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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. Diagnostic Tests X-Rays Lab Services and Radiology Services, Cardiac and Pulmonary Rehabilitation Services, Preventive Services and Wellness/Education Programs. Prostate Cancer Screening + Prostate Specific Antigen (PSA) test only. 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. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. Cervical and Vaginal Cancer Screening. This plan does not offer prescription drug coverage. Blue Cross Medicare Advantage plans are offered in most states. If you go into the hospital after one benefit period has ended a new benefit period begins. Help is available. 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. It's quick and easy! Emergency services copay cannot exceed Part A inpatient hospital deductible for each service provided by the hospital. 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. The widest choice for quality care in the region Individuals and families. You also don’t need to name one doctor as your primary care provider (PCP) or receive referrals to see a specialist. Specified copayment for outpatient hospital facility emergency services. There may be limits on physical therapy occupational therapy and speech and language pathology services If so there may be exceptions to these limits. These providers have agreed to work with your health plan to keep your costs down. 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. 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. Help is available. The plan does not cover Over-the-Counter items. Blue Cross Blue Shield of Massachusetts Formulary. Compare health plans and estimated health care coverage costs from Independence Blue Cross. 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. Blue Cross is discontinuing its Blue Choice Platinum and Blue Access Gold plans at the end of the year. Your plan will pay for a consultative visit before you select hospice. You must pay the inpatient hospital deductible for each benefit period. All the above health plans include pediatric dental coverage for members up to the end of the month the member turns age 19. Most people will pay the standard monthly Part B premium. You may go to any doctor specialist or hospital that accepts Medicare. Platinum Blue Complete Plan (Cost) (H2461-007) by Blue Cross and Blue Shield of Minnesota - Freeborn County, MN There is no limit to the number of benefit periods you can have.". Lifetime reserve days can only be used once. Covered once a year for all men with Medicare over age 50. After your first 12 months you can get one Annual Wellness Visit every 12 months. 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. Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. Platinum health insurance plans from Blue Cross and Blue Shield of Texas deliver outstanding coverage and service. Medicare covers screening mammograms once every 12 months for all women with Medicare age 40 and older. Medicare does not cover most supplemental routine screening tests like checking your cholesterol. View plan details below. Silver plans have a higher monthly premium and often lower out-of-pocket costs than bronze plans. At BlueCross BlueShield of Western New York, we offer a number of different individual and family plans. You have the flexibility to choose the plan that is best for you. 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. Find a Plan Disclaimer: The estimated and maximum costs displayed should be used for plan comparison purposes only.These amounts are provided simply to allow you to see how the different plans work in sample situations. Discover a few benefits of Blue below! Covered once a year for all men with Medicare over age 50. You must pay the inpatient hospital deductible for each benefit period. 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. Plans are insured and offered through separate Blue Cross and Blue Shield companies. Health insurance basics Tax credit calculator IBX health plans How to enroll FAQ . Supplemental routine eye exams and glasses not covered. Medicare pays for one pair of eyeglasses or contact lenses after cataract surgery. 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. Medicare covers screening mammograms once every 12 months for all women with Medicare age 40 and older. 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. Medicare-covered podiatry benefits are for medically-necessary foot care. Specified copayment for outpatient hospital facility services Copay cannot exceed the Part A inpatient hospital deductible. MediBlue Health Maintenance Organization (HMO) plans: Blue Cross Blue Shield of Georgia offers several types of HMO plans, which typically require you to use network providers for all your care. 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: … In 2012 the amounts for each benefit period are: Call 1-800-MEDICARE (1-800-633-4227) for information about lifetime reserve days. This plan is available in MN. Insurance pays 70% or ($70). Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, plan ratings, accepted doctors and more. There is no limit to the number of benefit periods you can have.". They pay no claims, thus maximizing their bottom line. 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. Individuals and families. No referral required for network doctors specialists and hospitals. "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. Emergency services copay cannot exceed Part A inpatient hospital deductible for each service provided by the hospital. Hepatitis B Vaccine for people with Medicare who are at risk. We explain the costs, coverage, eligibility, and more for these Advantage plans. If a doctor or supplier does not accept assignment their costs are often higher which means you pay more. It’s amazing that this company is … Specified copayment for outpatient hospital facility services Copay cannot exceed the Part A inpatient hospital deductible. The actual amounts you pay will vary based upon numerous factors, including the specific services received and the providers used. 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. Also worth noting is that the policies will differ from current cost plans, but they will still offer comprehensive coverage. It ends when you go for 60 days in a row without hospital or skilled nursing care. Medicare pays for one pair of eyeglasses or contact lenses after cataract surgery. Get 2019 Medicare Advantage information on Platinum Blue Core Plan with Rx (Cost) from Blue Cross Blue Shield of Minnesota. 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. Please select … 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. Welcome to Medicare Physical Exam (initial preventive physical exam) When you join Medicare Part B then you are eligible as follows. "A ""benefit period"" starts the day you go into a hospital or skilled nursing facility. Pneumococcal Vaccine. The plan covers the following supplemental education/wellness programs: Cost plan members pay Fee-for-Service cost sharing for out-of-area dialysis. 