Please click on Summary Schedule of Benefits to access an up-to-date chart addressing those benefits most frequently utilized.

To access your complete Schedule of Benefits, first please click on your plan name in the table below, which will provide you with your schedule, as published July, 2001. Then please click on Messenger newsletters or Compilation of Messenger Notifications for updates or modifications. If you are not sure of your plan name, contact the Fund's Customer Service Department at (313) 964-2400.

Package Plans
SOA	TIF	TIF2	I&S	PEP
KEY I	KEY II	KEY III	KEY IV
Stand Alone Plans
D&O I	D&O II	Dental I
Retiree Self-Payment Plans
SOA Retiree	TIF Retiree	I&S Retiree	Key Plans Retiree
SOA Plans
ADN3A	BDR33	CDNNN	JDN3A	LDNNA
ADN3B	BDR4J	CDN5L	JDN3B	LDN3B
ADNNN	BDR4F	CDR3B	JDN3F	LDR3B
BDN3A	BDR4O	CDR3F	JDN3O	LDRNN
BDN3B	BDR5B	CDR3N	JDNNN	LENNA
BDN3F	BDR5H	CDR33	JDR3A	LNN3B
BDN3J	BDR5L	CDR3Y	JDR3B	MNNNN
BDN3N	BDR5O	CDR4B	JDR3F	ODNNN
BDN3O	BDR5Z	CDR4F	JDR4Z	ONNNN
BDN5J	BDRNN	CDR4H	JDR5B	ODN3B
BDN5O	BDRN3	CDR4J	JDR5F	ODN3F
BDN5Z	CDN3B	CDR5B	JDR5O	OEN27
BDNNA	CDN3F	CDR5F	JDR5Z	PDNNN
BDNNB	CDN3N	CDR5J	JDRNN	PDN3B
BDNNN	CDN3I	CDR5O	JNNNN	PDRNN
BDR3B	CDN3N	CDR5Z	JNNRO	PDRNZ
BDR3F	CDN5B	CDR9J	JNR3B	PNNNN
BDR3H	CDN5Z	CDRNN	LNNNN	377
BDR3J	CDNNA	CNN5Z	LNNNA
BDR3Z	CDNN3	CON3B	LDNNN
Key Plans
EDNNN	EDR4H	FONNN	YDNNN	3NNNN
EDNNE	EDR5Z	UNNNN	YDR26	9FN12
EDN2B	EDR5N	XDN2O	YDN36	369
EDN2F	EDRNN	XDN22	YDNNA	372
EDN2H	EDNN2	XDN25	YEN2A	373
EDN2O	EEN26	XDN26	YNN1N	374
EDN25	EEN3B	XDN2A	ZBN26	375
EDN26	ENNNN	XDN2E	ZNNNN	376
EDN28	ENN26	XDNN3	2DN26	378
EDN2F	FDNN2	XDN3B	2ENN3	379
EDN3B	FDN12	XDNNN	2EN3B	380
EDN3D	FDN22	XNNNN	3DN26	381
EDN3F	FDN26	XDR2O	3DN2F	382
EDN3N	FDN3B	XDR26	3DN3B	383
EDN4Z	FDN3E	XDR3B	3DN5B	384
EDN5J	FDN3N	YBNNN	3DNN2	385
EDNN6	FDR3B	YDN19	3EN26	386
EDR26	FDNNE	YDN22	3ER2B	387
EDR2B	FDNNN	YDN26	3ER26	388
EDR2J	FDN3C	YDN28	3ENNN
EDR3J	FNNNN	YDN2B	3FN25
EDR3B	FNNN2	YDN3B	3FNNA
I&S Plans
I&S2	I&S4	I&S6	5DR2B	5DR2E

Link to the BCBS Durable Medical Equipment (DME) and Medical Supply covered items list to determine whether a specific DME or medical supply prescribed by your physician is a covered item. You must receive prior authorization on all DME purchases.

For Michigan BCBS Certified Medical Equipment Supplier Searches -
Click on , then under "Find a Participating Provider" click on "physician search". In "Step 1", under the "Choose a plan" selection, click on "Traditional". In "Step 2" under "specialty groups" click on "Medical Equipment Suppliers". If you want to narrow your search complete any of the remainder of the "Step 2" selections then click on the search button to complete your search, otherwise just click on the search button.

For Non-Michigan BCBS Certified Medical Equipment Supplier Searches -
Click on   , then click on "Member", enter TMI as your "Identification Prefix" and click on the "continue" button. Next, complete the "Search Center" and "Search Radius" selections then click on the "continue" button. Next, in the "Provider Types" selection click on Facilities, and in the "Specialties" selection click on "Medical Equipment Suppliers", then click on the "continue" button to complete your search.

Click here to return to your SPD
Summary Plan Description