The attached documents contain information for you to review today. Use your drug discount card to save on medications for the entire family ‐ including your pets. Note that companies can be upgraded or downgraded based on the performance and quality they demonstrated the previous year, so its important to have the most updated information. Change to another Medicare Advantage plan, Leave your Florida Blue Medicare Advantage plan and return to Original Medicare, Apply for Medicare Part D if you are leaving a Florida Blue Medicare Advantage plan that included prescription drug coverage. WebMedicare Advantage Plan with Part D Prescription Drug Coverage BlueMedicare Value (PPO) H5434-030 1/1/2022 12/31/2022 The plans service area includes: Charlotte, Collier and Services received at a hospital facility's Emergency department, including both Professional and Facility services. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN Formulary ID 00021184, Version 21 This formulary was updated on 11/19/2021. ? Currently it represents 18 organizations, which offers 52,101 products in your area. In several counties, only one Florida Blue Medicare Advantage plan is available at a cost of $52 per month. We do not feature every plan available in your area. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. Medicare evaluates plans based on a 5-Star rating system. For some people, latitude with network and referral requirements is critical. gcse.type = 'text/javascript'; For these tiers, you continue to pay the same cost-sharing amounts as in the Initial Coverage Stage. Enroll on the phone or online! This page features plan details for 2023 BlueMedicare Value (PPO) Medicare uses a five-star rating system for Medicare Advantage, Medicare drug plans, and Medicare Cost plans. The benefit information provided is a brief summary, not a complete description of benefits. Call Now For A Free Quote. You stay in the coverage gap until your total out-of-pocket drug costs reach the Initial Coverage Limit. $125 copay per day for days 1-6. , Although zero-premium HMO and PPO plans are available in some areas, more and more PPO plans are charging a premium. gcse.src = (document.location.protocol == 'https:' ? Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. Our insurance agents stay abreast of these changes and can help you find five-star plans in your county. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. If a service isnt covered by a members Medicare Advantage benefit plan, you are required by law to inform members in writing and in advance of treatment, outlining their financial responsibility. Medicare has neither reviewed nor endorsed the information on our site. 2023 Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. All rights reserved. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; , Health coverage is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. Thank you! 'https:' : 'http:') + gcse.async = true; Not all plans offer all of these benefits. See the Part D Premium Reduction section below for more details. Part B Premium give-back is not available with all plans. Able to travel outside of the state for emergency planned and consultative care and still have in-network cost-share, if care is needed. Web4. , D-SNP plans are contracted to coordinate benefits between the programs to help you pay coinsurance, copayments, deductibles, and premiums. Enjoy some of these extra benefits included in your plan, Routine DentalRoutine VisionRoutine HearingSilverSneakers Fitness ProgramTelehealth ServicesAt Home CareCaregiver SupportOver- the-CounterHealth Education, Routine Dental Routine Vision Routine Hearing SilverSneakers Fitness Program Telehealth Services At Home Care Caregiver Support Over- the-Counter Health Education, If you receive care from an out-of-network provider, your out-of-pocket costs will usually be higher than if you use a network provider. This plan does not charge an annual deductible for all drugs. Ready to sign up for BlueMedicare Value (PPO) BlueMedicare Value (PPO) , Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life. Prior Authorization is required for non-emergency Inpatient Hospital stays. In the coverage gap, you may pay more for your drugs than you did in the initial coverage stage. Level 1 $0 Copayment in-networkLevel 2 (All Other) $10 Copayment in-network. If a five-star-rated plan becomes available in your area, you can switch from your current plan during the 5-star Special Enrollment Period. Need Help? Call 1-877-486-2048.24 hours a day, 7 days week (except some federal holidays.). $300 copay per day for days 1-6 in-network, $350 copay per day for days 1-4 in-network, Emergency Services (In and out-of-network). Enrollment depends on the plans contract renewal. Call us today. Check your plans Evidence of Coverage for more details about what you pay. WebYou can request information on Florida Blue Medicare Advantage plans for 2023 in your own local area. More value, savings and choices. Call for details (888) 414-4547. website. Franais, Contact a plan for a Summary of Benefits. , $45 Copayment in-network. Web Accessibility, $ $225 copay per day for days 1-7 in-network. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. Tier 1 - Preferred Generics Standard Retail (31-day supply): $0 copay Standard Retail (90-day supply): $0 copay Mail Order (90-day supply): $0 copay Tier 2 - GenericsStandard Retail (31-day supply): $8 copay Standard Retail (90-day supply): $24 copay Mail Order (90-day supply): $24 copay Tier 3 - Preferred BrandsStandard Retail (31-day supply): $47 copay Standard Retail (90-day supply): $141 copay Mail Order (90-day supply): $141 copay Tier 4 - Non-Preferred DrugsStandard Retail (31-day supply): $100 copay Standard Retail (90-day supply): $300 copay Mail Order (90-day supply): $300 copay Tier 5 - Specialty DrugsAll Locations (31-day supply): 30% of the costs Tier 6 - Select Care DrugsAll Locations (31-day supply): $0 copay All Locations (90-day supply): $0 copay. 2023 Annual Notice of Changes - Highlands, Manatee, Sarasota, 2023 Annual Notice of Changes - Bay, Escambia, Leon, Okaloosa, Santa Rosa and Walton, 2023 Annual Notice of Changes - Broward, Indian River, Martin, Palm Beach, St. Lucie, 2023 Annual Notice of Changes - Charlotte, Collier, Lee, 2023 Annual Notice of Changes - Clay, Duval, Flagler, Nassau, St. Johns, Volusia, 2023 Annual Notice of Changes - Miami-Dade, 2023 Annual Notice of Changes - Brevard, Orange, Osceola, Seminole, 2023 Annual Notice of Changes - Hillsborough, Polk, 2023 Annual Notice of Changes - Hernando, Pasco, 2023 Annual Notice of Changes - Lake, Marion, Sumter, 2023 Annual Notice of Changes - Alachua, Citrus, 2023 Evidence of Coverage - Highlands, Manatee, Sarasota, 2023 Evidence of Coverage - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton, 2023 Evidence of Coverage - Broward, Indian River, Martin, Palm Beach, St. Lucie, 2023 Evidence of Coverage - Charlotte, Collier, Lee, 2023 Evidence of Coverage - Clay, Duval, Flagler, Nassau, St Johns, Volusia, 2023 Evidence of Coverage - Brevard, Orange, Osceola, Seminole, 2023 Evidence of Coverage - Hillsborough, Polk, 2023 Evidence of Coverage - Hernando, Pasco, 2023 Evidence of Coverage - Lake, Marion, Sumter, 2023 Evidence of Coverage - Alachua, Citrus, 2023 Summary of Benefits - Hernando, Pasco, 2023 Summary of Benefits - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton, 2023 Summary of Benefits - Clay, Duval, Flagler, Nassau, St. Johns, Volusia, 2023 Summary of Benefits - Broward, Indian River, Martin, Palm Beach, St. Lucie, Miami-Dade, 2023 Summary of Benefits - Highlands, Manatee, Sarasota, Charlotte, Collier, Lee, 2023 Summary of Benefits - Brevard, Orange, Osceola, Seminole, 2023 Summary of Benefits - Hillsborough, Polk, 2023 Summary of Benefits - Lake, Marion, Sumter, 2023 Summary of Benefits - Alachua, Citrus, 2023 Low-Income Subsidy - Extra Help Program, Nondiscrimination and Accessibility Notice. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. per month. How much you pay depends on which plan you have, what tier your prescription is in, and where and how you fill your prescription. Am I in-network for Florida Blue Medicare Advantage? SilverSneakers is a program that provides access to fitness activities to stay in shape. Please contact us if you have any questions. We do not offer every plan available in your area. You can change your MA or Part D plan if: You can join, switch or drop an MA or Part D plan if: After assessing the performance and quality of Florida Blue and other Medicare Advantage plans, Medicare awards the best plans with a five-star rating. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. , area. Level 2 (All Other) $47 Copayment in-network. Please ensure that all required fields are filled out before you submit. Members are generally happy with Florida Blue. Florida Blue Medicare is an HMO plan with a Medicare contract. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. provides the following cost-sharing on drugs. We generally cover drugs filled at an out-of-network pharmacy only if you are not able to use one of our network pharmacies (for example, because you are traveling, need emergency or urgent care, or need a drug that it not available at an accessible network pharmacy). Please consider an upgrade or using a different device. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The Primary Care Doctor you choose will focus on your needs and coordinate your care with other network providers. Medicare has neither approved nor endorsed any information on this site. BlueMedicare Value (PPO) You did have Medicaid but no longer qualify. Those who disenroll You can access it here. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
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