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. Cervical and Vaginal Cancer Screening. Search for low-cost generic alternatives, specialty medications, and medications that have $0 copays . In most cases, silver plans cover 70% of costs, while you cover 30%. Not covered outside the U.S. except under limited circumstances. 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 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). BCBSIL is the leader in Platinum health insurance plans in Illinois. These discounts help lower the out-of-pocket costs like your deductible, copayment and coinsurance. Log in /Register. The exception is medically necessary emergency or urgent care services, which you’ll still be covered for even if you go out of network. Welcome to Medicare Physical Exam (initial preventive physical exam) When you join Medicare Part B then you are eligible as follows. It ends when you go for 60 days in a row without hospital or skilled nursing care. document at This is only a summary. Supplemental routine hearing exams and hearing aids not covered. Breast Cancer Screening (Mammogram). However some people will pay a higher premium because of their yearly income (over. The Platinum Blue plan includes: Access to a large provider network of doctors, clinics and hospitals. Please contact plan for details. Silver plans are the only plans that offer cost sharing discounts. 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. In 2012 the amounts for each benefit period are: Call 1-800-MEDICARE (1-800-633-4227) for information about lifetime reserve days. National and regional plans offer you choices of different cost-sharing arrangements, premiums and networks. Annual glaucoma screenings covered for people at risk. Medicare Advantage (Part C) plan details and help for Platinum Blue Core Plan (Cost) offered by Blue Cross and Blue Shield of Minnesota. 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. There is no limit to the number of benefit periods you can have.". You can use any network doctor. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. 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. In 2012 the monthly Part B Standard Premium is. You must get care from a Medicare-certified hospice. Take advantage of our low-cost premium plans, $0 copay for preventive services, and coverage that is recognized nationwide. In general preventive dental benefits (such as cleaning) not covered. Diagnostic Tests X-Rays Lab Services and Radiology Services, Cardiac and Pulmonary Rehabilitation Services, Preventive Services and Wellness/Education Programs. 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. Medicare covers this test once every 12 months or up to three times during a pregnancy. 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 … You may only need the Pneumonia vaccine once in your lifetime. You pay part of the cost for outpatient drugs and inpatient respite care. If you are admitted to the hospital within 24-hour(s) for the same condition you pay. """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.". Specified copayment for outpatient partial hospitalization program services furnished by a hospital or community mental health center (CMHC). Plan covers up to 100 days each benefit period. In general preventive dental benefits (such as cleaning) not covered. You may go to any doctor specialist or hospital that accepts Medicare. Preventive dental services (such as cleaning) not covered. Medicare does not cover most supplemental routine screening tests like checking your cholesterol. Includes two counseling attempts within a 12-month period. This plan does not cover supplemental routine transportation. No coinsurance copayment or deductible for the following: Most drugs are not covered under Original 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. Bone Mass Measurement. 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. Supplemental routine eye exams and glasses not covered. Smoking Cessation (counseling to stop smoking). Covered once a year for women with Medicare at high risk. You can use any network doctor. This plan does not offer prescription drug coverage. Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. prescription drug coverage costs. Plan covers you when you travel in the U.S. No limit to the number of days covered by the plan each hospital stay. Copay cannot exceed the Part A inpatient hospital deductible. 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. Supplemental routine hearing exams and hearing aids not covered. 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: … Platinum health insurance plans from Blue Cross and Blue Shield of Illinois deliver outstanding coverage and service. prescription drug coverage costs. Learn more here. 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 must get care from a Medicare-certified hospice. 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. Not covered outside the U.S. except under limited circumstances. The cost plans affected include BCBS’s Platinum Blue plans, but there are many more plans for beneficiaries to choose from when switching over. Learn more about our non-discrimination policy and no-cost services available to you. Bronze Plans have a lower monthly premium and often higher out-of-pocket costs than Platinum, Gold, and Silver plans. Details Drug Coverage for the Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan with Rx H2461-010 (Cost) in Minnesota. 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. 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. Covered once every 2 years. Hepatitis B Vaccine for people with Medicare who are at risk. Annual glaucoma screenings covered for people at risk. If you go into the hospital after one benefit period has ended a new benefit period begins. This applies to program services provided in a doctor+s office. You may only need the Pneumonia vaccine once in your lifetime. 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. If you go into the hospital after one benefit period has ended a new benefit period begins. Most people will pay the standard monthly Part B premium. You pay part of the cost for outpatient drugs and inpatient respite care. You must pay the inpatient hospital deductible for each benefit period. The $30 you paid was applied toward your coinsurance. This plan does not cover supplemental routine transportation. 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. Medicare Advantage and Prescription Drug Plans are offered by a Medicare Advantage organization and/or Part D plan sponsor with a Medicare contract. No coinsurance copayment or deductible for the following: Most drugs are not covered under Original Medicare. Plan covers you when you travel in the U.S. No limit to the number of days covered by the plan each hospital stay. Advantage information on Platinum Blue Core plan with Rx ( cost ) is a terrible insurance company are. Occupational therapy and speech and language pathology services if so there may be limits on physical occupational... Services and Radiology services, Cardiac and Pulmonary Rehabilitation services, Cardiac Pulmonary! 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