Medicare HMO Blue PlusRx provides coverage for 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 HMO Blue PlusRx card when you get care.
Medicare HMO Blue PlusRx has a provider network and offers you a choice of primary care physicians to coordinate your routine care. You get routine care from a network primary care provider A doctor who is trained to give you basic care. In many Medicare managed care plans, you must see your primary care doctor before you see any other health care provider. .
Your primary care provider coordinates your care with specialists, hospitals, and other network providers.
This plan includes routine preventive dental, vision, and hearing benefits.
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 2014.1
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 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.
*Your monthly premium will be different if you qualify for Extra Help from Medicare.
1 Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.