Medicare PPO Blue ValueRx provides coverage for your Original Medicare 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 ValueRx card when you get care.
You have access to both in-network and out-of-network providers with no referral requirements. Your cost-share for in- and out-of-network covered services is the same in most cases. However, there are a few benefits where you may have higher out-of-pocket costs if you go 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 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 more information.
Visit the Enroll section for information on how to enroll online or via phone or fax.
Medicare beneficiaries may also enroll in Medicare PPO Blue ValueRx 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.