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Medicare Advantage (Part C) Plans PPO & HMO
Florida Blue Medicare has Medicare Advantage plans to meet your health care coverage needs.
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
Choosing the Right Medicare Advantage Plan for Your Needs
You have options when it comes to Medicare Part C plans. Our Medicare Advantage (MA) plans can give you prescription drug coverage and extra benefits, like transportation services to doctor appointments and discount and reward programs. Many plans even have a $0 monthly plan premium.
Florida Blue Medicare HMO Plans
Looking for a Medicare plan that saves you money? If you prefer having one doctor to coordinate your care with specialists and other healthcare providers, one of our Medicare Advantage HMO plans could be a great choice for you.
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You choose a trusted primary care physician to coordinate your medical needs.
- With most plans, you must use in-network doctors, specialists or hospitals, with a few exceptions, like medical emergencies.
- You can benefit from our rewards programs.
Our HMO D-SNP plan provides Dual Eligible Special Needs coverage to people who have both Medicare and Medicaid.
Florida Blue Medicare PPO Plans
Do you want the savings of a provider network and the flexibility to see doctors and specialists outside the network? If you do not like to wait for a primary care doctor referral to go to a specialist, one of our Medicare Advantage PPO plans may be a better fit for your needs.
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Our PPO plans give you the opportunity to save with low out-of-pocket costs when you use in-network providers.
- With these plans, you have the option to use healthcare providers out-of-network.
- You don’t need a referral for specialist visits.
- Taking care of your health can help earn you rewards.
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:
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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.
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Copay- A flat dollar amount (for example, $10) you pay each time you receive care or fill a drug.
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Coinsurance- A percentage (for example, 10%) you pay for your care or drugs after you meet your deductible.
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Premium- A fixed, monthly amount you pay for your MA plan coverage. Many Florida Blue Part C plans have a $0 premium.
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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.
Compare Medicare Advantage Plan Benefits and Features
| HMO | HMO DSNP | PPO | |
|---|---|---|---|
Monthly Plan Premiums | $0 | $0 to $34.30 | In Select Plans |
Medical deductible | In Select Plans | ||
Limited out-of-pocket costs for care each year | |||
Hospital, ER & urgent care coverage | |||
Preventive care | |||
Non-Emergency/Non-Urgent Coverage Outside of Florida | |||
Dental Coverage | In Select Plans | ||
Vision, Hearing & Prescription Drug (Rx) Coverage | In Select Plans | ||
Mental Health & Substance Abuse Services | |||
Skilled Nursing Facility & Home Health Agency coverage | |||
Able to see specialists without a referral & not have a Primary Care Physician | |||
Able to see providers out-of-network | |||
Rx mail-order benefit | |||
Over the Counter (OTC) medication allowance | In Select Plans | In Select Plans | |
Transportation benefit | In Select Plans | ||
Meals-at-home program* | In Select Plans | ||
Fitness benefit – SilverSneakers® | |||
Member Rewards program | |||
Online Member Portal |
*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.
Call a licensed Medicare agent.
1-888-902-5708
TTY1-800-955-8770
Have questions about Medicare Advantage (Part C) plans?
Request a call from a licensed agent.
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FBM PROD 002 NF 122021
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Last Updated: 12.20.2021
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