No referral required for network doctors specialists and hospitals. Specified copayment for outpatient hospital facility services Copay cannot exceed the Part A inpatient hospital deductible. 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. 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. You have the flexibility to choose the plan that is best for you. You must pay the inpatient hospital deductible for each benefit period. Individuals and families. Lifetime reserve days can only be used once. Plan covers you when you travel in the U.S. No limit to the number of days covered by the plan each hospital stay. The Platinum Blue plan includes: Access to a large provider network of doctors, clinics and hospitals. Prostate Cancer Screening + Prostate Specific Antigen (PSA) test only. Hepatitis B Vaccine for people with Medicare who are at risk. Platinum Blue Choice Plan (Cost) is a Cost * plan. Our Platinum plans contain our plans with the highest premiums and are designed to include the lowest cost sharing (deductible and copays) compared to other plans. We explain the costs, coverage, eligibility, and more for these Advantage plans. 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 … Specified copayment for outpatient hospital facility emergency services. If you have limited income and resources, you may qualify for help paying your Medicare health care and/or Covered once a year for women with Medicare at high risk. Platinum health insurance plans from Blue Cross and Blue Shield of Texas deliver outstanding coverage and service. You get up to 190 days of inpatient psychiatric hospital care in a lifetime. All the above health plans include pediatric dental coverage for members up to the end of the month the member turns age 19. These providers have agreed to work with your health plan to keep your costs down. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. NOT covered outside the U.S. except under limited circumstances. This applies to program services provided in a doctor+s office. This plan does not cover supplemental routine transportation. You also don’t need to name one doctor as your primary care provider (PCP) or receive referrals to see a specialist. You pay 30% ($30). In 2012 the monthly Part B Standard Premium is. The $30 you paid was applied toward your coinsurance. 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: … The Platinum Blue Choice Plan (Cost) has a monthly premium of $74.00 and has a in-network Maximum Out-of-Pocket limit of $4,000 (MOOP). There may be limits on physical therapy occupational therapy and speech and language pathology services If so there may be exceptions to these limits. In general preventive dental benefits (such as cleaning) not covered. You must get care from a Medicare-certified hospice. 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. It’s amazing that this company is … If you go into the hospital after one benefit period has ended a new benefit period begins. Details Drug Coverage for the Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan with Rx H2461-010 (Cost) in Minnesota. document at This is only a summary. In some cases, you may have to pay the full cost. Please contact plan for details. Your plan will pay for a consultative visit before you select hospice. No coinsurance copayment or deductible for the following: Most drugs are not covered under Original Medicare. Medicare pays for one pair of eyeglasses or contact lenses after cataract surgery. Supplemental routine eye exams and glasses not covered. You may only need the Pneumonia vaccine once in your lifetime. Copay cannot exceed the Part A inpatient hospital deductible. There is no limit to the number of benefit periods you can have.". Covered once a year for all men with Medicare over age 50. 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 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. It ends when you go for 60 days in a row without hospital or skilled nursing care. Smoking Cessation (counseling to stop smoking). You get up to 190 days of inpatient psychiatric hospital care in a lifetime. You must get care from a Medicare-certified hospice. Emergency services copay cannot exceed Part A inpatient hospital deductible for each service provided by the hospital. Log in /Register. 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. They pay no claims, thus maximizing their bottom line. Learn more here. Diagnostic Tests X-Rays Lab Services and Radiology Services, Cardiac and Pulmonary Rehabilitation Services, Preventive Services and Wellness/Education Programs. Covered if ordered by your doctor. Bone Mass Measurement. Specified copayment for outpatient partial hospitalization program services furnished by a hospital or community mental health center (CMHC). 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. The plan covers the following supplemental education/wellness programs: Cost plan members pay Fee-for-Service cost sharing for out-of-area dialysis. 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. You can use any network doctor. Take advantage of our low-cost premium plans, $0 copay for preventive services, and coverage that is recognized nationwide. However some people will pay a higher premium because of their yearly income (over. Each counseling attempt includes up to four face-to-face visits. If you have questions about Medicare, visit medicare.gov or call 1-800-MEDICARE (1-800-633-4227). The widest choice for quality care in the region Individuals and families. Diagnostic Tests X-Rays Lab Services and Radiology Services, Cardiac and Pulmonary Rehabilitation Services, Preventive Services and Wellness/Education Programs. Learn more about our non-discrimination policy and no-cost services available to you. This plan does not cover supplemental routine transportation. Medicare covers one baseline mammogram for women between ages 35-39. You get up to 190 days of inpatient psychiatric hospital care in a lifetime. Most people will pay the standard monthly Part B premium. Also worth noting is that the policies will differ from current cost plans, but they will still offer comprehensive coverage. Covered once a year for women with Medicare at high risk. Plans are insured and offered through separate Blue Cross and Blue Shield companies. 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. ... 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. Specified cost sharing for program services provided by hospital outpatient departments. It ends when you go for 60 days in a row without hospital or skilled nursing care. Includes two counseling attempts within a 12-month period. Copay cannot exceed the Part A inpatient hospital deductible. Medicare covers screening mammograms once every 12 months for all women with Medicare age 40 and older. Medicare pays for one pair of eyeglasses or contact lenses after cataract surgery. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. Find safe and effective covered alternatives for medications not covered by a plan. Enrollment in these plans depends on the plan’s contract renewal with Medicare. Covered if ordered by your doctor. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: Beginning On or After 1/1/2018 Blue Shield Platinum 90 PPO 0/15 + Child Dental INF Coverage for: Individual + Family | Plan Type: PPO 1 of 9 Blue Shield of California is an independent member of the Blue Shield Association. Medicare covers one baseline mammogram for women between ages 35-39. Please contact plan for details. This is a 4-star Medicare Advantage plan. 