Benefits-At-A-Glance

• 2024 BCBSM PPO1 Benefits At A Glance
• 2024 BCBSM PPO2 Benefits At A Glance
• 2024 BCBSM HDHP Benefits At A Glance
• 2024 BCBSM Traditional Benefits At A Glance

Summary of Benefits and Coverage

• 2024 BCBSM PPO1 Summary of Benefits and Coverage – coming soon!
• 2024 BCBSM PPO2 Summary of Benefits and Coverage
• 2024 BCBSM HDHP Summary of Benefits and Coverage – coming soon!
• 2024 BCBSM Traditional Summary of Benefits and Coverage

Plan Documents

• BCBSM PPO1 Plan Document – coming soon!
• BCBSM PPO2 Plan Document
• BCBSM HDHP Plan Document – coming soon!
• BCBSM Traditional Plan Document

Additional Information

• BCBSM How to Find a Provider
• BCBSM How to Access your Member Portal
• BCBSM Out-of-Network Claim Form

Blue Cross Blue Shield of Michigan Customer Service: 877-752-1233

Find a provider or log into your Blue Cross Blue Shield of Michigan account here.

Benefits-At-A-Glance

• 2024 BCN HMO Benefits At A Glance

Summary of Benefits and Coverage

• 2024 BCN HMO Summary of Benefits and Coverage

Plan Documents

• BCN HMO Plan Document – coming soon!

Additional Information

• BCN How to Find a Provider
• BCN How to Access your Member Portal
• BCN Out-of-Network Claim Form

Blue Care Network Customer Service: 800-662-6667

Find a provider or log into your Blue Care Network account here

Oakland County Prescription Pricing and Coverage Tool

Custom Drug List / Formulary Information

How to Sign-Up for Mail Order (three options listed below)

Get up to a three-month supply of our maintenance medication(s) delivered safely and reliably right to your door. Save time and money!

• Visit bcbsm.com and log in to your secure member account. Click My Coverage, then Prescription, then Order online.
• Log in to your Blue Cross Blue Shield of Michigan mobile app and tap My Coverage, then Prescription, then Mail Order.
• Call the Optum Home Delivery Pharmacy; they’ll contact your doctor to get your new three-month supply prescription.

• Blue Cross Blue Shield of Michigan members, call 855-811-2223. TTY 711
• Blue Care Network members, call 844-642-9087. TTY 711

High-Cost Drug Discount Optimization Program

If you and/or your covered dependent(s) are taking a medication included in this program, OptumRx will partner with PillarRx to lower out of pocket costs. If you have questions, call the PillarRx copay assistance team at 636-614-3126.

For questions, contact Blue Cross Blue Shield Customer Service: 877-752-1233

Prescription coverage and history is located within your Blue Cross Blue Shield of Michigan or Blue Care Network account. You can log in here.

Out of Network/Compound Pharmacy Claim Form

Delta Dental Benefit Summary

• Standard Dental Option Benefit Summary
• Modified Dental Option Benefit Summary
• High Dental Option Benefit Summary
• High Plus Dental Option Benefit Summary

Delta Dental Plan Document

• Delta Dental Certificate

Additional Information

• Delta Dental Mobile App Member Flyer

Delta Dental Customer Service: 800-524-0149

Find a provider or log into your Delta Dental account here.

NVA Plan Documents

• Standard Vision Benefit Summary
• High Vision Benefit Summary

Additional Information

• NVA Out-of-Network Claim Form
• NVA Mobile App Member Flyer

NVA Customer Service: 800-672-7723

Find a provider or log into your NVA account here.

Virtual Care by Teladoc Health is available through Blue Cross Blue Shield of Michigan and Blue Care Network. Medical visits are available 24/7, anywhere in the U.S., when your primary care provider isn’t available. You don’t need an appointment and the average wait time is 10 minutes.

Blue Cross Blue Shield PPO1 enrollees have a $0 copay for appointments conducted via Teladoc Health!

• Virtual Care by Teladoc Health Overview
• Virtual Care by Teladoc Health FAQ’s
• Virtual Care by Teladoc Health Registration Guide

If you have questions, please contact Benefits at benefits@oakgov.com.

Oakland County offers several options to support employees with their mental health.

Mental Health Benefit by Plan (for employees enrolled in Oakland County Health Plans)

In-Network Coverage*:

Outpatient Mental Health Care

• PPO1: 100% after $20 copay
• PPO2: 90% after deductible, office visits are $20 copay
• HMO: 100% after $20 copay
• HDHP: 100% after deductible
• Traditional: 100%

Telemedicine Mental Health Care

• PPO1: 100%
• PPO2: 100% after $20 copay
• HMO: 100% after $20 copay
• HDHP: 100% after deductible
• Traditional: 100%

Virtual Mental Health Care via Teladoc

• PPO1: 100%
• PPO2: 100% after $20 copay
• HMO: 100% after $20 copay
• HDHP: 100% after deductible
• Traditional: 100%

*Coverage Out-Of-Network differs from above

Do you need evening or weekend appointments? Virtual Care by Teladoc offers flexible scheduling!

• Virtual Care by Teladoc Health Registration Guide

Counseling sessions are available through Optum, our Employee Assistance Provider (all employees)

• Available to all employees and members of their household
• Counseling sessions are free (maximum of five sessions per need/incident)

For more information regarding Optum, click here.

The Human Resources Department has been notified by Oakland County insurance carriers that some chiropractors have been providing services to Oakland County employees, retirees and dependents that are not covered by Oakland County’s medical plans and have been billing services incorrectly. Oakland County’s medical coverage has not changed, rather this information was discovered after an investigation from insurance carriers.

Chiropractic Care FAQ’s

A Hearing Discount Program is available to all employees, retirees, and their dependents. The program is now administered through Nations Hearing. This program provides discounts for hearing exams and hearing aids.

How it Works

Call

Call us at 877-272-9627 (TTY: 711) and speak with a Member Experience Advisor to schedule your hearing test with a local provider.

Test

If the test results show hearing loss, we will work with you to select the highest quality hearing aids using your hearing aid discount.

Fit

We work with your provider to fit your hearing aids and schedule any necessary follow-up appointments.

Follow-Up

To ensure your complete satisfaction, a representative will contact you to see if you need any further assistance.

Learn more about the Hearing Aid Discount Program, provided by Nations Hearing.

Oakland County's COBRA administrator is Optum Financial.

Oakland County Michigan has contracted with Optum Financial to assist with COBRA Administration Services. Optum Financial manages the billing and collection of your COBRA premium payments.

Contact Optum Financial to:

• Enroll in COBRA
• Pay COBRA Premiums
• Update your address

Optum Financial COBRA Customer Service: 855-687-2021

2024 COBRA Rates

2025 COBRA Rates