# Blue Cross Blue Shield of Michigan > Official Blue Cross Blue Shield of Michigan business agent. Blue Cross Blue Shield of Michigan is a nonprofit health insurance company and independent… ## Ask it a question Blue Cross Blue Shield of Michigan answers for itself at https://api.hailera.com/mcp/bcbsm. A client that speaks MCP can connect to that address; the tool is ask_bcbsm and the protocol is 2026-07-28. Where this file and the agent disagree, the agent is current. ## About Blue Cross Blue Shield of Michigan Blue Cross Blue Shield of Michigan describes itself on its Our Company page as the state's largest health insurance company, which grew to serve members in all 50 states. The site's footer states that Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross Blue Shield Association, and that they provide health insurance in Michigan. The company says it is part of the Blue Cross Blue Shield Association, described on the page as a national federation of 34 independent, community-based and locally operated Blue Cross Blue Shield companies. "We commit to being our members' trusted partner by providing affordable, innovative products that improve their care and health." Under its social mission the company commits to increasing access to affordable health care, enhancing the quality of care patients receive, and improving the health of Michigan's citizens and communities. The history section says the origins of Blue Cross Blue Shield of Michigan and Blue Care Network in the state go back to 1938. Two related brands appear throughout the site: Blue Cross Blue Shield of Michigan for PPO plans and Blue Care Network for HMO plans, plus Medicare Plus Blue PPO and BCN Advantage on the Medicare side. The site is organised into separate areas for Individuals, Medicare, Employers, Providers and Agents, each with its own contact page. This document covers only who the organisation is as published on bcbsm.com. It does not describe any plan, any benefit, any price or any network. Coverage, cost and network questions can only be answered by Blue Cross Blue Shield of Michigan for the person's own plan. The fastest route is the phone number printed on the back of the member ID card. Source: https://www.bcbsm.com/about-us/our-company/ ## Where Blue Cross Blue Shield of Michigan works Lists Central, Lafayette, Detroit, Grand Rapids, and Rahway as a location. Names Michigan as a service area. Areas beyond these are not published. ## Hours and contact The Contact Us page at bcbsm.com states: "There are many ways to contact Blue Cross Blue Shield of Michigan or Blue Care Network. The best way to reach us is to call the number on the back of your member ID card." The published contact routes and the audience each is labelled for are below. No hours are published on this page for these numbers. call 1-855-237-3501 "to have our health plan advisors find a plan that's right for you." The page also offers a "Have us contact you" callback form. General support for members, described as help with ID cards, benefits, claims "or something else": call the number on the back of the member ID card or call 1-313-225-9000. Members can also log in at member.bcbsm.com to find health plan information or to request a new ID card. 1-888-417-3479 for help with the website or a Blue Cross login; 1-877-258-3932 for help with the quoting and enrollment system. 1-800-552-8278, to report a privacy concern or if protected health information may have been compromised. the page lists the Michigan Department of Health and Human Services at 1-800-975-7630 and michigan.gov as a resource, not a Blue Cross line. "For TTY users, reach any number listed here by dialing 711." the Language Assistance page states that free language assistance services and appropriate auxiliary aids for accessible formats are available at no charge, and gives 877-469-2583, TTY 711. The same notice is published in Spanish, Arabic, Chinese, Syriac, Vietnamese, Albanian, Korean, Bengali, Polish, German, Italian, Japanese, Russian, Serbo-Croatian and Filipino. Coverage, cost and network questions can only be answered by Blue Cross Blue Shield of Michigan for the person's own plan. Nothing here states what any plan covers, what it costs, or which providers are in a network. The Medicare Contact Us page at bcbsm.com routes callers by product (Medicare Plus Blue PPO, BCN Advantage HMO or HMO-POS, group versions of each, MyBlue Medigap, Blue Cross Medicare Supplement, Blue Cross Legacy Medigap) and by topic. TTY users are told to dial 711 for the numbers listed. The published numbers and hours include: Choosing a plan or a new plan, health plan advisors: 1-866-875-1375, 8 a.m. to 9 p.m. ET Monday through