Medical Insurance

Committed to supporting all staff members' success throughout every stage of your employment.

2019 MEDICAL PLANS


IN- MICHIGAN EMPLOYEE PLANS OUT-OF-MICHIGAN EMPLOYEE PLANS

  1. Blue Cross/Blue Shield PPO Core Medical Plan 1. Blue Cross/Blue Shield PPO Core Medical Plan
  2. Blue Cross/Blue Shield PPO Core Medical Plan Two (2) 2. Blue Cross/Blue Shield PPO Medical Plan Two
  3. Blue Care Network (BCN) HMO

OPTION 1: CORE MEDICAL PLAN, BLUE CROSS/BLUE SHIELD PPO

The Core Plan has the highest deductible of all the available plans, but has the lowest employee bi-weekly cost. The chart below provides a quick summation of the plan.

BENEFITS AT-A-GLANCE

For more information regarding the Ave Maria Employee Health Plan CORE Plan coverage, please click on this link:

2019 CORE Medical Plan Benefits-at-a-Glance

SUMMARY OF BENEFITS AND COVERAGE

In accordance with the Patient Protection and Affordable Care Act, you will find the required Summary of Benefits and Coverage (SBC) for the Core Plan by clicking this link:.

2019 CORE Medical Plan Summary of Benefits and Coverage (SBC)*

In the event you wish to have a copy and are unable to print the document for yourself, please contact the Human Resources Department and we will provide you a copy free of charge.


*Please keep in mind that these are generic summaries of benefits and coverage provided by Blue Cross and Blue Shield; to know specific coverage under the Ave Maria Employee Health Plan, refer to the Benefits-at-a-Glance for your specific Plan.

OPTION 2: BLUE CROSS/BLUE SHIELD PPO MEDICAL PLAN TWO (2)

Medical Plan Two (2) has a lower deductible than the Core Plan, but a higher bi-weekly employee cost. The chart below is a quick synopsis of the plan.

BENEFITS AT-A-GLANCE

For more information regarding the Ave Maria Employee Health Plan MEDICAL PLAN TWO (2) coverage, please click on this link:

2019 Medical Plan 2 Benefits-at-a-Glance

SUMMARY OF BENEFITS AND COVERAGE

In accordance with the Patient Protection and Affordable Care Act, you will find the required Summary of Benefits and Coverage (SBC) for the Medical Plan Two (2) by clicking this link:

2019 Medical Plan 2 Summary of Benefits and Coverage

In the event you wish to have a copy and are unable to print the document for yourself, please contact the Human Resources Department and we will provide you a copy free of charge.


*Please keep in mind that these are generic summaries of benefits and coverage provided by Blue Cross and Blue Shield; to know specific coverage under the Ave Maria Employee Health Plan, refer to the Benefits-at-a-Glance for your specific Plan.

OPTION 3: HMO PLAN BLUE CARE NETWORK

The Blue Care Network (BCN) HMO is currently available in Michigan only. This plan has a low deductible and low bi-weekly employee deductions. With this plan you must designate a Primary Care Physician (PCP) for medical care management. Your PCP must initiate a referral to a specialist for their medical services to be covered. Coverage is "in-network" only. Please review the chart below for the specifics of this plan.

BENEFITS-AT-A-GLANCE

For more information regarding the Ave Maria Employee Health Plan MEDICAL PLAN TWO (2) coverage, please click on this link:

2019 BCN HMO Benefits-at-a-Glance

SUMMARY OF BENEFITS AND COVERAGE

In accordance with the Patient Protection and Affordable Care Act, you will find the required Summary of Benefits and Coverage (SBC) for the Medical Plan Two (2) by clicking this link:

2019 BCN HMO Summary of Benefits and Coverage

In the event you wish to have a copy and are unable to print the document for yourself, please contact the Human Resources Department and we will provide you a copy free of charge.


*Please keep in mind that these are generic summaries of benefits and coverage provided by Blue Cross and Blue Shield; to know specific coverage under the Ave Maria Employee Health Plan, refer to the Benefits-at-a-Glance for your specific Plan.

WAIVER OPTION

An employee may choose to opt-out of any medical plan when proof of other medical coverage through a spouse or parent is provided to Human Resources. Once proper documentation of medical coverage for the employee has been verified, the employee may receive a bi-weekly opt-out credit of $15.00.

CONTACTS

Becky Zmuda, HR Director

734.930.3196

rzmuda@avemariafoundation.org OR

rzmuda@dominosfarms.com


Enrollments and Life Change Events

Gloria Jancar, HR Generalist

734.930.4542

gjancar@avemariafoundation.org OR

gjancar@dominosfarms.org



COMPANY

Blue Cross Blue Shield of Michigan (PPO)

877.790.2583

General Claims and Benefit Information: www.bcbsm.com

To locate a physician or hospital online: www.bcbs.com

Blue Cross Online Visits Sign Up: www.bcbsmonlinevisits.com 844.606.1608


Blue Care Network (HMO)

800.970.6684

General Claims and Benefit Information: www.mibcn.com

To locate a physician or hospital online: www.bcbs.com

Blue Cross Online Visits Sign Up: www.bcbsmonlinevisits.com 844.606.1608


MOBILE APP

Blue Cross Blue Shield of Michigan

(both PPO and HMO)

www.bcbsm.com/content/microsites/app/en/index.html