Medicare Blog

how many states is the blue medicare advantage ppo network available in?

by Walter Cummerata Published 3 years ago Updated 2 years ago

Blue Cross Blue Shield offers Medicare Advantage plans in 47 states and Puerto Rico, and Medicare prescription drug plans in 42 states. Nationally, BCBS offers plans in 2,190 counties, or about 68% of counties in the U.S..

BCBS Medicare Advantage plans are available in 42 states, but they are not currently available in: Alaska.Jul 16, 2020

Full Answer

How many states does Blue Cross Blue Shield offer Medicare Advantage?

Service area 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..

How many Americans have Medicare Advantage plans?

In fact, more than 24 million Americans — or more than one out of every three people (roughly 38 percent) with Medicare — are enrolled in a Medicare Advantage plan. 2

Can I use a provider outside of the Blue advantage network?

You can use providers outside the network. With over 90% of doctors and every Alabama hospital in the Blue Advantage network, it’s easy to get the in-network doctor you want. NO COST for many health screenings, immunizations, and other Medicare-recommended preventive services.

How much does Blue advantage pay for prescription drugs?

Once YOUR out-of-pocket spending on prescriptions reaches $6,550 you pay the greater of $3.70 for generic drugs and $9.20 for brand-name drugs OR 5% coinsurance per prescription for the rest of the year. Blue Advantage pays the rest.

Is BCBS their in all the 50 states of us?

The 34 independent and locally operated Blue Cross Blue Shield companies deliver health insurance coverage to one in three Americans across all 50 states, the District of Columbia and Puerto Rico. In addition, the BCBS Federal Employee Program® insures over five million federal employees, retirees and their families.

What states have Medicare Advantage plans?

State Differences in Medicare Advantage Medicare Advantage plans are private policies that you can buy to replace Original Medicare coverage. The federal government requires them to cover everything Original Medicare covers in all 50 states.

Is BCBS different in each state?

Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.

Does Medicare Advantage cover all states?

Medicare Advantage plans must cover these situations anywhere in the United States. The plans can't charge additional costs for these services.

Is Medicare the same in all 50 states?

Medicare Part A and Medicare Part B together are known as “original Medicare.” Original Medicare has a set standard for costs and coverage nationwide. That means your coverage will be the same no matter what state you live in, and you can use it in any state you visit.

Who is the largest Medicare Advantage provider?

UnitedHealthcareUnitedHealthcare is the largest provider of Medicare Advantage plans and offers plans in nearly three-quarters of U.S. counties.

Is Blue Cross Blue Shield same as Blue Shield of California?

Blue Shield of California, an independent member of the Blue Cross Blue Shield Association, is a not-for-profit health plan with 4 million members, 6,800 employees and more than $17 billion in annual revenue.

Is Florida Blue the same as BCBS?

About Florida Blue Headquartered in Jacksonville, Fla., it is an independent licensee of the Blue Cross and Blue Shield Association.

Can I use Blue Shield of California out of state?

Access to coverage - nearly everywhere As a Blue Shield member, you have access to coverage through the BlueCard® Program, no matter where you live or travel.

Can Medicare be used across state lines?

If you have original Medicare (Medicare Part A and Medicare Part B) you are covered anywhere in the United States. You must, however, use hospitals and doctors that accept Medicare. Anywhere in the United States includes: all 50 states.

What is the biggest disadvantage of Medicare Advantage?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What states don't have Medicare?

Nonexpansion states include 12 states that have not expanded Medicaid: Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin, and Wyoming. Data: Urban Institute's Health Insurance Policy Simulation Model (HIPSM), 2021.

What is Medicare Advantage?

Medicare Advantage is the private portion of Medicare, covering everything that Original does (by law) plus additional benefits that vary by plan. Since these plans are sold by private companies, coverage varies widely. Where you live determines your plan options.

What is the number to call for Medicare?

1-800-810-1437 TTY 711. You’ve got options for health insurance as you get older that go beyond Original Medicare. As a reminder, Original Medicare, which is also called traditional Medicare, is made up of two parts: Part A (hospital insurance) and Part B (medical insurance).

Do Advantage plans charge a premium?

