Medicare Advantage Plans
Blue Medicare Advantage
Plus (HMO)
$29 Premium Plan. $0 Deductibles. 0 Hassles.
Plan Overview
With this HMO product, you get hospital, medical and prescription drug coverage, plus extra benefits, all in one plan. Blue Medicare Advantage Plus has a monthly premium of $29, no deductibles and an in-network Maximum Out-of-Pocket limit of $4,400. This means that if you get sick or need a high cost procedure, your copays are capped once you pay the $4,400. 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 and refer you to specialty care.
To join, you must be entitled to Medicare Part A, be enrolled in Medicare Part B, and live in our service area. The Blue KC service area includes these counties in Kansas: Johnson and Wyandotte. And these counties in Missouri: Cass, Clay, Clinton, Jackson, Lafayette, Platte and Ray.
Advantages Include
- An all-in-one plan
- $29 monthly premiums
- 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
- 24-hour Nurseline
- Member Rewards program
- Preventive dental visits
- Worldwide emergency room and urgent care coverage
- $0 deductibles for Medicare Part A and Part B
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.
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:
- You are a U.S. citizen or legal resident
- You have resided in the United States for a minimum of 5 years
- You have worked at least 10 years in Medicare-covered employment
- 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
- $49 premium
- Access to a nationwide network of doctors and hospitals
- 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
- 24-hour Nurseline
- Member Rewards program
- Preventive dental visits
- Worldwide emergency room and urgent care coverage
- $0 deductibles for Medicare Part A and Part B
Call to learn more about this plan.
Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., Monday - Friday
Based on your selections, we recommend...
Blue Medicare advantage
Essential (PPO)
Advantages Include
- $15 premium
- Access to a nationwide network of doctors and hospitals
- 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
- 24-hour Nurseline
- Member Rewards program
- Worldwide emergency room and urgent care coverage
- $0 deductibles for Medicare Part A and Part B
Call to learn more about this plan.
Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., Monday - Friday
Based on your selections, we recommend...
Blue Medicare advantage
Complete (HMO)
Advantages Include
- $0 premium plan
- Large network of doctors and hospitals in Kansas City’s nine-county service area
- 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
- 24-hour Nurseline
- Member Rewards program
- Worldwide emergency room and urgent care coverage
- $0 deductibles for Medicare Part A and Part B
Call to learn more about this plan.
Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., Monday - Friday
Based on your selections, we recommend...
Blue Medicare advantage
Plus (HMO)
Advantages Include
- $29 premium
- Large network of doctors and hospitals in Kansas City’s nine-county service area
- 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
- 24-hour Nurseline
- Member Rewards program
- Worldwide emergency room and urgent care coverage
- $0 deductibles for Medicare Part A and Part B
Call to learn more about this plan.
Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., Monday - Friday
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., Monday - Friday
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Medical & Hospital Benefits
| Monthly Premium |
$29 per month |
|---|---|
| Maximum Out-Of-Pocket Limit* |
$4,400 per year |
| Primary Care Provider Visits |
$0 copay |
| Specialist Visits |
$35 copay |
| Podiatrist Visits |
$40 copay |
| Lab Services |
$0 copay |
| Inpatient Hospital Care |
$285 copay per day for days 1-6, |
| Outpatient Hospital Services (Hospital Surgery) |
$275 copay |
| Urgent Care** |
$40 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$12 copay |
| Preferred Brands |
Network Pharmacies$47 copay |
| Non-Preferred Brands |
Network Pharmacies$100 copay |
| Specialty Medications |
Network Pharmacies33% of the cost |
We offer a mail order prescription drug benefit with a $0 copay for all Generics (Tier 1 and Tier 2) at retail or mail order.
Valuable Extra Benefits
| SilverSneakers |
Included at no additional cost |
|---|---|
| 24-Hour Nurseline |
Included at no additional cost |
VisionRoutine Eye Exams Eyeglass Lenses Eyeglass Frames or Contact Lenses |
$10 copay/one per year $20-$85 copay $75 allowance per year for eyeglass frames or contact lenses |
| In-Network routine vision exams offered through EyeMed Insight Network providers only. | |
HearingRoutine Hearing Exams Hearing Aids |
$40 copay/one per year $399-$699 copay per aid |
| In-Network routine hearing exam and Hearing Aids offered through TruHearing providers only. TruHearing Advanced and Premium hearing aids only. |
|
DentalPreventive Visits |
$40 copay |
Plan Resources
- Annual Notice of Change
- Evidence of Coverage
- Extra Help - Low Income Subsidy Information
- Summary of Benefits
- Comprehensive Prescription Drug Formulary – Blue Medicare Advantage HMO
- Prescription Drug Formulary Change Notice – Blue Medicare Advantage HMO Plan – Changes effective in 30 days
- Prescription Drug Formulary Change Notice – Blue Medicare Advantage HMO Plan – Changes effective in 60 days
- Blue Medicare Advantage (HMO) Plus Provider Directory
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