Blue Cross Blue Shield Medicare Advantage Plans
| Plan name | Monthly premium | Annual medical deductible | Office visits | Annual maximum out-of-pocket cost |
| Premera Blue Cross Medicare Advantage Pe ... | $0 | $0 $160 (drug) | $5 primary/$40 specialist | $6,700 |
| Premera Blue Cross Medicare Advantage (H ... | $0 | $0 $160 (drug) | $5 primary/$40 specialist | $6,700 |
| Premera Blue Cross Medicare Advantage So ... | $35 | None | $0 primary/$45 specialist | $6,500 |
| Premera Blue Cross Medicare Advantage Al ... | $24 (does not include drug coverage) | None | $0 primary/$45 specialist | $6,500 |
Full Answer
What is Premera Medicare Advantage?
Premera serves over 2 million people and is the largest health plan provider in the Pacific Northwest. Medicare Advantage, or Medicare Part C, is an optional plan that can replace your original Medicare coverage (parts A and B).
Is Premera Blue Cross an HMO?
Premera Blue Cross is an HMO plan with a Medicare contract. Enrollment in Premera Blue Cross depends on contract renewal.
How do I Find my Premera Medicare Advantage plan name?
If you’re a Premera Medicare Advantage member and need to find your plan name, check your Premera ID card. This plan is not available for 2022 and has been consolidated into the Medicare Advantage (HMO) plan. View the Annual Notice of Change (.pdf) to see what has changed.
Does Premera Blue Cross offer Medicare Advantage plans in Alaska?
Although Premera Blue Cross offers private insurance services in both Alaska and Washington, its Medicare Advantage plans are limited to Washington residents only. And even in Washington, plan availability varies by county.
How do I know if I have Medicare Advantage?
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.
Is Medicare Advantage and PPO the same?
A Medicare Preferred Provider Organization (PPO) plan is a type of Medicare Advantage Plan, an alternative to Original Medicare. A PPO provides you with access to your Medicare-covered services plus more benefits that Medicare doesn't cover, such as dental, vision, and hearing.
Is premera a Blue Cross plan?
Premera Blue Cross complies with applicable federal and Washington state civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, gender identity, or sexual orientation.
What is a Medicare PPO Advantage plan?
A type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits, with a few exclusions, for example, certain aspects of clinical trials which are covered by Original Medicare even though you're still in the plan.
Is Original Medicare an HMO or PPO?
There are several differences in costs and coverage among Original Medicare, Preferred Provider Organizations (PPOs), and Health Maintenance Organizations (HMOs). The table below compares these three types of Medicare plans.
Do doctors prefer HMO or PPO?
PPOs Usually Win on Choice and Flexibility If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you won't likely need to select a primary care physician, and you won't usually need a referral from that physician to see a specialist.
Is premera a PPO?
Individual: Premera has individual preferred provider organization (PPO) and PPO HSA plans available to residents throughout the state of Alaska. These are sold to individuals through the Exchange marketplace.
Is premera and Blue Cross Blue Shield the same?
Premera Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. Premera Blue Cross is a member of a family of companies based in Mountlake Terrace, Washington, that provide health, life, vision, dental, stop-loss, disability, and other related products and services.
Is Premera Blue Cross Medicare?
Premera Blue Cross is an HMO plan with a Medicare contract. Enrollment in Premera Blue Cross depends on contract renewal.
What is the difference between PPO and PPO Plus?
In general the biggest difference between PPO vs. POS plans is flexibility. A PPO, or Preferred Provider Organization, offers a lot of flexibility to see the doctors you want, at a higher cost. POS, or Point of Service plans, have lower costs, but with fewer choices.
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 is the difference between a PPO and a regional PPO?
There are two types of PPO plans. A local PPO has a small service area, such as a county or part of a county, with approximately 2,000-5,000 providers in its network. A regional PPO has a contracted network that serves an entire region or regions and can include 16,000-17,000 providers in the network.
2022 Plans
Our large provider network covers 14 counties and includes more than 20,000 doctors and specialists. Learn more about our provider network .
Helpful plan guides
Here are a few great resources to help you talk to your clients about our plans. More plan resources are available below:
Manage leads
View a list of high-quality Medicare Advantage leads in your area through our Lead Management tool.
What do Premera Medicare Advantage Plans Cover?
Also called Medicare Part C, Medicare Advantage Plans combine Part A and B benefits with various extra services, but there are limits to what your Premera plan will pay. Most Premera Medicare Advantage Plans include:
Premera Medicare Advantage Plan Options
Premera has several Medicare Advantage Plans available, although options may vary depending on where you live. All plans are HMOs and most include medical and prescription drug coverage and fitness benefits. Some selections include optional dental coverage. In-office copays are generally affordable and telehealth visits tend to be even cheaper.
Premera Medicare Advantage Plans Reviews and Ratings
Premera has moderate scores across available consumer websites. In general, members give average approval ratings for the plan’s care and services, although many find customer service experience to be lacking.
What are the benefits of Medicare Advantage?
Most Medicare Advantage plans offer additional benefits not covered by Original Medicare, such as dental, vision and prescription drug coverage. Medicare Part D provides coverage for prescription medications, which is something not typically covered by Original Medicare.
How long does Medicare AEP last?
The Medicare AEP lasts from October 15 to December 7 every year. During this time, Medicare beneficiaries may do any of the following: Change from Original Medicare to a Medicare Advantage plan. Change from Medicare Advantage back to Original Medicare. Switch from one Medicare Advantage plan to another.
What is an annual review of Medicare?
An annual review of your Medicare coverage can help you determine if your plan combination is right for your needs. For example, if you’re spending a considerable amount of money on prescription drugs, a Medicare Part D plan or a Medicare Advantage plan with prescription drug coverage may be something to consider.
What is Medicare Part B?
Medicare Part B is medical insurance and provides coverage for outpatient appointments and durable medical equipment. Part B is optional, but is required for anyone wanting to enroll in Medicare Part C, Part D or Medicare Supplement Insurance. Part A and Part B are known together as “Original ...
Is Medicare Part A and Part B the same?
Part A and Part B are known together as “Original Medicare.”. Medicare Part C, also known as Medicare Advantage, provides all the same benefits as Medicare Part A and Part B combined into a single plan sold by a private insurance company.
