florida blue medicare advantage value plan

var gcse = document.createElement('script'); BlueMedicare Value (PPO) offered by Florida Blue Factsonmedicare.com is a free-to-use informational website by Dog Media Solutions LLC. Deutsch, For some people, latitude with network and referral requirements is critical. 2021 BlueMedicare Comprehensive Formulary Florida Blue Medicare Advantage Florida Blue and Florida Combined Life Insurance Company, Inc. do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Portugus, Services received at a hospital facility's Emergency department, including both Professional and Facility services. Members are generally happy with Florida Blue. 2023 BlueMedicare Value (PPO) in FL Plan Benefits Details provides the following cost-sharing on drugs. Call (888)902-5707or TTY 800-955-8770, Read more about We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. You will find that availability and cost vary from one county to the next. Members will present to your office with a Florida Blue BlueMedicare HMO or PPO Medicare Advantage ID card. These members have a Medicare HMO or PPO medical plan, with embedded dental PPO. This website is not connected with the federal government or the federal Medicare program. Italiano, You can find more information, including ID card examples, in. More value, savings and choices. If you need help understanding your options, enrolling, or managing your plan, a Florida Blue agent is here for you. HealthCompare Insurance Services does not offer every plan available in your area. Health coverage is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. 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. '//cse.google.com/cse.js?cx=' + cx; Once you reach that amount, you will enter the next coverage phase. Franais, Please consider an upgrade or using a different device. We only use data released publicly each year. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). If you provide services, you will not be reimbursed by Florida Combined Life. Inpatient Hospital Care. Inpatient Hospital Care. Advantage Plans Medicare Advantage is also known as MA or Medicare Part C. The primary types of Florida Blue MA plans are Preferred Provider Organization (PPO) and Health Maintenance Organization (HMO). Enroll on the phone or online! Currently it represents 18 organizations, which offers 52,101 products in your area. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Level 1 $35 Copayment in-networkLevel 2 (All Other) $47 Copayment in-network. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Florida Blue Medicare Advantage Plans 2022 (Blue Cross Blue Shield) Special Needs Plans (SNPs) are insurance plans that accommodate people who have either specific health care needs or limited financial resources. BlueMedicare Value (PPO) WebBlueMedicare Value (PPO) is a Medicare Advantage (Part C) Plan by Florida Blue. During the initial coverage stage, your plan helps cover the costs of your prescription drugs. Additional Sessions of Smoking and Tobacco Cessation Counseling: Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline): Everyone in your household can use the same card, including your pets. Please check the plans formulary for specific drugs covered. For 2021, there are 178 Medicare Advantage Prescription Drug (MAPD) plans across Florida with an average monthly premium of $13.17. Enrollment is offered through our partners including HealthCompare Insurance Services. per month. Web Accessibility, $ 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. From April 1 - September 30, from 8 a.m. - 8 p.m. local time, we are open Monday to Friday, except for major holidays. Chapter 5 of the Evidence of Coverage provides a full list of situations in which we may cover drugs from an out-of-network pharmacy. All plan-related information on this site is from CMS.gov and Medicare.gov. We recommend that you update your browser to improve your experience. Advantage Plans Call (888)902-5705 or TTY 800-955-8770. You can access it here. Those who disenroll For these tiers, you continue to pay the same cost-sharing amounts as in the Initial Coverage Stage. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. (including a wireless phone). 2022 Summary of Benefits Medicare Advantage Plan with Part This consent is not required to purchase any product or service. Providers who do not contract with the plan are not required to see you except in an emergency. Home Find a Plan Learn about Medicare Resources & Tools View Cart Is My Doctor In-Network? *Required fields. The $150.00 annual deductible only applies to drugs on certain tiers. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. HealthCompare Insurance Services represents Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Limitations, copayments, and restrictions may apply. There are three exceptions: emergency care, urgently needed care and dialysis services. They can help you find the plan that best fit your needs and Need Help? , website. If youre a Florida Blue Medicare member please call1-800-926-6565. BlueMedicare Value (PPO) Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Ready to sign up for BlueMedicare Value (PPO) These companies are Independent Licensees of the Blue Cross and Blue Shield Association. You will pay no more than 25% of the costs for generics in all other tiers. Any information we provide is limited to those plans we do offer in your area. Please ensure that all required fields are filled out before you submit. In addition, you are required by law to inform members in writing, and in advance of treatment, that you do not participate and they will be responsible for all charges. For details about the plan's coverage of out-of-network care, please refer to the Summary of Benefits or the Evidence of Coverage. $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). Florida Blue is a PPO, RPPO and Rx (PDP) plan with a Medicare contract. Having Original Medicare means your benefits are administered directly by Medicare. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Part B Premium give-back is not available with all plans. Calls will be returned during normal business hours. . This plan has coverage in the Part D coverage gap. BlueMedicare Value (PPO) | Medicare Plan Details & Help | FL Florida Blue Medicare Advantage You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. s.parentNode.insertBefore(gcse, s); Next year, there will be some changes to the plans costs and benefits. Call 888-902-5707 or TTY 800-955-8770. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. See the Part D Premium Reduction section below for more details. Deductibles, copays and coinsurance may apply. WebCall now to speak to a Medicare expert: 1-800-966-4092 Good Evening! Benefits may vary by carrier and location. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. offers the following coverage and cost-sharing. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. Medicare has neither approved nor endorsed any information on this site. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Interest in Florida Blue is gaining momentum as a way to get Part A and Part B Medicare coverage under one health insurance plan. Tier 6 (select care) medications are covered in the coverage gap. WebFlorida Blue Medicare Advantage Local PPO. Florida Blue is a PPO, RPPO and Rx (PDP) plan with a Medicare contract. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. gcse.src = (document.location.protocol == 'https:' ? You relocated to an area outside your plans service area. An insurance company may include this benefit in some of their Medicare Advantage plans but not across the board. IMPORTANT: This page has been updated with plan and premium data for 2023. Member Login | Florida Blue Most Medicare Advantage plans do include prescription drug plans. In-Network Prescription Drug Coverage - Initial Coverage. Any information we provide is limited to those plans we do offer in your area. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. Availability varies by carrier and location. , 888-606-1406. Reimbursement is paid according to the BlueDental Choice Copayment PPO schedule of allowances, which you can find in the. The Initial Enrollment Period encompasses the: Between October 15 December 7, you can: If you are enrolled in a Florida Blue MA plan, here is what you can do during the annual Medicare Advantage Open Enrollment Period, which is between January 1 and March 31: There are specific scenarios that qualify you to enroll in a Florida Blue Medicare Advantage plan outside the annual enrollment periods. Please contact us if you have any questions. Not all plans offer all of these benefits. SilverSneakers is a program that provides access to fitness activities to stay in shape. BlueMedicare Value (PPO) The 5-star Special Enrollment Period is when you can switch to a 5-star plan if one is available in your area. 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. Ask your Primary Care Doctor if you need a referral. If you are eligible for the Extra Help program for prescription drug coverage, you may be allowed to change your drug coverage one time during each of the first three quarters of the year: During the fourth quarter, you can use the Open Enrollment Period to make changes. Florida Blue Medicare Advantage Plans 2023 WebAnnual Notice of Changes for 2021 You are currently enrolled as a member of BlueMedicare Value. Level 1 $35 Copayment in-network. Medicare Advantage | Florida Blue Dental Our payment system is currently not available. Call 1-800-633-4227 | TTY. Deutsche, Medicare uses a five-star rating system for Medicare Advantage, Medicare drug plans, and Medicare Cost plans. Limitations and exclusions may apply. There are three populations that qualify for an SNP: Dual