Medex 2 Benefits at a Glance
Benefit Medex provides
Office visits, accident treatment, sudden and serious medical emergency treatment, surgery, radiation therapy, X-ray and lab tests, podiatrists' services, durable medical equipment, and cardiac rehabilitation services Full coverage of Medicare deductible and co-insurance
Inpatient hospital care — including surgical services, X-rays and laboratory tests, anesthesia, drugs and medications, and intensive care services Full coverage of Medicare deductible and co-insurance
Skilled nursing facility — participating with Medicare Full coverage of Medicare daily co-insurance for days 21–100
$10 daily for days 101–365
Physical therapy, speech pathology, and occupational therapy — professional provider outpatient services approved by Medicare Full coverage of Medicare deductible and co-insurance

 

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Prescription Drug Coverage

Your plan includes prescription drug coverage through our Blue MedicareRxSM (PDP) plan. 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 $2,850.

Prescription Drug Benefit You Pay (In-Network Costs)
Retail pharmacies

$10 for Tier 1
$20 for Tier 2
$35 for Tier 3
Mail service pharmacy (up to a 90-day supply)

$20 for Tier 1
$40 for Tier 2
$70 for Tier 3
Summary of Benefits Summary of Benefits




Summary of Benefits Mail Service Order Form




Summary of Benefits List of Covered Drugs