Plan Overview

With this HMO product, you get hospital, medical and prescription drug coverage, plus extra benefits, all in one plan. Blue Medicare Advantage Complete has a $0 monthly premium, no deductibles and an in-network maximum out-of-pocket limit of $6,200. You'll be required to get most of your care from an in-network provider. You'll also be asked to choose a primary care physician who will provide your basic healthcare services.

To join, you must be entitled to Medicare Part A, be enrolled in Medicare Part B, and live in these counties in Kansas: Johnson and Wyandotte, and these counties in Missouri: Cass, Clay, Clinton, Jackson, Lafayette, Platte and Ray.


Advantages Include

  • $0 monthly premium
  • No yearly deductibles
  • Medicare Part D prescription drug coverage
  • Vast, local network of doctors and hospitals
  • No referral requirements
  • $500 yearly dental allowance
  • $150 annual eyewear allowance
  • Routine hearing exams and hearing aid coverage
  • Monthly $25 over-the-counter items allowance
  • SilverSneakers® fitness membership at no additional cost
  • 24-hour Nurseline
  • Member Rewards program - $25 gift cards for completing $0 cost-sharing services
  • Acupuncture coverage
  • Non-emergency medical transportation
  • Post-discharge meals

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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)

$49

month

Advantages Include

  • $49 monthly premium
  • Access to a nationwide network of doctors and hospitals
  • Part D prescription drug coverage
  • Large network of doctors and hospitals in Kansas City’s 10-county service area
  • No referral requirements
  • $750 yearly dental allowance
  • $300 annual eyewear allowance
  • Routine hearing exams and hearing aid coverage
  • Monthly $25 over-the-counter items allowance
  • SilverSneakers® fitness membership at no additional cost
  • 24-hour Nurseline
  • Member Rewards program - $25 gift cards for completing $0 cost-sharing services
  • Acupuncture coverage
  • Non-emergency medical transportation
  • Post-discharge meals

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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

Essential (PPO)

$0

month

Advantages Include

  • $0 monthly premium
  • Low $3,300 annual out-of-pocket maximum
  • Access to a nationwide network of doctors and hospitals
  • Part D prescription drug coverage
  • Large network of doctors and hospitals in Kansas City’s 10-county service area
  • No referral requirements
  • $750 yearly dental allowance
  • $350 annual eyewear allowance
  • Routine hearing exams and hearing aid coverage
  • Monthly $25 over-the-counter items allowance
  • SilverSneakers® fitness membership at no additional cost
  • 24-hour Nurseline
  • Member Rewards program - $25 gift cards for completing $0 cost-sharing services
  • Acupuncture and therapeutic massage coverage
  • Non-emergency medical transportation
  • Post-discharge meals

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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)

$0

month

Advantages Include

  • $0 monthly premium
  • No yearly deductibles
  • Medicare Part D prescription drug coverage
  • Vast, local network of doctors and hospitals
  • No referral requirements
  • $500 yearly dental allowance
  • $150 annual eyewear allowance
  • Routine hearing exams and hearing aid coverage
  • Monthly $25 over-the-counter items allowance
  • SilverSneakers® fitness membership at no additional cost
  • 24-hour Nurseline
  • Member Rewards program - $25 gift cards for completing $0 cost-sharing services
  • Acupuncture coverage
  • Non-emergency medical transportation
  • Post-discharge meals

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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)

$34

month

Advantages Include

  • $34 monthly premiums
  • No yearly deductibles
  • Medicare Part D prescription drug coverage
  • Vast, local network of doctors and hospitals
  • No referral requirements
  • $500 yearly dental allowance
  • $300 annual eyewear allowance
  • Routine hearing exams and hearing aid coverage
  • Monthly $25 over-the-counter items allowance
  • SilverSneakers® fitness membership at no additional cost
  • 24-hour Nurseline
  • Member Rewards program - $25 gift cards for completing $0 cost-sharing services
  • Acupuncture coverage
  • Non-emergency medical transportation
  • Post-discharge meals

Share this plan with yourself (or someone else) to review later.

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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)

starting at

$130

month*

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

*Quote based on state, gender, product availability and underwriting.

These policies have limitations. For costs and complete details of the coverage, call us today.

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

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Medical & Hospital Benefits

Monthly Premium

$0 per month
Medical Deductible

$0
Maximum Out-Of-Pocket Limit*

$6,200 per year
Primary Care Provider Visits

$5 copay
Specialist Visits

$45 copay
Podiatrist Visits

$45 copay
Lab Services

$0 copay
Inpatient Hospital Care

$300 copay per day for days 1-5,
$0 copay per day for days 6-90,
$0 copay for additional days
Outpatient Hospital Services

20% coinsurance
Outpatient Hospital Surgery

$300 copay
Urgent Care**

$50 copay
Emergency Care**

$90 copay
Ambulance (Ground and Air)

$290 copay

* Maximum out-of-pocket limit means you’ll 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’ll no longer have to pay any copays or coinsurance.

** Blue Medicare Advantage provides worldwide emergency room and urgent care coverage.

Prescription Drug Benefits

Deductible
Network Pharmacies

$0
Preferred Generics
Network Pharmacies

$3 copay
Generics
Network Pharmacies

$20 copay
Preferred Brands
Network Pharmacies

$47 copay
Non-Preferred Brands
Network Pharmacies

$100 copay
Specialty Medications
Network Pharmacies

33% of the cost

We offer a 90-day mail order and retail drug benefit with a $0 copay for all Tier 1 and Tier 2 prescription drugs.

Valuable Extra Benefits

SilverSneakers

Included at no additional cost
24-Hour Nurseline

Included at no additional cost
Vision

Routine Eye Exams

Diabetic Eye Exams

Eyewear Allowance

$0 copay/one per year

$0 copay/one per year

$150 eyewear allowance (eyewear or contact lenses)
Get the most out of your vision benefits by using an EyeMed Insight in-network provider. Members receive a $0 copay on routine exams when using the EyeMed Insight network.
Hearing

Routine Visits

Hearing Aids

$0 copay/one per year

$699 - $999 copay per aid
Hearing Aids offered through TruHearing™ providers only. Advanced and Premium hearing aids only.
Dental

Preventive and Comprehensive Visits

$500 allowance per year
Preventive and comprehensive in-network dental services should be delivered by and are limited to DentaQuest network providers.
Acupuncture

$20 copay per visit/20 visits per year

Get the most out of your acupuncture benefit by using an American Specialty Health (ASH) in-network provider.
Over-the-Counter Item Allowance

$25/month
Worldwide Coverage

Worldwide emergency room and urgent care included
Non-Emergency Medical Transportation

12 one-way trips per year, limited to ground transportation (examples: medical appointments or prescription pick-up)
Transportation offered through ALC Solutions.
Post-Discharge Meals

Up to 14 fresh, locally prepared meals delivered to your home post inpatient facility stay.
Member Rewards Program

The Member Rewards Program is available to all Blue Medicare Advantage members. The program rewards members with $25 gift cards to popular retailers for completing varying activities. Members can earn a $25 gift card for the following $0 cost-sharing services:

  • Annual Wellness Exam or other qualified wellness visits
  • Breast cancer screening
  • Diabetic eye exams
  • Flu vaccine

The maximum gift card reward per member is $50 per plan year.

Plan Resources

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