue Cross Blue Shield of Michigan, that outlines key provisions of the Patient Protection and Portability Act. This will help you understand the basics of its impact on health insurance groups. Questions? Contact MDA Insurance at (800) 860-2272.

Small Business Health Care Tax Credit Available!

More information on Small Business Health Care Tax Credit is now available from the IRS.

Click here to see if you can take advantage of this credit.

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

It may be time for a vision check up. Currently, those covered by the MDA individually quarterly-billed Blue Cross Blue Shield health plan are eligible for an annual no-cost eye examination as part of their health care program. This benefit is offered through Vision Service Plan (VSP) and MDA Insurance. Vision plan enahncements are available. If you would like more information on what's available or need cost information, please give MDA Insurance a call at (800) 860-2272.

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.

Retailers

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