Physical therapy and speech and language therapy visit Outpatient individual therapy visit with a psychiatrist Outpatient group therapy visit with a psychiatrist Prosthetics (e.g., braces, artificial limbs) Prosthodontics, other oral/maxillofacial surgery, other servicesĭiagnostic radiology services (e.g., MRI)ĭurable medical equipment (e.g., wheelchairs, oxygen) Additionally, you can choose a plan that has your drugs listed at a lower price.Ģ021 BlueMedicare Premier (HMO) Summary of Benefits Drugs in lower tiers will usually cost less than those in higher tiers.By reviewing different Medicare Drug formularies, you can pick a Medicare Advantage plan that covers your medications. Each tier will have a defined copay that you must pay to receive the drug. This Florida Blue HMO plan does offer additional coverage through the gap.īlueMedicare Premier (HMO) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. (AKA 'donut hole') You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. (combined amount plus your deductible) You will be in the coverage gap. In 2021 once you and your plan provider have spent $4130 on covered drugs. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Supplemental Premium is $0 this Premium covers any enhanced plan benefits offered by Florida Blue HMO above and beyond the standard PDP benefits. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. This Florida Blue HMO plan offers a $0 Part D Basic Premium that is not below the regional benchmark. You generally are also responsible for paying the Part B premium.īlueMedicare Premier (HMO) has a monthly drug premium of $0 and a $0 drug deductible. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.Ģ021 Florida Blue HMO Medicare Advantage Plan Costs Name:īlueMedicare Premier (HMO) Part-C Premiumįlorida Blue HMO plan charges a $0 Part-C premium. Plus you receive all of the benefits of Original Medicare from Florida Blue HMO except hospice care. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Florida Blue HMO and not Original Medicare. If you decide to sign up for BlueMedicare Premier (HMO) you still retain Original Medicare. Adobe audition cc mac download.įlorida Blue HMO works with Medicare to provide significant coverage beyond Part A and Part B benefits. Services received from an out-of-network provider are not typically covered by the plan. You will need your PCPs okay, called a referral. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. Your PCP will serve as your personal doctor to provide all of your basic healthcare services. Health maintenance organizations require that you select a primary care physician (PCP). With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. This can be a extremely nice safety net.īlueMedicare Premier (HMO) is a Local HMO. This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $2,500 out of pocket. The BlueMedicare Premier (HMO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $2,500 (MOOP). This plan includes additional Medicare prescription drug (Part-D) coverage. Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including.īlueMedicare Premier (HMO) H1035-023 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Florida Blue HMO available to residents in Florida. Diagnostic Imaging such as MRIs, CT, and PET scans. Laboratory Outpatient and Professional Services. Primary Care Visit to Treat an Injury or Illness.
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