MEDICARE CONT.

Blue Shield 65 Plus Medicare + Choice HMO Plans:
Blue Shield 65 Plus plans have no deductibles and cover all inpatient and outpatient care covered by the Original Medicare plan. In addition, many more medical services and supplies are covered, such as annual physical exams, prescription drugs, and vision care. (Consult the chart below for more detailed info)

Eligibility- You must be a Medicare beneficiary entitled to Medicare Parts A and B, and live in one of the plan service areas.

Rates-

Benefits	Blue Shield 65 Plus
Doctor and Hospital Choice	You must go to network doctors, specialists and hospitals. You need a referral to go to network hospitals and certain doctors, including specialists, for certain services.
Monthly Premium	$0
Inpatient Hospital Care	$50/day for days 1-40 and $0/day for days 41-90 for a Medicare-covered stay in a network hospital, covered for unlimited days each benefit period
Skilled Nursing Facility	$0/day for days 1-20 and $50/day for days 21-100, covered for 100 days each benefit period
Home Health Care	No copayment for: Medicare-covered home health visits and respite care
Doctor Office Visits	$10 for each primary care doctor office visit, $20 for each specialist visit
Prescription Drugs	For each prescription or refill, $10 for formulary generic drugs up to a 30-day supply; $25 for formulary brand drugs up to a 30-day supply; $20 for mail order formulary generic drugs up to a 90-day supply; $50 for mail order formulary drugs up to a 90-day supply
Routine Physical Exams	$10 for each exam, covered for 1 exam every year

Blue Cross

Medicare + Choice HMO Plan:
Blue Cross Senior Secure-

• Low or no monthly premiums
• Low copayments for doctor office visits
• Coverage for vision, dental, and routine podiatry care
• Available in select geographic areas

Rates-

Benefits	Blue Cross Senior Secure
Doctor and Hospital Choice	You must go to network doctors, specialists and hospitals
Monthly Premium	$0-$30
Inpatient Hospital Care	Member pays $160/$165 per day until the $2,100 annual out-of-pocket maximum has been reached
Skilled Nursing Facility	100% up to 100 days per benefit period
Doctor Office Visits	$5/$10 Primary Care; $10/$15 Specialist
Prescription Drugs (on Senior Secure Approved List)	For each prescription or refill, $8 for generic drugs up to a 30-day supply; $20 for mail order generic drugs up to a 90-day supply
Routine Physical Exams	After a $5/$10 copay, pays 100% of expenses

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