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. Lifetime reserve days can only be used once. Emergency services copay cannot exceed Part A inpatient hospital deductible for each service provided by the hospital. Specified copayment for outpatient partial hospitalization program services furnished by a hospital or community mental health center (CMHC). 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: … These discounts help lower the out-of-pocket costs like your deductible, copayment and coinsurance. Blue Cross Blue Shield of Massachusetts Formulary. Insurance pays 70% or ($70). Annual glaucoma screenings covered for people at risk. 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. 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. If you have questions about Medicare, visit medicare.gov or call 1-800-MEDICARE (1-800-633-4227). Important Questions Answers Why this Matters: What is the overall Includes two counseling attempts within a 12-month period. Platinum health insurance plans from Blue Cross and Blue Shield of Illinois deliver outstanding coverage and service. Medicare covers this test once every 12 months or up to three times during a pregnancy. 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). Medicare-covered podiatry benefits are for medically-necessary foot care. "A ""benefit period"" starts the day you go into a hospital or skilled nursing facility. You get up to 190 days of inpatient psychiatric hospital care in a lifetime. You may go to any doctor specialist or hospital that accepts Medicare. No referral required for network doctors specialists and hospitals. If a doctor or supplier does not accept assignment their costs are often higher which means you pay more. Call your doctor for more information. Call your doctor for more information. Breast Cancer Screening (Mammogram). Specified cost sharing for program services provided by hospital outpatient departments. 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. If you go into the hospital after one benefit period has ended a new benefit period begins. You may go to any doctor specialist or hospital that accepts Medicare. In 2012 the monthly Part B Standard Premium is. BCBSIL is the leader in Platinum health insurance plans in Illinois. Plan covers up to 100 days each benefit period. Find a doctor Contact Us Find a plan Get care Stay healthy Resources. 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. Blue Cross Blue Shield Medicare Advantage Plans. 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. 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. 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. Your plan will pay for a consultative visit before you select hospice. Cervical and Vaginal Cancer Screening. 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. 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. Plan covers up to 100 days each benefit period. 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. The cost plans affected include BCBS’s Platinum Blue plans, but there are many more plans for beneficiaries to choose from when switching over. Please select … In 2012 the amounts for each benefit period are: Call 1-800-MEDICARE (1-800-633-4227) for information about lifetime reserve days. Platinum Blue Choice Plan (Cost) (H2461-006) by Blue Cross and Blue Shield of Minnesota - Houston County, MN Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. This plan is available in MN. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. Annual glaucoma screenings covered for people at risk. "A ""benefit period"" starts the day you go into a hospital or skilled nursing facility. You must get care from a Medicare-certified hospice. It ends when you go for 60 days in a row without hospital or skilled nursing care. 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. If you visit a doctor outside of your network, you may have to pay more for your care. This plan does not offer prescription drug coverage. Blue Cross Medicare Advantage plans are offered in most states. You may only need the Pneumonia vaccine once in your lifetime. Supplemental routine hearing exams and hearing aids not covered. Bone Mass Measurement. It's quick and easy! Help is available. Medicare covers screening mammograms once every 12 months for all women with Medicare age 40 and older. There is no cost or obligation for this service. The exception is medically necessary emergency or urgent care services, which you’ll still be covered for even if you go out of network. Pneumococcal Vaccine. Plan covers you when you travel in the U.S. No limit to the number of days covered by the plan each hospital stay. However some people will pay a higher premium because of their yearly income (over. Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. No coinsurance copayment or deductible for the following: Most drugs are not covered under Original Medicare. Silver plans have a higher monthly premium and often lower out-of-pocket costs than bronze plans. Bronze Plans have a lower monthly premium and often higher out-of-pocket costs than Platinum, Gold, and Silver plans. With the PPO plan, you have the option of selecting Blue Cross Blue Shield PPO network or out-of-network (non-preferred) providers. Your doctor's visit costs $100. Not covered outside the U.S. except under limited circumstances. You must select a Blue Precision HMO Network Primary Care Physician (PCP) when enrolling in this plan. Help is available. Blue Shield of California is an independent member of the Blue Shield Association. You must pay the inpatient hospital deductible for each benefit period. Diagnostic lab services are done to help your doctor diagnose or rule out a suspected illness or condition. 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. National and regional plans offer you choices of different cost-sharing arrangements, premiums and networks. Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. You must get care from a Medicare-certified hospice. However some people will pay a higher premium because of their yearly income (over. You must pay the inpatient hospital deductible for each benefit period. 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. 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. Blue Cross is discontinuing its Blue Choice Platinum and Blue Access Gold plans at the end of the year. The plan covers the following supplemental education/wellness programs: Cost plan members pay Fee-for-Service cost sharing for out-of-area dialysis. Medicare does not cover most supplemental routine screening tests like checking your cholesterol. Platinum Blue Complete Plan (Cost) (H2461-007) by Blue Cross and Blue Shield of Minnesota - Freeborn County, MN They will schedule an appointment at a time and location that is convenient for you. Welcome to Medicare Physical Exam (initial preventive physical exam) When you join Medicare Part B then you are eligible as follows. 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Medicare health care and/or prescription Drug coverage for the following: most drugs are not outside! You paid was applied toward your coinsurance for out-of-area dialysis with a Medicare Advantage information on Platinum Blue plan:! No-Cost services available to you diagnostic Tests X-Rays Lab services are done to help your doctor diagnose or rule a... Services available to you your plan will pay a higher monthly premium and often lower out-of-pocket costs than plans!