Friday, with weekend hours Oct. 1 through March 31. Plan benefits, Medicare Plus Blue PPO: 1-877-241-2583, 8 a.m. to 9 p.m. ET Monday through Friday, weekend hours Oct. 1 through March 31; the automated telephone system is available 24 hours a day. Mailing address: Medicare Plus Blue PPO, Member Service Inquiry Department - Mail Code X521, Blue Cross Blue Shield of Michigan, 600 E. Lafayette Blvd., Detroit, MI 48226-2998. Durable medical equipment orders, such as wheelchairs, oxygen machines, walkers and hospital beds: 1-800-667-8496, 8:30 a.m. to 5 p.m. ET Monday through Friday. Optum Rx 1-855-810-0007, 24 hours a day, seven days a week; Walgreens Specialty Pharmacy 1-866-877-2392, 24 hours a day, seven days a week, www.walgreens.com/mailservice. 1-800-552-8278. Reporting suspected fraud: 1-888-650-8136. Outside organisations listed for Medicare questions: Centers for Medicare and Medicaid Services 1-800-633-4227 (TTY 1-877-486-2048); Michigan Medicare Assistance Program 1-800-803-7174; Social Security Administration 1-800-772-1213 (TTY 1-800-325-0778); Eldercare Locator 1-800-677-1116. Coverage, cost and network questions can only be answered by Blue Cross Blue Shield of Michigan for the person's own plan. Whether a Medicare plan covers a drug, device or service, what it costs, and who qualifies are all questions for these lines, not for this document. Blue Cross Blue Shield of Michigan publishes separate member contact routes for its PPO side and for Blue Care Network, its HMO side. The site says the best route is the phone number on the back of the member ID card or on the Explanation of Benefits statement, where the mailing address also appears. PPO, individual coverage: Customer Service 1-888-288-2738. Mailing address: Blue Cross Blue Shield of Michigan, Individual Customer Care Center, P.O. Box 44407, Detroit, MI 48244. PPO, coverage through an employer: 313-225-9000 for general information. Mailing address: Blue Cross Blue Shield of Michigan, P.O. Box 2888, Detroit, MI 48231. Letters should include the group and contract numbers from the subscriber ID card, a daytime phone number with area code, the patient's name and the health care provider's name, and the date the service in question was performed. medical records and appeals 1-866-346-7299; precertification 1-800-572-3413, described as the line to call with questions about getting approval for a treatment or procedure. Blue Care Network (HMO), individual coverage: Customer Service 1-888-227-2345, 8 a.m. to 8 p.m. Monday through Friday. Mailing address: Blue Care Network, P.O. Box 68767, Grand Rapids, MI 49516-8767. Blue Care Network, coverage through an employer: 1-800-662-6667, same mailing address. People shopping for health insurance are directed to 1-877-469-2583, with a request-a-callback form. TTY users dial 711. These are contact routes only. Coverage, cost and network questions can only be answered by Blue Cross Blue Shield of Michigan for the person's own plan. No price, rate, fee or quote figure is published on these pages. Source: https://www.bcbsm.com/individuals/help/contact-us/ ## Contact routes for employer groups The Employer Contact Center page sorts employer contacts by whether the caller is a current or a new customer and by what they need help with. It states: "For TTY users, reach any number listed here by dialing 711." Central Michigan and Southeast Michigan 1-877-722-6030; Western Michigan and Upper Peninsula 1-800-635-6439. These are the areas served as the page labels them. Employers who already have an agent are told to contact that agent directly. labor and trust fund groups 1-877-722-6030; Blue Care Network account, claims and benefits 1-877-547-2583; Blue Care Network membership eligibility, billing and ID cards 1-800-970-6684; Blue Cross Blue Shield of Michigan group customer membership and billing 1-800-414-3458. Getting a quote as a new customer: Small Group, described as businesses of 50 employees or less, 1-877-722-6030; otherwise the regional numbers above. The page says these lines help an employer find out how much plans will cost; no rates, prices or fees are printed on the page itself. eMVP support 1-866-676-4858, Monday through Friday 8 a.m. to 4:30 p.m.; Blue Care Network eMCS contacts 1-800-970-6684, Monday through Friday 8:30 a.m. to 5 p.m.; fax 1-877-218-1486 or email emcsbcninquiries@bcbsm.com; web support 1-877-258-3932, with open enrollment extended hours of Monday through Friday 8 a.m. to 8 p.m. EST and Saturday and Sunday 8 a.m. to 5 p.m. EST. Payment mailing addresses are published by group type, including Blue Cross Blue Shield of Michigan, P.O. Box 674416, Detroit, MI 48267-4416 for MOS groups and Blue Care Network