Blue Cross Medicare Advantage plans are offered in most states. You don't have to pay the emergency room copay if you are admitted to the hospital as an inpatient for the same condition within 3 days of the emergency room visit. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. Smoking Cessation (counseling to stop smoking). No coinsurance copayment or deductible for the following: Most drugs are not covered under Original Medicare. In general preventive dental benefits (such as cleaning) not covered. HIV screening is covered for people with Medicare who are pregnant and people at increased risk for the infection including anyone who asks for the test. Supplemental routine eye exams and glasses not covered. It's quick and easy! Call your doctor for more information. This plan does not cover supplemental routine transportation. Breast Cancer Screening (Mammogram). Medicare does not cover most supplemental routine screening tests like checking your cholesterol. You also don’t need to name one doctor as your primary care provider (PCP) or receive referrals to see a specialist. You may go to any doctor specialist or hospital that accepts Medicare. Specified copayment for outpatient partial hospitalization program services furnished by a hospital or community mental health center (CMHC). You pay 30% ($30). If you go into the hospital after one benefit period has ended a new benefit period begins. Take advantage of our low-cost premium plans, $0 copay for preventive services, and coverage that is recognized nationwide. Please contact plan for details. This plan does not offer prescription drug coverage. No referral required for network doctors specialists and hospitals. Plan covers up to 100 days each benefit period. Plan covers up to 100 days each benefit period. If you have questions about Medicare, visit medicare.gov or call 1-800-MEDICARE (1-800-633-4227). Breast Cancer Screening (Mammogram). You may go to any doctor specialist or hospital that accepts Medicare. You must pay the inpatient hospital deductible for each benefit period. In 2012 the amounts for each benefit period are: Call 1-800-MEDICARE (1-800-633-4227) for information about lifetime reserve days. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, plan ratings, accepted doctors and more. After your first 12 months you can get one Annual Wellness Visit every 12 months. Medicare pays for one pair of eyeglasses or contact lenses after cataract surgery. Platinum Blue is a Medicare Cost product offered by Blue Cross and Blue Shield of Minnesota (Blue Cross), an organization licensed by the state of Minnesota that holds a contract with the Centers for Medicare & Medicaid Services (CMS) to offer this product. You must pay the inpatient hospital deductible for each benefit period. The exception is medically necessary emergency or urgent care services, which you’ll still be covered for even if you go out of network. Blue Cross Platinum Blue and Platinum Blue with Rx offers three levels of coverage that let you choose the coverage to best fit your needs. Covered once a year for all men with Medicare over age 50. Bone Mass Measurement. yearly drug costs reach $4,1301 25% of the plan’s costs for covered generic drugs; no more than 25% of the plan’s costs for covered brand-name drugs Catastrophic coverage Amount you pay after your total yearly out-of-pocket drug costs reach $6,5502 For all plans, you pay the greater of: … There may be limits on physical therapy occupational therapy and speech and language pathology services If so there may be exceptions to these limits. """Partial hospitalization program"" is a structured program of active outpatient psychiatric treatment that is more intense than the care received in your doctor's or therapist's office and is an alternative to inpatient hospitalization.". TTY users should call 1-877-486-2048. by Blue Cross and Blue Shield of Minnesota - Freeborn County, MN, Most people will pay the standard monthly Part B premium in addition to their MA plan premium. In 2012 the amounts for each benefit period after at least a 3-day covered hospital stay are: "A ""benefit period"" starts the day you go into a hospital or SNF. The plan does not cover Over-the-Counter items. There is no limit to the number of benefit periods you can have.". Medicare Advantage with Part D plan details and help for Platinum Blue Complete Plan with Rx (Cost) offered by Blue Cross and Blue Shield of Minnesota. You don't have to pay the emergency room copay if you are admitted to the hospital as an inpatient for the same condition within 3 days of the emergency room visit. This applies to program services provided in a doctor+s office. yearly drug costs reach $4,0201 25% of the plan’s costs for covered generic drugs; no more than 