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Medicare Plan Finder

We want to answer all of your Medicare needs. And that starts with a clear understanding of you and your life. Please take a moment to answer a few simple questions.

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Are you currently eligible for Medicare?

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Where do you live?

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I prefer to pay:

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I need coverage

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I want Medicare coverage that includes these benefits

Select all that apply

Please select one or more options to see your results.

We can only recommend a Medicare plan if you are eligible for our Medicare plans.

You should be eligible for Medicare at the age of 65 if:

  1. You are a U.S. citizen or legal resident
  2. You have resided in the United States for a minimum of 5 years
  3. You have worked at least 10 years in Medicare-covered employment
  4. You live in the Blue KC service area, which includes 32 counties in Kansas and Missouri

Based on your selections, we recommend...

Blue Medicare advantage

Access (PPO)

Advantages Include

  • Premiums as low as $65
  • Access to doctors and hospitals that accept Medicare – whether they're in- or out-of-network
  • Medicare Part D prescription drug coverage
  • Large network of doctors and hospitals in Kansas City’s nine-county service area
  • Routine hearing exams and hearing aid coverage
  • SilverSneakers® fitness membership at no additional cost
  • Preventive dental visits
  • Worldwide emergency room and urgent care coverage

Call to learn more about this plan.

Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week

Based on your selections, we recommend...

Blue Medicare advantage

Complete (HMO)

Advantages Include

  • $0 premium plan
  • All Original Medicare coverage (Part A and Part B) plus prescription drug coverage (Part D)
  • Routine hearing exams and hearing aid coverage
  • SilverSneakers® fitness membership at no additional cost
  • Worldwide emergency room and urgent care coverage

Call to learn more about this plan.

Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week

Based on your selections, we recommend...

Blue Medicare advantage

Plus (HMO)

Advantages Include

  • $29 premium plan
  • All Original Medicare coverage (Part A and Part B) plus prescription drug coverage (Part D)
  • Preventive dental visits
  • Routine eye exams, eyewear and contacts
  • Routine hearing exams and hearing aid coverage
  • SilverSneakers® fitness membership at no additional cost
  • Worldwide emergency room and urgent care coverage

Call to learn more about this plan.

Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week

Based on your selections, we recommend...

Blue Medicare advantage

Medicare Supplement (MEDIGAP)

Medicare Supplement (Medigap) insurance can help pay some of the healthcare costs that Original Medicare doesn't cover, like copayments, coinsurance and deductibles. Benefits may vary depending on whether you live in Kansas or Missouri.

Advantages Include

  • Hospitalization: Part A coinsurance plus coverage for 365 additional days after Medicare benefits end
  • Medical expenses: Part B coinsurance (generally 20% of Medicare-approved expenses) or copayments for hospital outpatient services. Certain plans require you to pay a portion of Part B coinsurance or copayments.
  • Foreign travel: Emergency care services needed for trips outside the U.S.
  • Hospice: Part A coinsurance

Call to learn more about this plan.

Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., 7 days a week

Want another recommendation?

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**Providing contact information authorizes a licensed Blue KC representative to contact you.

Know Your Medicare Advantage Options.

Blue Medicare Advantage plans conveniently combine hospital, medical, prescription and drug coverage, plus extra benefits, all-in-one plan. We offer two HMO plan options and a PPO plan option.

Complete Medicare Advantage Plan

Blue Medicare
Advantage Complete (HMO)

An HMO plan with hospital, medical and prescription drug coverage, a $0 monthly premium and no deductibles

view plan details
Plus Medicare Advantage Plan

Blue Medicare
Advantage Plus (HMO)

An HMO plan with hospital, medical and prescription drug coverage and a lower Maximum Out-of-Pocket limit

view plan details
Access Medicare Advantage Plan

Blue Medicare
Advantage Access (PPO)

A PPO plan that offers flexibility to access providers that are in the network and out of network as long as they accept Medicare

view plan details

Key Enrollment Dates

Initial Coverage Enrollment Period (IEP)

For those turning 65 (and therefore becoming eligible for Medicare for the first time), you may enroll from three months before to three months after you become eligible for Medicare.

Special Enrollment Period (SEP)

You may be able to enroll at a different time of the year. To learn more about special enrollment periods, visit http://www.medicare.gov.

Annual Enrollment Period (AEP)

From October 15 to December 7, you can switch to, drop, or join a different Medicare plan.