eligible is the term used to describe eligibility for both Medicare and Medicaid. Tagalog, The benefit information provided is a brief summary, not a complete description of benefits. Some of the features used to display this website may not function properly. Personal Emergency Response System (PERS): Post discharge In-Home Medication Reconciliation: Wigs for Hair Loss Related to Chemotherapy: Support for Caregivers of Enrollees: Some coverage. Thank you for contacting Florida Blue Medicare Plans. View and download important forms and documents about your BlueMedicare plan from Florida Blue. Enrollment depends on the plans contract renewal. You must continue to pay your Part B premium. Any information we provide is limited to those plans we do feature in your area. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or gender. 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. We serve members through many different plans, including Florida Blues Medicare Advantage members. WebMedicare Advantage We serve members through many different plans, including Florida Blues Medicare Advantage members. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. You pay the greater of $9.85 or 5% for brand name drugs. From April 1 - September 30, from 8 a.m. - 8 p.m. local time, For more information contact the plan. Identifying the best Florida Medicare Advantage plan is a matter of personal perspective and priorities. During designated enrollment periods, you can switch back to Original Medicare. If you participate in our BlueDental Choice Copayment (PPO) network, you are considered an in-network provider for Florida Blues Medicare Advantage members. Florida Blue Medicare Advantage Regional PPO Questions? Need Help? Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life. We do not sell leads or share your personal information. WebH5434-035 Florida Blue | Local PPO Rating Overview Prescription Coverage Plan Benefits Other Plan Options Rating Overview Prescription Coverage Plan Benefits Other Plan Y0011_FBM1462_M_2023, Need Help? I consent to the agent using an automated telephone dialing system when calling me back. , BlueMedicare Value (PPO) The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Drop your Medicare Advantage plan and return to Original Medicare. Your new address is in an area that your plan services, but new plan options are available. This plan does not charge an annual deductible for all drugs. during the calendar year will owe a portion of the account deposit back to the plan. Every year, Medicare evaluates plans based on a 5-star rating system. Florida Blue and Florida Blue Medicare are Independent Licensees of the Blue Cross and Blue Shield Association. If this benefit interests you, verify that your Medicare Advantage plan offers it. Actual Part B premium reduction could be lower. Certain specialists do not require a Primary Care Doctor referral. 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). Summary of Beneifts HMO D-SNP Charlotte, Clay, Collier, Duval, Hernando, Lee, Manatee, Marion, Pasco, Pinellas and Sarasota, Summary of Benefits HMO D-SNP Brevard, Lake, Orange, Osceola, Seminole, Sumter, Hillsborogh and Polk, Summary of Benefits HMO D-SNP Broward, Miami-Dade, Palm Beach and St Lucie, Blue Medicare Supplement Insurance Policies -, 2023 Florida BlueMedicare Choice (Regional PPO) Summary of Benefits: (Statewide), Summary of Benefits HMO Brevard and St Lucie Premier 2023, Summary of Benefits HMO Broward Premier & Classic 2023, Summary of Benefits HMO Charlotte, Collier, Hernando, Lee, Manatee, Pasco, Pinellas and Sarasota Premier 2023, Summary of Benefits HMO Citrus Classic + & Classic 2023, Summary of Benefits HMO Clay and Duval Premier & Classic 2023, Summary of Benefits HMO Hernando, Hillsborough, Pasco Summary of Benefits Premier & Classic 2023, Summary of Benefits HMO Lake, Marion and Sumter Premier 2023, Summary of Benefits HMO Miami-Dade Premier & Classic 2023, Summary of Benefits HMO Orange, Osceola and Seminole Premier & Classic 2023, Summary of Benefits HMO Palm Beach Premier & Classic 2023, Summary of Benefits HMO Saver Broward, Miami-Dade and Palm Beach 2023, Summary of Benefits HMO Saver Hillsborough, Orange, Osceola, Pinellas and Polk 2023, Summary of Benefits PPO Value Bay, Escambia, Leon, Okaloosa, Santa Rosa and Walton & Patroit Bay, Escambia, Okaloosa, Santa Rose and Walton 2023, Summary of Benefits PPO Value Brevard, Orange, Osceola and Seminole; Patriot Brevard and Orange 2023, Summary of Benefits PPO Value Broward, Indian River, Martin, Miami-Dade, Palm Beach & St. Lucie 2022, Summary of Benefits PPO Value Charlotte, Collier and Lee, Manatee and Sarasota 2023, Summary of Benefits PPO Value Clay, Duval, Flagler, Nassau, St. Johns and Volusia & Patriot Clay, Duval, Nassau & St. Johns 2022, Summary of Benefits PPO Value Hernando and Pasco 2023, Summary of Benefits PPO Value Highlands, Manatee, and