BlueMedicare HMO PrimeTime  and BlueMedicare HMO LifeTime

BlueMedicare HMO PrimeTime and BlueMedicare HMO LifeTime are network-based plans offered by Florida Blue HMO, one of our subsidiaries. These are ideal plans for someone who wants preventative care coverage and a primary care physician to help coordinate services with contracting plan specialists and hospitals.

If BlueMedicare HMO PrimeTime and BlueMedicare HMO LifeTime members choose to go out-of-network for care, they are responsible for the entire cost of the service, however, they will be covered for medically-necessary emergencies when traveling outside of the service area.

BlueMedicare HMO PrimeTime and BlueMedicare HMO LifeTime offer zero monthly plan premiums with set copayments. What’s more, out-of-pocket costs are usually lower than Original Medicare, so it’s easy to budget health care dollars.

Plans also include Medicare Part D Prescription Drug coverage at no additional premium.

Please note that with any Medicare Advantage plan, members are required to continue paying their Medicare Part B (medical insurance) premium unless paid for by Medicaid or another third party. This is a Medicare Advantage plan, not a Medicare Supplement plan.

What are the benefits of a BlueMedicare HMO PrimeTime or BlueMedicare HMO LifeTime plan?

  • Zero plan premiums
  • Low predictable copayments
  • Extensive HMO network of pharmacies and providers
  • Includes prescription drug coverage
  • Preventive care services with no copayment
  • Worldwide emergency coverage for medically-necessary services

Who’s eligible?

Individuals are eligible for benefits if they live in the BlueMedicare HMO PrimeTime and BlueMedicare HMO LifeTime service area and:

Are entitled to Medicare Part A and are enrolled in Medicare Part B

Do not currently have ESRD (end-stage renal disease). If they develop ESRD while they are enrolled in a BlueMedicare HMO PrimeTime or BlueMedicare HMO LifeTime , they will continue to receive benefits.

Have had a kidney transplant and no longer require dialysis.

Value-added Member Services

As a member of BlueMedicare HMO PrimeTime or BlueMedicare HMO LifeTime, individuals get many quality services at no extra cost. Some of these are:

Online health management: With our e-Medicine tool, members can schedule appointments, request referrals, get prescription renewals and refills, view lab test results, and even have an e- office visit with their doctor.

Blue365®

The products and services described below are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to our plan’s grievance process.

Blue3651 is a national discount program developed by the Blue Cross Blue Shield Association (BCBSA) and delivered via the Web to support members in embracing healthy lifestyles.

Blue365 delivers tools and services, information and discounts to help Blue members manage their healthcare experience and make healthy choices.  Increasing the value of Florida Blue health insurance policies is easy with Blue365. Services and discounts include:

Weight Management

Members will receive discounts on weight management product and services that includes diet and fitness programs, fresh meal delivery, one-on-one phone coaching sessions, meal planner, exercise DVDs and more!

Vision

Discounts on comprehensive vision care including eye exams, eyewear, contact lenses, and laser vision correction services.

Hearing

Discounts on hearing screening exams, hearing aid models (including standard, programmable and digital models), free one year supply of batteries, and two complimentary follow-up visits with one year of hearing aid purchase.

Eldercare Concierge Services

Members will have access to a network of credentialed care managers with professionals located in all 50 states that provide Eldercare Concierge services.  Web-based products and services, professional care advisory services and access to National Geriatric Care Management (GCM) are available for members.

Fitness

Discounts on gym membership products, training packages, and annual assessments.

Alternative Care Discounts

Discounts on over 1700 products such as vitamins, smoking cessation programs, and more.  Members will have access to a network of over 20,000 acupuncturists, chiropractors, massage therapists, and dieticians.

Healthy Travels

Discounts on selected hotels at the best available rate room pricing at time of booking, special “Blue365 massage”, spa services and retail products.