Annual Disenrollment Period

Medicare Advantage enrollees may leave their plans and switch to Original Medicare plus a stand-alone Part D plan (if desired) from January 1 to February 14.

Avoid Enrollment Penalties.
Enrolling in Medicare when you become eligible is critical. Penalties can include substantially higher premiums, which may be permanent. You could also face longer wait times to secure coverage. It pays to be informed – and to avoid penalties at all costs.

Benefits Comparison Chart

Medical & Hospital Benefits

Blue Medicare
Advantage (HMO)

Monthly Premium

$0 per month

Maximum Out-of-Pocket Limit*

$6,700 per year

Primary Care Provider Visits

$7 copay

Specialists Visits

$45 copay

Lab Services

$0 copay

Inpatient Hospital Care

$325 copay per day
per stay for days 1-5,
$0 copay per day
per stay for days 6-90,
$0 copay
for additional days.

Outpatient Hospital Services
(Hospital Surgery)

$325 copay

Urgent Care**

$50 copay

Emergency Care**

$80 copay

Ambulance (Ground & Air)

$290 copay

Blue Medicare
Advantage Plus (HMO)

Monthly Premium

$29 per month

Maximum Out-of-Pocket Limit*

$4,400 per year

Primary Care Provider Visits

$0 copay

Specialists Visits

$35 copay

Lab Services

$0 copay

Inpatient Hospital Care

$275 copay per day
per stay for days 1-6,
$0 copay per day
per stay for days 7-90,
$0 copay
for additional days.

Outpatient Hospital Services
(Hospital Surgery)

$275 copay

Urgent Care**

$40 copay

Emergency Care**

$80 copay

Ambulance (Ground & Air)

$290 copay

Blue Medicare
Advantage Access (PPO)

Monthly Premium

In Network

$65 per month

Out of Network

$65 per month

Maximum Out-of-Pocket Limit*

In Network

$5,500 per month

Out of Network

$10,000 per month

Primary Care Provider Visits

In Network

$35 copay

Out of Network

20% coinsurance

Specialists Visits

In Network

$35 per month

Out of Network

20% coinsurance

Lab Services

In Network

$0 copay

Out of Network

20% coinsurance

Inpatient Hospital Care

In Network

$275 copay per day
per stay for days 1-6,
$0 copay per day
per stay for days 7-90,
$0 copay
for additional days.

Out of Network

20% coinsurance

Outpatient Hospital Services
(Hospital Surgery)

In Network

$275 copay

Out of Network

20% coinsurance

Urgent Care**

In Network

$40 copay

Out of Network

$40 copay

Emergency Care**

In Network

$80 copay

Out of Network

$80 copay

Ambulance (Ground & Air)

In Network

$290 copay

Out of Network

$290 copay

* Maximum out-of-pocket limit means you will never pay more than the above dollar amount per year for your Medicare-covered medical expenses, even if you have an unexpected illness or injury. If you reach this limit, you will no longer have to pay any copays or coinsurance.

** This coverage is worldwide

Benefits Comparison Chart

Prescription Drug Benefits

Blue Medicare Advantage includes Part D prescription drug coverage, so you do not need to purchase a separate plan. Without this benefit, you could end up paying all of your prescription drug costs.

Blue Medicare
Advantage Complete (HMO)

Deductible

Preferred Pharmacies

$0

Other Network Pharmacies

$0

Preferred Generics (Tier 1)

Preferred Pharmacies

$3 copay

Other Network Pharmacies

$15 copay

Generics (Tier 2)

Preferred Pharmacies

$15 copay

Other Network Pharmacies

$20 copay

Preferred Brands (Tier 3)

Preferred Pharmacies

$42 copay

Other Network Pharmacies

$47 copay

Non-Preferred Brands (Tier 4)

Preferred Pharmacies

$95 copay

Other Network Pharmacies

$100 copay

Specialty Medications (Tier 5)

Preferred Pharmacies

33% of the cost

Other Network Pharmacies

33% of the cost

Blue Medicare
Advantage Plus (HMO)

Deductible

Preferred Pharmacies

$0

Other Network Pharmacies

$0

Preferred Generics (Tier 1)

Preferred Pharmacies

$3 copay

Other Network Pharmacies

$8 copay

Generics (Tier 2)

Preferred Pharmacies

$8 copay

Other Network Pharmacies

$13 copay

Preferred Brands (Tier 3)