Sarasota; Patriot Hillsborough, Pasco and Pinellas 2023, Summary of Benefits RX Premier & Complete 2023, Summary of Benefits PPO Value Pinellas 2023, Summary of Benefits PPO Value Hernando Pasco and Pinellas 2023. })(); A non-government resource for the Medicare community. This gives you the opportunity to see more patients Medicare Advantage plans generally incorporate the Part D plan into your coverage. Florida Blue Medicare Advantage Plans for 2023, Are needing broad network access in a managed care setting, Uses the plan infrequently to moderately each month, Require periodic coordination of care for conditions, Need basic drug coverage with protection in the donut hole, Occasionally leave the state and would require only emergency care if needed, Covers cost generic drugs through the gap, Are needing high-touch provider coordination or moderate to chronic medical conditions, Use the plan infrequently and needs age-appropriate expert care, Want the lowest out of pocket per visit and out-of-pocket maximum, Need broad coverage of prescription drugs and protection drugs in the donut hole, Need the elevated level of dental care for advanced conditions, Improved specialists copay year after year, Are wanting a portion of their Part B premium refunded to them each month, Recognize the trade-off for the partial refund results in a less rich product, a more narrow PCP network, and higher out-of-pocket, Partial Part b refund in return for less-rich benefits, Medicare and Medicaid qualified beneficiaries needing high-touch care coordination for moderate to chronic medical conditions with no out-of-pocket costs, Need all available benefits afforded by the federal and state governments including transportation, over the counter items, and post-discharge meals, Need broad coverage of prescription drugs and protections in the donut hole, Need elevated level of dental care for advanced conditions, Need basic vision care but choices in frames/lenses, Freedom to use the plan how and where beneficiary wants, Zero premium PPO plans can offer competitive benefits and an attractive extra package, Realize using preferred providers can save them money on office copays in some counties, Wants to be able to travel outside of the state for an emergency, planned, and consultative care and still have in-network cost-share if care is needed, Zero premium PPO with competitive benefits, robust extra package, and access to care in-network and out-of-network, Monthly premium covers freedom to choose how and where plan is used, Ability to seek specialist care with or without primary care physician coordination, Need access to basic prescription coverage. Gujarati, Your particular situation will drive the timing of your Special Enrollment Period and the type of changes allowed. This page features plan details for 2023 BlueMedicare Value (PPO) , var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Portugus, WebFL Florida Blue Plan BlueMedicare Value (PPO) Medicare Plan Details (2023 Plan) Monthly Premium (select county for price) by Florida Blue Additional Coverage Hearing Vision (function() { Ting Vit, Call us today. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Although zero-premium HMO and PPO plans are available in some areas, more and more PPO plans are charging a premium. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. A non-government Medicare community resource, 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the BlueMedicare Value (PPO), Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs, or contact your local SHIP for assistance, See cost-sharing for all pharmacies and tiers, Learn more about savings on Pet Medications, $150 (Tier 1, 2 and 6 excluded from the Deductible.). Switch to another Medicare Advantage plan in Florida. Franais, Advantage Plans We are not compensated for Medicare plan enrollments. Search for your current providers to see if they are in-network for the , Medicare appoints star ratings annually. How do I verify my patients' Medicare Advantage status? Sorry! You pay no more than $0 for Tier 6 medications at a network retail pharmacy. You stay in the coverage gap until your total out-of-pocket drug costs reach the Initial Coverage Limit. Find a Doctor If you have opted out of participation with Medicare, you are prohibited from providing services to Medicare members. 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. Urgently needed services are provided to treat a non-emergency, unforeseen medical illness, injury or condition that requires immediate medical attention. 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 Following are the main differences between these coverage options: You are responsible for the Part B premium whether you have Original Medicare, Medicare Advantage, or Medigap. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan.
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