BlueMedicare Regional PPO Overview
BlueMedicare Regional PPO for Walton County, Florida, by Blue Cross and Blue Shield of Florida, Inc., is a Preferred Provider Organization (PPO) Medicare Advantage plan for seniors on 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 traditional 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.
BlueMedicare Regional PPO Quality Rating
After its first year on the market, the CMS (Centers for Medicare and Medicaid Services) gives each Medicare Advantage 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, 2013).out of 5 stars. That means Medicare deems this plan
BlueMedicare Regional PPO Out-of-Pocket Expenses
Medicare Advantage plans are limited to a maximum out-of-pocket limit of $6,700 (annually). This out-of-pocket limit does not include your prescriptions or your monthly premiums. It only applies to your costs for healthcare services.
Although the mandatory limit is $6,700, the CMS allows plans to offer a lower limit that can be as low as $3,400. The out-of-pocket limit on this plan is $6,700. Be sure to take into consideration, along with the premium and the co-payments, when making your enrollment decision.
If you are comparing BlueMedicare Regional PPO with your traditional Medicare benefits, it's important to remember that there are no limits to your out-of-pocket expenses with Medicare Part A or Medicare Part B. If you keep your traditional Medicare benefits, the only way to avoid high medical bills is to purchase Medicare Supplement insurance to supplement your coverage.
Compare Medicare Health Insurance Plans
Make sure you get the best health insurance for your unique situation. Compare BlueMedicare Regional PPO with these Medicare Advantage plans:
- Cigna-HealthSpring Advantage
- Cigna-HealthSpring Premier
- HumanaChoice R5826-005
- HumanaChoice R5826-018
- HumanaChoice R5826-074
BlueMedicare Regional PPO is available in the following Florida cities: Argyle, Defuniak Springs, Mossy Head, Freeport, Santa Rosa Beach, Rosemary Beach, Paxton, Miramar Beach, and all other areas of Walton County.
CMS File Date: October 15, 2014.
This Medicare health insurance catalog is maintained by 10/26/2014.and was last updated on