diagnostic radiology services (not including X-rays), Cervical and Vaginal Cancer Screening (Pap Test and Pelvic Exam), Personalized Prevention Plan Services (Annual Wellness Visits), Prostate Cancer Screening (Prostate Specific Antigen (PSA) test only), Smoking Cessation (Counseling to stop smoking), Welcome to Medicare Physical Exam (Initial Preventive Physical Exam). Cervical and Vaginal Cancer Screening. If you go into the hospital after one benefit period has ended a new benefit period begins. There is no limit to the number of benefit periods you can have.". You may go to any doctor specialist or hospital that accepts Medicare. If you ever do reach a rep, they are trained to communicate that they will not pay in a claim- based on some non- sensible insurance scam. Take advantage of our low-cost premium plans, $0 copay for preventive services, and coverage that is recognized nationwide. Lifetime reserve days can only be used once. No referral required for network doctors specialists and hospitals. Platinum Blue Choice Plan (Cost) (H2461-006) by Blue Cross and Blue Shield of Minnesota - Houston County, MN yearly drug costs reach $4,0201 25% of the plan’s costs for covered generic drugs; no more than 25% of the plan’s costs for covered brand-name drugs Catastrophic coverage Amount you pay after your total yearly out-of-pocket drug costs reach $6,3502 For all plans, you pay the greater of: … Also worth noting is that the policies will differ from current cost plans, but they will still offer comprehensive coverage. Important Questions Answers Why this Matters: What is the overall Smoking Cessation (counseling to stop smoking). Supplemental routine eye exams and glasses not covered. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. Silver plans are the only plans that offer cost sharing discounts. You must pay the inpatient hospital deductible for each benefit period. Blue Cross Blue Shield Medicare Advantage Plans. There may be limits on physical therapy occupational therapy and speech and language pathology services If so there may be exceptions to these limits. This plan does not cover supplemental routine transportation. Emergency services copay cannot exceed Part A inpatient hospital deductible for each service provided by the hospital. There is no limit to the number of benefit periods you can have.". The widest choice for quality care in the region Individuals and families. In general preventive dental benefits (such as cleaning) not covered. In most cases, silver plans cover 70% of costs, while you cover 30%. You can add prescription drug coverage to Original Medicare by joining a Medicare Prescription Drug Plan or you can get all your Medicare coverage including prescription drug coverage by joining a Medicare Advantage Plan or a Medicare Cost Plan that offers prescription drug coverage. No coinsurance copayment or deductible for the following: Most drugs are not covered under Original Medicare. This plan is available in MN. Get 2019 Medicare Advantage information on Platinum Blue Core Plan with Rx (Cost) from Blue Cross Blue Shield of Minnesota. Blue Cross Blue Shield is a terrible insurance company. If you go to out-of-network doctors the plan may not cover the services but Medicare will pay its share for Medicare-covered services When Medicare pays its share you pay the Medicare Part B deductible and coinsurance. NOT covered outside the U.S. except under limited circumstances. Covered once a year for women with Medicare at high risk. National and regional plans offer you choices of different cost-sharing arrangements, premiums and networks. Most people will pay the standard monthly Part B premium. Medicare covers this test once every 12 months or up to three times during a pregnancy. Medicare pays for one pair of eyeglasses or contact lenses after cataract surgery. In 2012 the amounts for each benefit period are: Call 1-800-MEDICARE (1-800-633-4227) for information about lifetime reserve days. Specified copayment for outpatient partial hospitalization program services furnished by a hospital or community mental health center (CMHC). Specified copayment for outpatient hospital facility emergency services. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. You must get care from a Medicare-certified hospice. Emergency services copay cannot exceed Part A inpatient hospital deductible for each service provided by the hospital. You may only need the Pneumonia vaccine once in your lifetime. Preventive dental services (such as cleaning) not covered. Diagnostic lab services are done to help your doctor diagnose or rule out a suspected illness or condition. Smoking Cessation (counseling to stop smoking). This means that if you get sick or need a high cost procedure your co-pays are capped once you pay out of pocket $4,000 this can be a very nice safety net. Blue Cross Medicare Advantage plans are offered in most states. Medicare covers one baseline mammogram for women between ages 35-39. Search for low-cost generic alternatives, specialty medications, and medications