Medicare Blog

blue shield what is medicare

by Dr. Irma Goldner Published 1 year ago Updated 1 year ago
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Full Answer

Does Blue Cross Blue Shield have a Medicare Advantage plan?

Medicare Advantage plans offer all the coverage of Original Medicare — plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage and extra health and wellness options. Blue Cross and Blue Shield of Montana (BCBSMT) offers both individual and group Medicare Advantage plans.

What is blue shield health insurance?

Blue Shield is a nonprofit health plan provider, and in 2011, they pledged to take only 2% of their net income as revenue and give the rest back to their members and community. Since making this pledge, Blue Shield has returned as much as $560 million. Blue Shield offers many benefits for its members, including the following.

What is covered by Blue Shield?

Blue Shield offers multiple coverage options so you can select what works best for you. The Medicare prescription drug plans offered through Blue Shield cover a long list of medications, and the pharmacy network spans more than 6,000 pharmacies in California at major chains and retailers. With a Medicare Supplement plan, you may also have ...

Does Blue Cross Blue Shield offer life insurance?

Not usually directly. The Blue Cross Blue Shield companies I work with offer group life insurance through subsidiary companies. Usually group term life with accidental death and dismemberment coverage. I don't know of any BCBS companies that directly offer life insurance as it may be against their tax status or state insurance regulations.

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Is Blue Shield medical or Medicare?

What plans does Blue Shield of California offer? Blue Shield of California makes choosing the right health coverage easy. We offer Medicare Supplement plans and stand-alone Medicare Prescription Drug Plans statewide. Our Medicare Advantage Prescription Drug PPO plan is available in Alameda County.

Is Medicare the same as Blue Cross?

BCBS is an iconic health insurance brand represented by numerous independent affiliated companies. BCBS companies have been part of the Medicare program since it began in 1966 and now offers multiple Medicare insurance options.

What does Medicare mean in healthcare?

Medicare is an insurance program. Medical bills are paid from trust funds which those covered have paid into. It serves people over 65 primarily, whatever their income; and serves younger disabled people and dialysis patients. Patients pay part of costs through deductibles for hospital and other costs.

What is Medicare plan?

Plan I includes the Basic Benefits, Pays the Part A deductible and Skilled Nursing Coinsurance. Plan I Includes Foreign Travel Emergency benefits. Plan I includes at home recovery.

What is the difference between Medicare and regular insurance?

Private health insurance often allows you to extend coverage to dependents, such as your spouse and children. Medicare, on the other hand, is individual insurance. Most people with Medicare coverage have to qualify on their own through age or disability.

How do I know if my insurance is Medicare?

You will know if you have Original Medicare or a Medicare Advantage plan by checking your enrollment status. Your enrollment status shows the name of your plan, what type of coverage you have, and how long you've had it. You can check your status online at www.mymedicare.gov or call Medicare at 1-800-633-4227.

Does everyone get Medicare?

Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).

What kind of insurance is Medicare?

Original Medicare is a fee-for-service health plan that has two parts: Part A (Hospital Insurance) and Part B (Medical Insurance). After you pay a deductible, Medicare pays its share of the Medicare-approved amount, and you pay your share (coinsurance and deductibles).

Does Medicare pay for everything?

Original Medicare (Parts A & B) covers many medical and hospital services. But it doesn't cover everything.

What are the 4 types of Medicare?

There are four parts of Medicare: Part A, Part B, Part C, and Part D.Part A provides inpatient/hospital coverage.Part B provides outpatient/medical coverage.Part C offers an alternate way to receive your Medicare benefits (see below for more information).Part D provides prescription drug coverage.

What are the two types of Medicare?

There are 2 main ways to get Medicare: Original Medicare includes Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). If you want drug coverage, you can join a separate Medicare drug plan (Part D).

What part of Medicare is free?

Part APart A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. coverage if you or your spouse paid Medicare taxes for a certain amount of time while working. This is sometimes called "premium-free Part A." Most people get premium-free Part A.

What is Medicare Advantage Plan?

Medicare Advantage (Part C) Medicare Advantage plans provide an alternative to Original Medicare. They offer Parts A and B services and often include additional benefits, such as wellness programs, hearing aids and eye exams. You must have Medicare Parts A and B to enroll in a Medicare Advantage plan. Learn More.

What is Medicare Part D?

Prescription Drug Coverage (Part D) Medicare Part D is Medicare prescription drug coverage. You can get Part D coverage from your Medicare Advantage plan or, if you are enrolled in Original Medicare, you can get it through a stand-alone Medicare Prescription Drug plan available in your area. Learn More.

What is a Medigap plan?

Medigap plans are state-regulated insurance policies for individuals who receive Medicare coverage through Original Medicare. Medigap plans vary in what they cover, but help pay some of the health care costs that Original Medicare doesn't cover and may cover other extra benefits.

How to contact Medicaid for help?

To learn more about Medicaid, visit the Medicaid website or call 1-800-MEDICARE (1-800-633-4227) and ask for the Medicaid telephone number for your State Medical Assistance (Medicaid) office. For TTY assistance, call 1-877-486-2048.

Is Medicaid a state or federal program?

Medicare with Medicaid. Medicaid is a state-based health insurance program that is funded by both federal and state dollars and covers a set of benefits and services. The program helps low-income individuals and families, people with disabilities and the elderly. Medicaid eligibility differs from Medicare eligibility.

What is Medicare Advantage?

Basically, companies like Blue Shield contract with Medicare to provide the same basic benefits as Original Medicare plus more for Medicare beneficiaries . In return, these plans provide all of your Part A and Part B benefits and often provide additional benefits such as vision, hearing, dental, and health and wellness programs.

Can Medicare Part D beneficiaries get a prescription drug plan?

Beneficiaries who do not have Medicare Part D coverage through some other source, like an employer plan, can get help with prescription drug costs through private companies that have the Centers for Medicare and Medicaid Services (CMS) approval to offer a Prescription Drug Plan.

What is Medicare Supplement?

Medicare Supplement (also called Medigap) plans add coverage to Original Medicare. This helps with some of the costs Medicare Parts A and B don't cover like copayments, deductibles, and coinsurance.

How to contact Blue Shield sales?

A Blue Shield sales agent will be in touch soon. We're unable to complete your request at this time. Please be sure to reach out at (800) 963-8008 [TTY 711] to schedule an appointment. By providing your number, you agree to have a sales agent contact you to discuss Blue Shield's Medicare coverage options.

What is Medicare Advantage Plan?

Medicare Advantage plans replace Original Medicare benefits, which you have contributed to in the form of payroll taxes. When you choose a Medicare Advantage plan, you transfer your benefit to an insurer like Blue Shield of California.

What is Medicare Supplement Plan?

To help pay for additional services and benefits, you may be interested in enhancing your coverage with a Medicare Supplement plan (also known as Medigap). You may also like the convenience and coverage of a Medicare Advantage plan that provides rich benefits without large plan premiums.

Who is eligible for Medicare?

You are eligible for Medicare if you fall into any of these categories: You are 65 or older and eligible for Social Security or Railroad Retirement benefits. You are 65 or older and married to someone eligible for Social Security or Railroad Retirement benefits.

What is MAPD plan?

These plans are known as Medicare Advantage Prescription Drug (MAPD) plans. For MAPD plans, the amount you pay toward services differs depending on the plan you select. Generally, you will need to see doctors who are in the plan network.

Does Blue Shield cover Medicare Part D?

If you have a Medicare Supplement plan that doesn't, a standalone Prescription Drug Plan can help. Blue Shield of California offers these plans to help you cover the costs of your prescription drugs.

What is a Medigap plan?

Medigap (Medicare Supplement) is an option for those with Original Medicare. It covers the out-of-pocket costs for the health expenses not typically covered by Medicare Parts A and B (Original Medicare). Individuals enrolled in Medicare Advantage do not need to purchase a Medigap plan.

Does Medicare Advantage cover emergency services?

On the other hand, Medicare Advantage plans typically have a network but will cover urgent and emergency services anywhere in the country. FAQ Item Question. Limited Coverage. FAQ Item Answer.

How many states does Blue Cross Blue Shield offer Medicare?

Blue Cross Blue Shield offers Medicare Advantage plans in 44 states, plus Washington, D.C., and Puerto Rico, and Medicare prescription drug plans in 46 states. Nationally, BCBS offers plans in 1,181 counties, or 37% of counties in the U.S. [2].

How many states does BCBS offer Medicare Advantage?

Wide network: With BCBS companies providing Medicare Advantage plans in 44 states, there’s a good chance you have access to a plan from a BCBS insurer. Low-cost plans available: BCBS companies offer plans with $0 premiums in 40 states.

What are the factors that determine the satisfaction of Medicare Advantage plans?

Power measured member satisfaction with Medicare Advantage plans based on six factors: coverage and benefits, provider choice, cost, customer service, information and communication, and billing and payment.

Does Blue Cross Blue Shield of Michigan have a highmark?

Power’s latest Medicare Advantage study. Depending on your location, you may not have access to a higher-rated Blue.

Does Blue Cross Blue Shield offer Medicare Advantage?

Blue Cross Blue Shield offers Medicare Advantage Prescription Drug plans, or MAPDs, as well as stand-alone Prescription Drug Plans and Medicare Advantage Plans without drug coverage. A health maintenance organization, or HMO, generally requires that you use a specific network of doctors and hospitals.

Does Blue Cross Blue Shield cover vision?

These plans generally include benefits that aren’t covered by Original Medicare, such as wellness programs, hearing aids and vision coverage.

Is BCBS a Medicare Advantage?

Not quite 6 in 10 BCBS customers are in a Medicare Advantage contract rated 4 or higher (out of 5) on the Medicare Star Rating scale.

When will Medicare send you a card?

Medicare will send you a mailing with the medic care cards about 3 months before you are 65. With the mailing you will have the option of declining part B. You usually don't have to pay for part A but have to pay for part B. In my case I have both A and B.

Is Medicare Part A free?

Medicare Part A (which covers 80 percent of most hospital costs) is free if you sign up for it. Plan B (which covers 80 percent of most doctor charges and some tests) is voluntary and costs a monthly premium (presently $97.40 a month for most of those on Medicare) deducted from your Social. Security benefit.

Does Medicare pay for FEHB?

They complement each other by paying for benefits the other does not (regular Medicare doesn 't pay for meds/FEHB can; Medicare pays fully for approved durable medical equipment/FEHB provides only partial coverage; Medicare covers some NH days/many FEHB plans provide no coverage, etc.

Is BCBS a good company?

Best Answer. BCBS is a great company and can give you all the answers you need. Now is a good time to either visit their office or at least call them on the phone. Be sure to do this before you reach 65 or you may end up paying more money for several months until it is corrected and you have just Medicare and BC BS.

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