BlueMedicare Regional PPO, a Walton County, Florida Medicare Advantage plan from Blue Cross and Blue Shield of Florida, Inc., is a Preferred Provider Organization (PPO) option for people with Medicare. PPO health insurance allows you to choose your own primary care doctor, specialists and other healthcare providers. If you're on a budget you can lower your out-of-pocket costs by using the plan's provider network.
The monthly premium on this PPO plan is $36.10. Plus, co-payments and/or co-insurances also apply to most of the healthcare services you use. However, unlike original Medicare your out-of-pocket expenses are capped. As a result, you won't be vulnerable to excessive medical bills due to an accident or a critical illness.
After its first year on the market, the CMS (Centers for Medicare and Medicaid Services) gives each plan an overall one to five star rating. The unbiased quality assessment assists people when comparing plans. Medicare Advantage plans with five stars have the highest quality, whereas a one star plan has the lowest quality.
The CMS has awarded BlueMedicare Regional PPO Average as compared to all others (as of 15 October, 2014).out of 5 stars. That means Medicare deems this plan
By law, Medicare Advantage plans have an out-of-pocket limit of $6,700 per year. That said, plans can offer an out-of-pocket maximum as low as $3,400 per year. This plan's out-of-pocket spending limit is $6,700 per year. This amount is not inclusive of your monthly premium or the cost of your prescriptions. It's only what you pay when you receive heathcare services.
What this means to you is that you will no longer make co-payments or co-insurance payments when your out-of-pocket spending reaches $6,700. This is your safety net in the event of a critical illness or a serious accident. It protects you from serious financial liability and it should be carefully considered along with the premium and the co-payments.When comparing BlueMedicare Regional PPO with original Medicare benefits, don't forget that you pay about twenty percent of all healthcare expenses covered by Part A and Part B, but there is no out-of-pocket limit. In other words, you have a lot of risk unless you get a Medigap policy to cover the gaps.
Your healthcare needs are as unique as you are, so shop around. We recommend comparing BlueMedicare Regional PPO with:
- HumanaChoice R5826-018
- Cigna-HealthSpring Advantage
- HumanaChoice R5826-005
- HumanaChoice R5826-074
- Cigna-HealthSpring Premier
BlueMedicare Regional PPO vs. Medigap Plan K
In addition to the plans above, we recommend evaluating Medicare Supplement Plan K. These plans have a $4,940 out of pocket limit (vs. $6,700 on BlueMedicare Regional PPO). Plus, you have the freedom to choose your doctors and other healthcare providers. Have a look at Medigap Plan K vs. Medicare Advantage before you make any decisions.
Who Can Join?
You can join BlueMedicare Regional PPO if you are entitled to Medicare Part A and enrolled in Medicare Part B and live in the service area. You must continue to pay your Medicare Part B premium. The service area includes: Argyle, Defuniak Springs, Mossy Head, Freeport, Santa Rosa Beach, Rosemary Beach, Paxton, Miramar Beach, and all other areas of Walton County, Florida.
CMS File Date: October 15, 2014.
This Medicare Advantage Plan catalog is maintained by 9/14/2015. For more information, download the Summary of Benefits (N/A), visit the Blue Cross and Blue Shield of Florida, Inc. website, or call Blue Cross and Blue Shield of Florida, Inc. at N/A.and was last updated on