of Michigan, P.O. Box 33608, Detroit, MI 48232-5608. Coverage, cost and network questions can only be answered by Blue Cross Blue Shield of Michigan for the person's own plan. Source: https://www.bcbsm.com/employers/help/contacts/ ## Contact routes for health care providers Contact Us page lets a provider pick a plan type (Blue Cross Blue Shield of Michigan, Blue Care Network, vision provider, dental provider) and a topic. It states: "TTY users: To reach any number listed here, dial 711." Availity Essentials at availity.com is named as the provider portal for claim submission and claim status. Provider inquiry, physicians and professionals, Michigan and outside Michigan: 1-800-344-8525, 8:30 a.m. to noon and 1 to 5 p.m. Monday through Friday; the automated system is available anytime. Hospitals and facilities: 1-800-249-5103. Vision and hearing providers: 1-800-482-4047, same hours. Medicare Plus Blue member inquiries: 1-866-309-1719, 8:30 a.m. to 4:30 p.m. Monday through Friday. Federal Employee Program members in Michigan: 1-800-840-4505. Behavioral health prior authorisations are handled by Blue Cross Behavioral Health at 1-800-762-2382; Federal Employees Program 1-800-342-5891; UAW Trust Retiree Medical Benefits Trust 1-877-228-3912; Medicare Plus Blue PPO 1-888-803-4960. clinical pharmacy help desk 1-800-437-3803, 8 a.m. to 6 p.m. Monday through Friday; Optum Rx help desk 1-800-788-4863. Prior authorisation requests can be submitted electronically through CoverMyMeds, and authorizations.bcbsm.com is given for detailed prior authorisation information. 1-800-822-2761, 8 a.m. to 4 p.m. Monday through Friday, fax 1-866-900-0250; callers are told to have their NPI, Tax ID or Social Security number ready. Provider Inquiry, Blue Cross Blue Shield of Michigan, P.O. Box 2227, Detroit, MI 48321-2227. Claims mailing addresses are listed separately by claim type. Coverage, cost and network questions can only be answered by Blue Cross Blue Shield of Michigan for the person's own plan. Claim outcomes, payment amounts and network participation are not stated here. Source: https://www.bcbsm.com/providers/help/contacts/ ## Reporting suspected fraud or a privacy concern Blue Cross Blue Shield of Michigan publishes a health care fraud section and says a report can be made confidentially: "We maintain a policy that enforces non-retaliation and non-intimidation against those who report potential concerns." Four published routes are listed. By phone, 8:30 a.m. to 4:30 p.m. ET Monday through Friday, with TTY users reaching these numbers by calling 711: Fraud Hotline 1-844-STOP-FWA (1-844-786-7392); Medicare Fraud Hotline 1-888-650-8136; Blue Cross Complete of Michigan (Medicaid) Fraud Hotline 1-855-232-7640. The page states that after-hours calls will be recorded and a fraud specialist will return the call the next business day to collect further information. Online, through a fraud form on the site. The page warns that information submitted through the online form is not secure or encrypted, and suggests calling or mailing instead if that is a concern. Through the Blue Cross Blue Shield of Michigan mobile app, by selecting Contact Us. By mail or fax, using a downloadable fraud complaint form; the mailing address and fax number are printed on the form itself. Reports should include the contract number and the date of service the complaint is about. For provider-side fraud contacts the provider page lists the same 1-844-786-7392 and 1-855-232-7640 numbers. A separate line, 1-800-552-8278, is published for privacy concerns and for filing a privacy complaint, including where protected health information may have been compromised. "Health care fraud occurs when a provider knowingly files false claims to make a profit. This includes billing incorrectly or charging for services that were never performed." Coverage, cost and network questions can only be answered by Blue Cross Blue Shield of Michigan for the person's own plan. Source: https://www.bcbsm.com/health-care-fraud/report-fraud/ ## What Blue Cross Blue Shield of Michigan has not published yet These are things people ask Blue Cross Blue Shield of Michigan that its published information does not yet cover. - prices - availability - whether a plan covers a service, drug or device - whether a provider or hospital is in network - eligibility for a plan, subsidy, medicare or medicaid - claim, appeal or prior authorization outcomes - enrollment period status or deadlines - premiums, deductibles or out-of-pocket costs Ask anyway — the agent will say plainly that it is not published rather than guess. ## Where this comes from https://www.bcbsm.com/index/plans/michigan-health-insurance/contact-us.html