Plans with $0 monthly premiums
All the benefits of Original Medicare (Parts A and B)
Usually includes Part D prescription drug coverage
Extra dental, hearing and vision benefits at no additional cost
Up to $170 in gift cards for preventive care with HealthyBlue Rewards
Low or no copay to see a primary care doctor
SilverSneakers® Fitness program
Comprehensive network of providers
Personalized service and expert guidance
What Does a Medicare Advantage Plan Cost?
Like Original Medicare, Medicare Advantage (Part C) plans share the cost of care through deductibles, co-payments (copays) and co-insurance. These costs vary by plan. Our HMO plans offer $0 premiums, low out-of-pocket costs, and low prescription drug costs. While our PPO plans cost a bit more for the opportunity to go out-of-network and see specialists without a referral, they still offer low out-of-pocket costs for in-network visits.
Medicare Advantage plans also have an out-of-pocket-maximum. Once you reach the maximum, your Medicare Advantage plan pays 100% toward Medicare covered services and you don’t pay anything.
Your Original Medicare (Parts A and B) costs may include:
Deductible - The amount you pay before Florida Blue Medicare begins to pay its share of the cost. Some MA plans have a separate drug deductible before they start to pay for your prescriptions.
Copay - A flat dollar amount (for example, $10) you pay each time you receive care or fill a drug.
Coinsurance - A percentage (for example, 10%) you pay for your care or drugs after you meet your deductible.
Premium - A fixed, monthly amount you pay for your MA plan coverage. Many Florida Blue Part C plans have a $0 premium.
Out-of-pocket maximum - The most you pay for covered health care services during your plan’s calendar year. All of your Medicare-covered expenses go toward this maximum.
*This benefit is part of special supplemental benefits and not all members will qualify. You may be eligible for this benefit if you have been diagnosed as having one or a combination of Coronary Artery Disease (CAD), Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), and/or Diabetes. See Special Supplemental Benefits for the Chronically Ill (SSBCI) in the HMO-DSNP Evidence of Coverage for full eligibility requirements. Any unused amount does not roll over to the next month.
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