Download 2013 Summary of Benefits
Medicare PPO Blue PlusRx provides more flexibility to access care. This is a comprehensive plan that provides coverage for all your Original Medicare A federally funded fee-for-service health plan that lets you go to any doctor, hospital, or other health care supplier who accepts Medicare and is accepting new Medicare patients.
benefits plus additional benefits that Medicare doesn't generally cover including Part D prescription drug coverage. You only need to show your Medicare PPO Blue PlusRx card when you get care.
You can receive services from plan providers to minimize your out-of-pocket costs, but you also have the freedom to see out-of-network physicians. You may pay more for the services you receive outside the network.
Our Medicare Advantage Plans earned 4.5 Stars out of 5 Stars for Overall Plan Rating and 5 Stars for Customer Service according to the Centers for Medicare and Medicaid Services' (CMS) ratings for 2013.1
You are entitled to Medicare Part A and enrolled in Part B.
You permanently live in Barnstable, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, or Worcester counties in Massachusetts.
You do not currently have end-stage renal disease. If you initiated dialysis treatments for end-stage renal disease but have recovered your normal kidney function and no longer require a regular course of dialysis to maintain life, or have had a successful kidney transplant, or are currently a member of Blue Cross Blue Shield of Massachusetts, you may still join the plan. In addition, if you were a member of a Medicare Advantage plan that terminated its services after December 31, 1998, and you currently have end-stage renal disease, you may still join the plan. There may be additional requirements. Please contact the plan for details.
Visit the Ready to Enroll section for information on how to enroll online or via phone or fax.
Medicare beneficiaries may also enroll in Medicare HMO Blue PlusRx through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
*Your monthly premium will be different if you qualify for Extra Help from Medicare.
1 Plan performance summary Star Ratings are assessed each year and may change from one year to the next. Centers for Medicare & Medicaid Services Health Plan Management System, Plan Rating 2013.
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