2018 Blue Cross Medicare Private Fee for Service (PFFS) H4262-1-1 in MI from Blue Cross Blue Shield of Michigan | HealthPocket

Blue Cross Medicare Private Fee for Service (PFFS)

Medicare Advantage Plan for Michigan

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderBlue Cross Blue Shield of Michigan
Plan IDH4262-1-1
CMS RatingNot Rated1
Plan TypePFFS
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$170

Coverage Area for Blue Cross Medicare Private Fee for Service (PFFS)

StateMichigan
CountyWayne

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Not Rated
Annual flu vaccine
Not Rated
Improving or maintaining physical health
Not Rated
Improving or maintaining mental health
Not Rated
Monitoring physical ability
Not Rated
Adult BMI assessment
Not Rated

Managing Chronic Conditions

Special needs plan care management
Not Rated
Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Not Rated
Diabetes care – eye exam
Not Rated
Diabetes care – kidney disease monitoring
Not Rated
Diabetes care – blood sugar controlled
Not Rated
Controlling blood pressure
Not Rated
Rheumatoid arthritis management
Not Rated
Reducing the risk of falling
Not Rated
Plan all-cause readmissions
Not Rated

Member Experience with Health Plan

Getting needed care
Not Rated
Getting appointments and care quickly
Not Rated
Customer service
Not Rated
Overall rating of health care quality
Not Rated
Overall rating of plan
Not Rated
Care Coordination
Not Rated

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Not Rated
Members choosing to leave the health plan
Not Rated
Beneficiary access and performance problems
Not Rated
Health plan quality improvement
Not Rated

Health Plan Customer Service

Plan makes timely decision about appeals
Not Rated
Reviewing appeals decisions
Not Rated
Call center – foreign language interpreter and TTY/TDD availability - Medical
Not Rated

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Not Rated
Appeals auto-forward
Appeals upheld
Not Rated

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Not Rated
Members choosing to leave the drug plan
Not Rated
Beneficiary access and performance problems
Not Rated
Drug plan quality improvement
Not Rated

Member Experience with Drug Plan

Rating of drug plan
Not Rated
Getting needed prescription drugs
Not Rated

Drug Pricing and Patient Safety

MPF Price Accuracy
Not Rated
High risk medication
Not Rated
Part D medication adherence for diabetes
Not Rated
Part D medication adherence for hypertension
Not Rated
Part D medication adherence for cholesterol
Not Rated
Medication Therapy Management program completion rate
Not Rated

Physician Finder

Physicians that accept Blue Cross Medicare Private Fee for Service (PFFS) for Michigan

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AMOUZEGAR, SYED
16810 W WARREN AVE
DETROIT, MI 48228
SHAH, SAUMEEN
18311 W WARREN AVE
DETROIT, MI 48228
EUBANKS, PRINCE
20526 PLYMOUTH RD
DETROIT, MI 48228
SAAD, GEORGE
20526 PLYMOUTH RD STE C
DETROIT, MI 48228
PRECHEL, WILLIAM
16551 W WARREN AVE
DETROIT, MI 48228
OBEID, ZAFER
16921 W WARREN AVE
DETROIT, MI 48228
TAYLOR DIAGNOSTIC IMAGING INC
20524 W WARREN AVE
DETROIT, MI 48228
PRECHEL FAMILY CLINIC, PC
16551 W WARREN AVE
DETROIT, MI 48228
SYED AMOUZEGAR, MD,PLLC
16810 W WARREN AVE
DETROIT, MI 48228
NEUROSLEEP CENTER PLLC
4190 24TH AVE
FORT GRATIOT, MI 48059
SIGNORI, ENRIQUE
4900 MERCURY DR
DEARBORN, MI 48126
BERRI, ZIAD
14515 FORD RD
DEARBORN, MI 48126
SELITSKY, BENSON
5050 SCHAEFER RD
DEARBORN, MI 48126
STEFAN, NATALIE
5500 AUTO CLUB DR
DEARBORN, MI 48126
MOHAMED, TAHIR
6050 GREENFIELD RD
DEARBORN, MI 48126
WOLFFING, BYRON
HENRY FORD HEALTH SYSTEM
DEARBORN, MI 48126
ELMENINI, MOHAMMAD
10645 W WARREN AVE
DEARBORN, MI 48126
KINTHALI, BHAGYA
4700 GREENFIELD RD
DEARBORN, MI 48126
TROYER, SARA
4700 SCHAEFER RD
DEARBORN, MI 48123
AZMEH, RANDA
6450 MAPLE ST
DEARBORN, MI 48126
FOOT AND ANKLE SPECIALTY CLINIC
5525 SCHAEFER RD
DEARBORN, MI 48126
ALOOL, MOHANNAD
4726 GREENFIELD RD
DEARBORN, MI 48126
LOTENERO, CARRIE
19401 HUBBARD DR
DEARBORN, MI 48126
RAYOS, CLARENCE
19401 HUBBARD DR
DEARBORN, MI 48126
LYTLE, NELSON
HENRY FORD HEALTH SYSTEM
DEARBORN, MI 48126
Details
SYED AMOUZEGAR, M.D.
Phone Number
(313) 582-9520
Office Locations
16810 W WARREN AVE
DETROIT, MI 48228
16810 W WARREN AVE DETROIT MI, 48228

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