that have $0 copays . Plan covers you when you travel in the U.S. No limit to the number of days covered by the plan each hospital stay. Log in /Register. Your plan will pay for a consultative visit before you select hospice. Medicare-covered chiropractic visits are for manual manipulation of the spine to correct subluxation (a displacement or misalignment of a joint or body part) if you get it from a chiropractor or other qualified providers. You can use any network doctor. You can use any network doctor. Specified copayment for outpatient hospital facility emergency services. However some people will pay a higher premium because of their yearly income (over. It ends when you go for 60 days in a row without hospital or skilled nursing care. Bone Mass Measurement. If you are admitted to the hospital within 24-hour(s) for the same condition you pay. In general preventive dental benefits (such as cleaning) not covered. Breast Cancer Screening (Mammogram). Blue Shield of California is an independent member of the Blue Shield Association. The choice is always yours to make, but you may be responsible for much higher out-of-pocket costs when you seek care out of the PPO network. Most people will pay the standard monthly Part B premium. For more information, visit socialsecurity.gov, call Social Security at 1-800-772-1213, or apply for help at your State Medical Assistance (Medicaid) office. Pneumococcal Vaccine. If you visit a doctor outside of your network, you may have to pay more for your care. If you go into the hospital after one benefit period has ended a new benefit period begins. Plan covers up to 100 days each benefit period. This limitation does not apply to inpatient psychiatric services furnished in a general hospital. Details Drug Coverage for the Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan H2461-007 (Cost) in Minnesota. Welcome to Medicare Physical Exam (initial preventive physical exam) When you join Medicare Part B then you are eligible as follows. After your first 12 months you can get one Annual Wellness Visit every 12 months. This applies to program services provided in a doctor+s office. This plan does not cover supplemental routine transportation. Medicare covers screening mammograms once every 12 months for all women with Medicare age 40 and older. Covered once a year for women with Medicare at high risk. Please fill out the form below and a Blue Cross and Blue Shield of Texas authorized agent will contact you within 1 to 2 business days. It ends when you go for 60 days in a row without hospital or skilled nursing care. These providers have agreed to work with your health plan to keep your costs down. """Partial hospitalization program"" is a structured program of active outpatient psychiatric treatment that is more intense than the care received in your doctor's or therapist's office and is an alternative to inpatient hospitalization.". yearly drug costs reach $4,1301 25% of the plan’s costs for covered generic drugs; no more than 25% of the plan’s costs for covered brand-name drugs Catastrophic coverage Amount you pay after your total yearly out-of-pocket drug costs reach $6,5502 For all plans, you pay the greater of: … In 2012 the amounts for each benefit period after at least a 3-day covered hospital stay are: "A ""benefit period"" starts the day you go into a hospital or SNF. Please select … Preventive dental services (such as cleaning) not covered. The exception is medically necessary emergency or urgent care services, which you’ll still be covered for even if you go out of network. The plan covers the following supplemental education/wellness programs: Cost plan members pay Fee-for-Service cost sharing for out-of-area dialysis. Lab Services: Medicare covers medically necessary diagnostic lab services that are ordered by your treating doctor when they are provided by a Clinical Laboratory Improvement Amendments (CLIA) certified laboratory that participates in Medicare. Medicare Advantage (Part C) plan details and help for Platinum Blue Core Plan (Cost) offered by Blue Cross and Blue Shield of Minnesota. You can add prescription drug coverage to Original Medicare by joining a Medicare Prescription Drug Plan or you can get all your Medicare coverage including prescription drug coverage by joining a Medicare Advantage Plan or a Medicare Cost Plan that offers prescription drug coverage. HIV screening is covered for people with Medicare who are pregnant and people at increased risk for the infection including anyone who asks for the test. Cervical and Vaginal Cancer Screening. The actual amounts you pay will vary based upon numerous factors, including the specific services received and the providers used. Each counseling attempt includes up to four face-to-face visits. If you have limited income and resources, you may qualify for help paying your Medicare health care and/or In 2012 the amounts for each benefit period are: Call 1-800-MEDICARE (1-800-633-4227) for information about lifetime reserve days. 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