Preferred Pharmacies

$35 copay

Other Network Pharmacies

$47 copay

Non-Preferred Brands (Tier 4)

Preferred Pharmacies

$90 copay

Other Network Pharmacies

$100 copay

Specialty Medications (Tier 5)

Preferred Pharmacies

33% of the cost

Other Network Pharmacies

33% of the cost

Blue Medicare
Advantage Access (HMO)

Deductible

Preferred Pharmacies

$0

Other Network Pharmacies

$0

Preferred Generics (Tier 1)

Preferred Pharmacies

$3 copay

Other Network Pharmacies

$8 copay

Generics (Tier 2)

Preferred Pharmacies

$8 copay

Other Network Pharmacies

$13 copay

Preferred Brands (Tier 3)

Preferred Pharmacies

$35 copay

Other Network Pharmacies

$47 copay

Non-Preferred Brands (Tier 4)

Preferred Pharmacies

$90 copay

Other Network Pharmacies

$100 copay

Specialty Medications (Tier 5)

Preferred Pharmacies

33% of the cost

Other Network Pharmacies

33% of the cost

We offer a mail order prescription drug benefit with a $0 copay for all Generics (Tier 1 and Tier 2), plus other potential savings available for those who like the convenience of receiving prescription drugs at home.

Benefits Comparison Chart

Valuable Extra Benefits

Blue Medicare
Advantage Complete (HMO)

SilverSneakers

Included at no additional cost

Vision

Routine Eye Exams

Eyeglass Lenses

Eyeglass Frames or Contact Lenses

Not Covered

Not Covered

Not Covered

Hearing

Routine Hearing Exams

Hearing Aids

$45 copay

Every year, $699-$999 copay 2 aids/year

Dental

Preventive Visits

Not covered

Blue Medicare
Advantage Plus (HMO)

SilverSneakers

Included at no additional cost

Vision

Routine Eye Exams

Eyeglass Lenses

Eyeglass Frames or Contact Lenses

1/year, $10 copay

1/year, $20 copay

1/year, Plan pays up to $75; member pays balance

Hearing

Routine Hearing Exams

Hearing Aids

$40 copay

Every year, $399-699 copay 2 aids/year

Dental

Preventive Visits

$40 copay

Blue Medicare
Advantage Access (PPO)

SilverSneakers

Included at no additional cost

Vision

Routine Eye Exams

Eyeglass Lenses

Eyeglass Frames or Contact Lenses

1/year, $10 copay

1/year, $20 copay

1/year, Plan pays up to $75; member pays balance

Hearing

Routine Hearing Exams

Hearing Aids

$40 copay

Every year, $399-699 copay 2 aids/year

Dental

Preventive Visits

$40 copay

This information is not a complete description of benefits. Contact the plan for more information. You may also see our Summary of Benefits for more information. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year. The Formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary. All Blue Medicare Advantage individual plans include Part D drug coverage. For HMO plan, members must use plan providers except in emergency or urgent care situations. If a member obtains routine care from an out-of-network provider without prior approval from Blue KC, neither Medicare nor Blue KC will be responsible for the costs. For PPO plan members, Blue Medicare Advantage (PPO) members are encouraged to use in-network plan providers. Out-of-network/non-contracted providers are under no obligation to treat members, except in emergency situations. For a decision about whether Blue KC will cover an out-of-network service, we encourage you or your provider to ask Blue KC for a pre-service organization determination before the service is received. Please call Blue Medicare Advantage Customer Service or refer to the Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Limitations, copayments, and restrictions may apply. Part D drug expenses are not covered under the maximum out-of-pocket limit. Our eyewear benefit is limited to one pair of eyeglass lenses and frames per year.

Anyone with Medicare Parts A and B living in the Missouri counties of Cass, Clay, Clinton, Jackson, Lafayette, Platte and Ray, or in the Kansas counties of Johnson and Wyandotte may apply to join Blue Medicare Advantage. Please note that enrollment may be limited to specific times of the year.

Medicare Coverage you can count on.

We’ve put our years of local knowledge to work building affordable, high-quality Medicare plans that meet the needs of our community across 32 counties.

  • Blue Medicare Advantage & Medicare Supplement

  • Medicare Supplement Only

  • Kansas City

Ready to Enroll?

The right Medicare Advantage plan is right around the corner. And we’ll make it easy for you to sign up.

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