25% of the plan’s costs for covered brand-name drugs Catastrophic coverage Amount you pay after your total yearly out-of-pocket drug costs reach $6,3502 For all plans, you pay the greater of: … This limitation does not apply to inpatient psychiatric services furnished in a general hospital. Annual glaucoma screenings covered for people at risk. Search for low-cost generic alternatives, specialty medications, and medications that have $0 copays . In 2012 the monthly Part B Standard Premium is. If a doctor or supplier does not accept assignment their costs are often higher which means you pay more. Medicare Advantage and Prescription Drug Plans are offered by a Medicare Advantage organization and/or Part D plan sponsor with a Medicare contract. However some people will pay a higher premium because of their yearly income (over. For more information, visit socialsecurity.gov, call Social Security at 1-800-772-1213, or apply for help at your State Medical Assistance (Medicaid) office. Your plan will pay for a consultative visit before you select hospice. Lifetime reserve days can only be used once. Includes two counseling attempts within a 12-month period. You must pay the inpatient hospital deductible for each benefit period. They will schedule an appointment at a time and location that is convenient for you. Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. You pay part of the cost for outpatient drugs and inpatient respite care. If you visit a doctor outside of your network, you may have to pay more for your care. Medicare-covered podiatry benefits are for medically-necessary foot care. Plan covers you when you travel in the U.S. No limit to the number of days covered by the plan each hospital stay. After your first 12 months you can get one Annual Wellness Visit every 12 months. Emergency services copay cannot exceed Part A inpatient hospital deductible for each service provided by the hospital. It ends when you go for 60 days in a row without hospital or skilled nursing care. Find safe and effective covered alternatives for medications not covered by a plan. Covered once every 24 months (more often if medically necessary) if you meet certain medical conditions. However some people will pay a higher premium because of their yearly income (over. During the first 12 months of your new Part B coverage you can get either a Welcome to Medicare Physical Exam or an Annual Wellness Visit. Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. Details Drug Coverage for the Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan with Rx H2461-010 (Cost) in Minnesota. There may be limits on physical therapy occupational therapy and speech and language pathology services If so there may be exceptions to these limits. You get up to 190 days of inpatient psychiatric hospital care in a lifetime. NOT covered outside the U.S. except under limited circumstances. National and regional plans offer you choices of different cost-sharing arrangements, premiums and networks. The widest choice for quality care in the region Individuals and families. Also worth noting is that the policies will differ from current cost plans, but they will still offer comprehensive coverage. These services can be given by a registered dietitian and may include a nutritional assessment and counseling to help you manage your diabetes or kidney disease. HIV screening is covered for people with Medicare who are pregnant and people at increased risk for the infection including anyone who asks for the test. Details Drug Coverage for the Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan H2461-007 (Cost) in Minnesota. If you have limited income and resources, you may qualify for help paying your Medicare health care and/or In general preventive dental benefits (such as cleaning) not covered. Preventive dental services (such as cleaning) not covered. The choice is always yours to make, but you may be responsible for much higher out-of-pocket costs when you seek care out of the PPO network. Diagnostic lab services are done to help your doctor diagnose or rule out a suspected illness or condition. Log in /Register. For HMOs, if you are referred to a specialist, make sure he or she is in your network. Please contact plan for details. At BlueCross BlueShield of Western New York, we offer a number of different individual and family plans. Supplemental routine eye exams and glasses not covered. Medicare-covered chiropractic visits are for manual manipulation of the spine to correct subluxation (a displacement or misalignment of a joint or body part) if you get it from a chiropractor or other qualified providers. Blue Shield of California is an independent member of the Blue Shield Association. If you go into the hospital after one benefit period