Medicare Advantage Plans
Blue Medicare Advantage
Plus (HMO)
An HMO plan with hospital, medical and prescription drug coverage and a lower maximum out-of-pocket limit.
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 $34, no deductibles and an in-network maximum out-of-pocket limit of $4,800. This means that if you get sick or need a high cost procedure, your copays are capped once you pay the $4,800. 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 one of these counties in Kansas: Johnson and Wyandotte, and these counties in Missouri: Cass, Clay, Clinton, Jackson, Lafayette, Platte and Ray.
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
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
You are outside Blue KC’s 32-county service area. To see available Medicare plans offered by Blue Cross and Blue Shield companies, click here.
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
Success, we’ve emailed your Blue KC Medicare plan recommendation!
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)
$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
Success, we’ve emailed your Blue KC Medicare plan recommendation!
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)
$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
Success, we’ve emailed your Blue KC Medicare plan recommendation!
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)
$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
Success, we’ve emailed your Blue KC Medicare plan recommendation!
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)
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.
Success, we’ve emailed your Blue KC Medicare plan recommendation!
Call to learn more about this plan.
Call 1-855-208-8246 (TTY: 711) 8 a.m. to 8 p.m., Monday-Friday
Want another recommendation?
You've Got Questions. We've Got Answers.
Share your contact information, and we’ll reach out.**
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Medical & Hospital Benefits
| Monthly Premium |
$34 per month |
|---|---|
| Medical Deductible |
$0 |
| Maximum Out-Of-Pocket Limit* |
$4,800 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 |
20% coinsurance |
| Outpatient Hospital Surgery |
$285 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 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 |
|
VisionRoutine Eye Exams Diabetic Eye Exams Eyewear Allowance |
$0 copay/one per year $0 copay/one per year $300 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. | ||
HearingRoutine Hearing Exams Hearing Aids |
$0 copay/one per year $399-$699 copay per aid |
|
| Hearing Aids offered through TruHearing™ providers only. Advanced and Premium hearing aids only. | ||
DentalPreventive 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:
The maximum gift card reward per member is $50 per plan year. |
|
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
- Blue Medicare Advantage (HMO) Plus Provider Directory
Sheri Blue KC Medicare Expert
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