BENEFITS PLANS - HEALTH PLANS: SUMMARY OF BENEFITS AND COVERAGE

The University of Michigan offers a series of health coverage options. Choosing a health coverage option is an important decision. To help you make an informed choice, the university makes available a Summary of Benefits and Coverage (SBC), which is a federally-mandated document intended to help individuals compare health plans. An SBC details deductibles, coinsurance and out-of-pocket limits for various services in a prescribed format.  A Uniform Glossary of Health Coverage and Medical Terms to accompany the SBC is also available.

Choose the health plan option from the appropriate Summaries of Benefit and Coverages. You may also call the SSC Contact Center at 734-615-2000 or 866-647-7657 (toll free) to request printed copies of a specific plan’s SBC and/or the Uniform Glossary at no charge.

Please note: All of the documents listed on these pages are in Adobe Portable Document Format or PDF. If you do not already have Adobe Acrobat Reader on your computer, you must download and install Adobe Acrobat Reader before you will be able to view or print Benefits forms.

Uniform Glossary of Health Coverage and Medical Terms (PDF)

Click here to view 2015 Summary of Benefits and Coverage (SBC) documents

2014 Summary of Benefits and Coverage (SBC)

Health Plan

Employee Classification

 

BCBSM CMM   Regular Faculty & Staff, POAM, HOA, LEO, AFSCME Download PDF
  IOUE Download PDF
  MNA Download PDF
  TRADES  Download PDF

BCBSM Community Blue PPO

Revised 1/20/2014
Page four of the BCBSM Community Blue PPO SBC was revised on January 20, 2014 to correctly indicate "Your Cost If You Use an Out-of-Network Provider" for "Mental/Behavioral health outpatient services" is a 50% co-insurance. Prior to this correction, the SBC incorrectly stated "No Cost;" however, all other plan descriptions published prior to January 1, 2014, have correctly reflected the 50% co-insurance patient responsibility if you use an out-of-network provider for mental/behavioral health outpatient services.


 

  Regular Faculty & Staff, POAM, HOA, LEO, AFSCME Download PDF
  IUOE Download PDF
  MNA Download PDF
  TRADES  Download PDF

GradCare GSI, GSSA, GSRA Download PDF

HAP Regular Faculty & Staff, POAM, HOA, LEO, AFSCME Download PDF
  IUOE Download PDF
  MNA Download PDF
  TRADES Download PDF

U-M Premier Care Regular Faculty & Staff, POAM, HOA, LEO, AFSCME Download PDF
  IUOE Download PDF
  MNA Download PDF
  TRADES  Download PDF

 

 

 

 

 

 

 

 

 

Limitations
The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend or terminate them.