Medicare Advantage Plan - BCN Medicare Advantage
For Bronson Hospitals, Bronson Advanced Radiology and Bronson Owned Physician Practices:
Medicare Advantage Plans are Medicare plans that are administered through a private company rather than the Federal Government. These plans provide Part A and B (inpatient and outpatient) medical coverage. However, some plans may also include a prescription drug plan, (Part D), coverage.
There are three kinds of Medicare Advantage Plans:
With an HMO plan, the member must select a primary care provider and receive services from hospitals and providers that participate in the HMO provider network. Members may need authorization to receive services from a provider that is not in the HMO network.
- Bronson participates with one Medicare Advantage HMO plan. Blue Care Network's "BCN Advantage"plan. (Bronson Home Health does not participate with this plan at this time)
With a PPO plan, members are not required to select a primary care provider. Members are encouraged to receive services from hospitals and providers that participate in the PPO provider network for the highest level of insurance coverage.
- Bronson participates with one Medicare Advantage PPO Plan. Humana's Medicare Advantage PPO plan.
Private Fee For Service Plans (PFFS)
With a Fee For Service plan, members do not need to select a participating primary care provider. Members may receive services from hospitals and providers that agree to bill and receive payment from the Fee For Service plan. There is no provider network.
- Bronson accepts ALL Medicare Fee For Service Plans. Some of the plans offered in Southwest Michigan include: Blue Cross Blue Shield's "Medicare Plus Blue" Pacific Care's "Secure Horizons Direct", Humana's "Humana Gold Choice" and Aetna's "Aetna Medicare Open Plan"
If you have any questions about Medicare Advantage plans, please contact Michigan Medicaid/Medicare Assistance Program at (800) 803-7174 or call Medicare at 1-800-Medicare (633-4227).