Medex 2 Benefits at a Glance
Benefit You Pay
Office visits (sick care/non-preventive) Full coverage of Medicare deductible and co-insurance
Emergency room Full coverage after member pays $50 per visit
Inpatient hospital care Full coverage of Medicare deductible and co-insurance

Full coverage of lifetime reserve day co-insurance

Full coverage up to 365 additional hospital days in your lifetime when Medicare benefits are used up
Outpatient surgery Full coverage of Medicare deductible and co-insurance
CT scan, MRI's, and other imaging tests Full coverage of Medicare deductible and co-insurance

 

Summary of Benefits Download Summary of Benefits
Prescription Drug Coverage

For prescription drug coverage, you also need to enroll in Blue MedicareRxSM. Covered medications are separated into three tiers, and the amount you pay depends on the medication's tier. You pay the following until your total yearly drug costs reach $3,310. For more information, download the Summary of Benefits.

Prescription Drug Benefits You Pay
Retail pharmacies (one-month supply)

$10 for generic drugs
$25 for preferred drugs
$40 for non-preferred drugs
Retail pharmacies (three-month supply)

$30 for generic drugs
$75 for preferred drugs
$120 for non-preferred drugs
Mail order pharmacy (up to a 90-day supply)

$10 for generic drugs
$25 for preferred drugs
$40 for non-preferred drugs
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