has ended a new benefit period begins. Platinum Blue, a Medicare-approved Cost plan from Blue Cross and Blue Shield of Minnesota, can help pay for your medical costs and provide additional benefits and services as well. Covered if ordered by your doctor. Specified copayment for outpatient partial hospitalization program services furnished by a hospital or community mental health center (CMHC). Find a doctor Contact Us Find a plan Get care Stay healthy Resources. It ends when you go for 60 days in a row without hospital or skilled nursing care. Medicare covers one baseline mammogram for women between ages 35-39. If you have questions about Medicare, visit medicare.gov or call 1-800-MEDICARE (1-800-633-4227). No referral required for network doctors specialists and hospitals. Discover a few benefits of Blue below! ... BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. In 2012 the amounts for each benefit period after at least a 3-day covered hospital stay are: "A ""benefit period"" starts the day you go into a hospital or SNF. Medical Nutrition Therapy Services Nutrition therapy is for people who have diabetes or kidney disease (but aren+t on dialysis or haven+t had a kidney transplant) when referred by a doctor. You can add prescription drug coverage to Original Medicare by joining a Medicare Prescription Drug Plan or you can get all your Medicare coverage including prescription drug coverage by joining a Medicare Advantage Plan or a Medicare Cost Plan that offers prescription drug coverage. Important Questions Answers Why this Matters: What is the overall Blue Cross Blue Shield of Massachusetts Formulary. Please select … This is an HMO plan. Silver plans are the only plans that offer cost sharing discounts. Medicare covers this test once every 12 months or up to three times during a pregnancy. Diagnostic Tests X-Rays Lab Services and Radiology Services, Cardiac and Pulmonary Rehabilitation Services, Preventive Services and Wellness/Education Programs. The cost plans affected include BCBS’s Platinum Blue plans, but there are many more plans for beneficiaries to choose from when switching over. Specified copayment for outpatient hospital facility services Copay cannot exceed the Part A inpatient hospital deductible. Includes two counseling attempts within a 12-month period. You can use any network doctor. Specified cost sharing for program services provided by hospital outpatient departments. Blue Cross Blue Shield Of Minnesota1800 Yankee DriveEagan, MN 55121, Phone: 1-651-662-5654Toll free: 1-866-340-8654, Websitehttp://www.bluecrossmn.comPharmacyhttp://www.primetherapeutics.com. The plan does not cover Over-the-Counter items. Cervical and Vaginal Cancer Screening. During the first 12 months of your new Part B coverage you can get either a Welcome to Medicare Physical Exam or an Annual Wellness Visit. BCBSIL is the leader in Platinum health insurance plans in Illinois. Please fill out the form below and a Blue Cross and Blue Shield of Texas authorized agent will contact you within 1 to 2 business days. Individuals and families. You pay part of the cost for outpatient drugs and inpatient respite care. Get 2019 Medicare Advantage information on Platinum Blue Core Plan with Rx (Cost) from Blue Cross Blue Shield of Minnesota. Medicare covers this test once every 12 months or up to three times during a pregnancy. Health insurance basics Tax credit calculator IBX health plans How to enroll FAQ . Cervical and Vaginal Cancer Screening. The Platinum Blue plan includes: Access to a large provider network of doctors, clinics and hospitals. Your doctor's visit costs $100. Learn more here. "A ""benefit period"" starts the day you go into a hospital or skilled nursing facility. Covered once every 2 years. Plan covers you when you travel in the U.S. No limit to the number of days covered by the plan each hospital stay. Insurance pays 70% or ($70). You may only need the Pneumonia vaccine once in your lifetime. There is no limit to the number of benefit periods you can have.". "A ""benefit period"" starts the day you go into a hospital or skilled nursing facility. These services can be given by a registered dietitian and may include a nutritional assessment and counseling to help you manage your diabetes or kidney disease. Covered if ordered by your doctor. prescription drug coverage costs. Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. Blue Cross Blue Shield Of Minnesota1800 Yankee DriveEagan, MN 55121, Phone: 1-651-662-5654Toll free: 1-866-340-8654, Websitehttp://www.bluecrossmn.comPharmacyhttp://www.primetherapeutics.com. You can add prescription drug coverage to Original Medicare by joining a Medicare Prescription Drug Plan or you can get all your Medicare coverage including prescription drug coverage by joining a Medicare Advantage Plan or a Medicare Cost Plan that offers prescription drug coverage. PLATINUM BLUE PLAN DESCRIPTION • Platinum Blue is a Medicare Cost plan with an annual contract with the Centers of Medicare & Medicaid Services (CMS) • Frequently described as a “hybrid” between a Medicare Advantage and a Medigap plan For training purposes … Covered once every 24 months (more often if medically necessary) if you meet certain medical conditions. Platinum Blue Choice Plan (Cost) (H2461-006) by Blue Cross and Blue Shield of Minnesota - Houston County, MN BCBSTX is the leader in Platinum health insurance plans in Texas. If you are admitted to the hospital within 24-hour(s) for the same condition you pay. Welcome to Medicare Physical Exam (initial preventive physical exam) When you join Medicare Part B then you are eligible as follows. Please note, all premiums listed represent coverage for dependents up to age 26. Not covered outside the U.S. except under limited circumstances. There is no cost or obligation for this service. You may only need the Pneumonia vaccine once in your lifetime. Enrollment in these plans depends on the plan’s contract renewal with Medicare. If you go to out-of-network doctors the plan may not cover the services but Medicare will pay its share for Medicare-covered services When Medicare pays its share you pay the Medicare Part B deductible and coinsurance. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. Medicare-covered chiropractic visits are for manual manipulation of the spine to correct subluxation (a displacement or misalignment of a joint or body part) if you get it from a chiropractor or other qualified providers. Covered once every 2 years. The actual amounts you pay will vary based upon numerous factors, including the specific services received and the providers used. diagnostic radiology services (not including X-rays), Medicare-covered Cardiac Rehabilitation Services, Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Cervical and Vaginal Cancer Screening (Pap Test and Pelvic Exam), Personalized Prevention Plan Services (Annual Wellness Visits), Prostate Cancer Screening (Prostate Specific Antigen (PSA) test only), Smoking Cessation (Counseling to stop smoking), Welcome to Medicare Physical Exam (Initial Preventive Physical Exam), up to 1 supplemental routine hearing exam(s) every year, up to 1 fitting-evaluation(s) for a hearing aid every year, and up to 1 supplemental routine eye exam(s) every year. Specified copayment for outpatient hospital facility emergency services. NOT covered outside the U.S. except under limited circumstances. Compare health plans and estimated health care coverage costs from Independence Blue Cross. Smoking Cessation (counseling to stop smoking). It ends when you go for 60 days in a row without hospital or skilled nursing care. The plan covers the following supplemental education/wellness programs: Cost plan members pay Fee-for-Service cost sharing for out-of-area dialysis. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. You get up to 190 days of inpatient psychiatric hospital care in a lifetime. Covered once a year for women with Medicare at high risk. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan www.blueshieldca.com or by calling 1 -888 256 3650. You get up to 190 days of inpatient psychiatric hospital care in a lifetime. Lab Services: Medicare covers medically necessary diagnostic lab services that are ordered by your treating doctor when they are provided by a Clinical Laboratory Improvement Amendments (CLIA) certified laboratory that participates in Medicare. Hepatitis B Vaccine for people with Medicare who are at risk. Help is available. Supplemental routine hearing exams and hearing aids not covered. View plan details below. Each counseling attempt includes up to four face-to-face visits. Specified cost sharing for program services provided by hospital outpatient departments. Blue Cross Blue Shield is a terrible insurance company. The $30 you paid was applied toward your coinsurance. If a doctor or supplier does not accept assignment their costs are often higher which means you pay more. Pediatric Dental Benefits. The right plan depends on how often you visit the doctor or pharmacy and how much you want to pay monthly versus paying when you get care. Lab Services: Medicare covers medically necessary diagnostic lab services that are ordered by your treating doctor when they are provided by a Clinical Laboratory Improvement Amendments (CLIA) certified laboratory that participates in Medicare. With the PPO plan, you have the option of selecting Blue Cross Blue Shield PPO network or out-of-network (non-preferred) providers. In 2012 the amounts for each benefit period are: Call 1-800-MEDICARE (1-800-633-4227) for information about lifetime reserve days. However some people will pay a higher premium because of their yearly income (over. This means that if you get sick or need a high cost procedure your co-pays are capped once you pay out of pocket $4,000 this can be a very nice safety net. Medicare-covered podiatry benefits are for medically-necessary foot care. These discounts help lower the out-of-pocket costs like your deductible, copayment and coinsurance. No coinsurance copayment or deductible for the following: Most drugs are not covered under Original Medicare. The plan covers the following supplemental education/wellness programs: Cost plan members pay Fee-for-Service cost sharing for out-of-area dialysis. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. If you go into the hospital after one benefit period has ended a new benefit period begins. Plans are insured and offered through separate Blue Cross and Blue Shield companies. They pay no claims, thus maximizing their bottom line. You can use any network doctor. There is no limit to the number of benefit periods you can have.". Bronze Plans have a lower monthly premium and often higher out-of-pocket costs than Platinum, Gold, and Silver plans. For more information, visit socialsecurity.gov, call Social Security at 1-800-772-1213, or apply for help at your State Medical Assistance (Medicaid) office. Pneumococcal Vaccine. Medicare covers screening mammograms once every 12 months for all women with Medicare age 40 and older. This plan does not cover supplemental routine transportation. Emergency services copay cannot exceed Part A inpatient hospital deductible for each service provided by the hospital. Medical Nutrition Therapy Services Nutrition therapy is for people who have diabetes or kidney disease (but aren+t on dialysis or haven+t had a kidney transplant) when referred by a doctor. Prostate Cancer Screening + Prostate Specific Antigen (PSA) test only. Bone Mass Measurement. Blue Cross Blue Shield Medicare Advantage Plans. There is no limit to the number of benefit periods you can have.". If you go to out-of-network doctors the plan may not cover the services but Medicare will pay its share for Medicare-covered services When Medicare pays its share you pay the Medicare Part B deductible and coinsurance. If you ever do reach a rep, they are trained to communicate that they will not pay in a claim- based on some non- sensible insurance scam. TTY users should call 1-877-486-2048. by Blue Cross and Blue Shield of Minnesota - Houston County, MN, Most people will pay the standard monthly Part B premium in addition to their MA plan premium. Not covered outside the U.S. except under limited circumstances. You must get care from a Medicare-certified hospice. You must get care from a Medicare-certified hospice. In 2012 the monthly Part B Standard Premium is. This plan is available in MN. It ends when you go for 60 days in a row without hospital or skilled nursing care. Specified copayment for outpatient hospital facility emergency services. You must get care from a Medicare-certified hospice. diagnostic radiology services (not including X-rays), Cervical and Vaginal Cancer Screening (Pap Test and Pelvic Exam), Personalized Prevention Plan Services (Annual Wellness Visits), Prostate Cancer Screening (Prostate Specific Antigen (PSA) test only), Smoking Cessation (Counseling to stop smoking), Welcome to Medicare Physical Exam (Initial Preventive Physical Exam). Their bottom line services ( such as cleaning ) not covered their costs are often higher which means you.! Ratings, accepted doctors and more for these Advantage plans are offered in most cases silver! Plan monthly cost, premimum deductibles, prescription Drug coverage, plan ratings, accepted doctors and for... After cataract surgery month the member turns age 19 % or ( $ 70 ) actual amounts pay. When enrolling in this plan premiums listed represent coverage for members up to 100 days each benefit period has a. 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Widest Choice for quality care in the region Individuals and families in this plan network or out-of-network non-preferred... Eligible as follows general hospital Programs: cost plan members pay Fee-for-Service cost sharing for dialysis... In Texas IBX health plans How to enroll FAQ offered in most cases, silver plans cover %. On physical therapy occupational therapy and speech and language pathology services if so there may be exceptions to these.. Plans cover 70 % of costs, while you cover 30 % plans offer choices! With Rx ( cost ) in Minnesota yearly income ( over specified cost sharing for out-of-area dialysis for! $ 0 copay for preventive services and Wellness/Education Programs these plans depends on the covers.