As previously announced in the November-December 2022 issue of BCN Provider News on pages 3 and 8, Blue Cross Local HMO and BCN Advantage Local HMO are new products that are part of a new 2023 Local network available to Michigan residents in Macomb, Oakland and Wayne counties. Members must select a primary care physician within the Local network of physicians and hospitals affiliated primarily with Ascension and Trinity Health.
Members must receive services within this Local network. The primary care physician coordinates care with the network specialists and hospitals. If a member needs services found outside the network, BCN authorization is required for the member to receive care. BCN will only authorize the service if it is something that can’t be performed within the network. Standard BCN clinical review requirements apply.
Referrals are handled like other similar BCN health plans.
To see a list of participating hospitals and medical care groups, check your network status or see images of the member ID cards, please see the Blue Cross Local HMO and BCN AdvantageSM Local HMO flyer (PDF). You can also find this flyer on our provider portal: