Medex® Core

This plan includes the following key features, plus more.

For more information, download our Medex brochure.

Visit the Enroll section for information on how to enroll via phone, mail, fax or online.

$93.611

per month

Enroll Now

Medex®' Core covers your co-insurance for doctor visits, home visits, and ambulatory care after you pay your annual Medicare Part B deductible. Medex Core also provides full coverage for care received outside the United States.

For detailed Medex Core benefit information, please refer to the Medex Freedom of Choice brochure or Outline of Medicare Supplement Coverage.

Blue Cross Members get significant savings and superior service on hearing health care. Blue Cross is partnering with TruHearing to provide you with access to premium hearing aids at 30 to 60% below retail and a network of more than 100 providers across Massachusetts. Learn more about TruHearing.

Benefits at a Glance

Medex Core

Monthly Plan Premium

$93.611

Plan Information

Original Medicare

Medex Core

Hospital Services

1-60 Days

Coverage for 60 days, after the $1,316 deductible2

Coverage for Medicare daily co-insurance after you pay $1,316 deductible

61-90 Days

Coverage for 61-90 days, after $329 daily co-insurance

Coverage for Medicare daily co-insurance after you pay $1,316 deductible

Lifetime Reserve

Coverage for an additional 60 lifetime reserve days, after $658 daily co-insurance

Full coverage for lifetime reserve co-insurance, then an additional 365 days per lifetime when Medicare benefits end

Skilled Nursing Facility

1-20 Days

Full coverage for 20 days in a Medicare-participating facility

Covered by Medicare

21-100 Days

Coverage for days 21-100, after $164.50 daily co-insurance

No Coverage

101+ Days

No coverage after 100 days

No Coverage

Doctor and Other Provider Services

Care in the Hospital

80% coverage of approved services, after the $183 annual Part B deductible

Coverage of 20% co-insurance, after $183 annual Part B deductible

Outpatient Department Visits, Office Visits, and Patient Home Visits

80% coverage of approved services, after the $183 annual Part B deductible

Coverage of 20% co-insurance, after $183 annual Part B deductible

Other Part B Services

Ambulance Trips, Durable Medical Equipment, etc.

80% coverage of approved services, after the $183 annual Part B deductible

Coverage of 20% co-insurance, after $183 annual Part B deductible

Foreign Travel Coverage

Travel Outside the U.S.

No Coverage

Full Coverage (same as in U.S.)

Wellness Benefits

No Coverage

Medex members may receive up to $150 per calendar year in qualified health club membership fees and exercise classes

No Coverage

Medex members may receive up to $150 per calendar year when enrolled in a qualified Weight Watchers®” program or hospital-based weight-loss program

 

Notes:
Although the $183 calendar-year Medicare medical insurance (Part B) deductible appears more than once in this benefit chart, only one $183 deductible is applicable in a calendar year.

The Medex policy defines the terms and conditions of all the Medex plans in greater detail. Should any questions arise concerning benefits, the Medex policy will govern.

Access to Doctors and Hospitals

With Medex®' Core, you can seek care from any provider participating in Medicare. There's no need to choose a primary care provider or get a referral.

Get Healthy Discounts & Programs

With Medex Core, you get access to information, support, tools, and discounts to help you be your healthiest.

Program/Discount

What It Offers

Get up to $150 per calendar year toward a qualified health club or participating Council on Aging sites.

Get up to $150 per calendar year when you join a qualified Weight Watchers®'' or a hospital-based weight loss program.

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  • You live in Massachusetts, and

  • You are entitled to Medicare Part A and enrolled in Medicare Part B, or

  • You are under age 65 and you qualify for Medicare coverage because of a disability, except for end-stage renal disease (ESRD)

Compliment your Medex Core plan with additional coverage options.

Coverage Option

Additional Coverage

$4.56 per month

Preventive:
$24.40 per month

Basic:
$37.60 per month

Premier:
$59.10 per month

Blue MedicareRx Value Plus:
$43.10 per month

Blue MedicareRx Premier:
$127.70 per month

International Travel Coverage

Rates starting at $120 per year

1

You must continue to pay your Medicare Part B premium.

2

A benefit period begins on the first day you receive services as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 consecutive days.