BlueMedicare PPO

BlueMedicare PPO members have the freedom to choose their own doctors and hospitals, with no referrals necessary for most health care services. They can choose providers from our extensive BlueMedicare PPO network and enjoy $0 deductible and affordable copayments, or visit out of-network providers for a higher out-of-pocket cost.

Additionally, members enjoy Medicare Part D Prescription Drug coverage for generic and brand name drugs, and mail order pharmacy benefits are included for their convenience at no additional costs.

Please note that with any Medicare Advantage plan, members are required to continue paying your 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 PPO plan?

  • Modest, predictable copayments and coinsurance
  • Freedom to choose their own doctors and hospitals
  • Extensive PPO network
  • Includes prescription drug coverage
  • Preventive care services with no copayment
  • In-network travel coverage when using another Blue Cross and Blue Shield plan’s Medicare Advantage PPO network
  • Worldwide emergency coverage for medically-necessary services regardless of network

Who’s eligible?

Individuals are eligible for benefits if they live in the BlueMedicare PPO 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 PPO, 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 PPO, 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, get prescription renewals and refills, view lab test results, and even have an e- office visit with your doctor.