But some Advantage plans don’t charge a premium. You can get all the benefits of Original, plus the added benefits offered by a private plan, without any extra money per month. That’s because Advantage is still partly funded by the federal government even though it’s the private portion of Medicare.

Can I supplement my original Medicare?

You can supplement Original with a Medigap policy (for picking up out-of-pocket costs, not covering added benefits), buy a Part D plan for prescription drugs or enroll in Medicare Advantage as an alternative. Medicare Advantage is the private portion of Medicare, covering everything that Original does ...

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.

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].

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.

How much does Blue Advantage pay for prescriptions?

Blue Advantage pays the rest. Once YOUR out-of-pocket spending on prescriptions reaches $6,550 you pay the greater of $3.70 for generic drugs and $9.20 for brand-name drugs OR 5% coinsurance per prescription for the rest of the year. Blue Advantage pays the rest.

What is Blue Advantage?

Blue Advantage makes it easy to stay healthy and save money. Choice of plans, including $0 premium option. Built-in prescription drug coverage. Statewide provider network with 100% of Alabama hospitals and over 90% of doctors. No referral required for network specialists, doctors or hospitals.

Which states offer Blue Cross PPO plans?

Blue Cross PPO plans. Blue Cross offers Preferred Provider Organization (PPO) plans in states that include Alabama, Florida, Hawaii, and Montana (just to name a few). As a general rule, a PPO will have a slightly higher premium than an HMO.

What is Medicare Advantage?

Medicare Advantage is an alternative to original Medicare where a private health insurance company offers your Medicare benefits, plus other benefits original Medicare doesn’t traditionally offer. Examples include vision, dental, and preventive health services. Blue Cross Blue Shield is one of these companies.

What is a SNP in Medicare?

Blue Cross SNPs. A Special Needs Plan (SNP) is a Medicare Advantage plan dedicated to those who have a particular condition or characteristic . Ideally, the plan provides greater coverage aspects that a person may need. Medicare requires that all SNPs provide prescription drug coverage.

Does Blue Cross offer Medicare Advantage?

Blue Cross offers a variety of Medicare Advantage plans. Many plans include prescription drug coverage, or you can purchase a separate Part D plan. Many of the Blue Cross Medicare Advantage plans offer $0 monthly premiums along with prescription drug coverage. Blue Cross serves over 107 million members across the country, including Washington, ...

Does Blue Cross cover prescription drugs?

Blue Cross Part D options. Medicare Part D plans cover your prescription drugs. Some Medicare Advantage plans through Blue Cross offer prescription drug coverage. However, if the plan does not offer coverage, you can choose a standalone prescription drug plan. Blue Cross offers “basic” and “enhanced” plans in the prescription drug category as well ...

Is Blue Cross Medicare Advantage competitive?

The Medicare Advantage marketplace is an increasingly competitive one. If you live in a metropolitan county, there may be dozens of plans to choose from. The following are some examples of Blue Cross Medicare Advantage plans in various locations with their monthly premiums and other costs.

Is Blue Cross Medicare available in Alaska?

However, no Medicare Advantage plans are currently sold in Alaska. Although there is wide availability throughout the country, specific types of plans and coverage options may only be offered in certain areas.

What Is Medicare Advantage?

Medicare Advantage is an all-in-one plan choice alternative for receiving Medicare benefits. You may also hear it referred to as Medicare Part C. This plan is bundled with Medicare Part A and Part B and usually includes Part D, which provides prescription drug coverage.

The Average Cost of a Medicare Advantage Plan

Some Medicare Advantage plans may have lower out-of-pocket costs than Original Medicare, and some have a $0 monthly premium. Here are a few questions to consider before purchasing a plan.

Types of Medicare Advantage Plans

There are four common types of Medicare Advantage plans to compare when making your selection.

Medicare Advantage vs. Original Medicare

Consider the following details when deciding whether a Medicare Advantage plan or Original Medicare is best for you.

Methodology

To determine the best Medicare Advantage providers of 2021, the Forbes Health editorial team evaluated all insurance companies that offer plans nationwide in terms of:

Medicare Plus Blue SM network

All of our PPO network plans are available to residents who live in any Michigan county at least six months of the year.

BCN Advantage SM networks

Different HMO networks are available depending on where you live. Choose the network name to see a map of the counties where these plan types are available.

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