Medicare Advantage Product Update: Identifying Michigan Public School Employees Retirement System Members
Members of the Michigan Public School Employees Retirement System (MPSERS) may obtain services in Texas. These members are enrolled in Blue Cross and Blue Shield of Michigan’s Medicare Advantage product called Medicare PLUS Blue Group PPOSM, which encompasses Medicare Part A and B benefits, along with additional group benefits.
MPSERS members can be identified by:
- Plan and product name displayed on the front of the ID card
- Alpha prefix XYO
- Group number 59000
For services rendered for MPSERS members outside of Michigan, prior authorization is not required for:
- Acute care admissions
- Skilled nursing admissions
- Inpatient rehabilitation admissions
- Radiology services
Claims from these members should be filed with Blue Cross and Blue Shield of Texas (BCBSTX). Reimbursement will be based on the Medicare-approved amounts.
If you have any questions regarding this notification, please call the Michigan Public School Retiree service center at (800) 422-9146.