Medicare Blog

what happens to my blue cross and blue shield of alabama when i sign up for medicare

by Prof. Carmine Jacobson Published 2 years ago Updated 1 year ago

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Is Blue Cross Blue Shield of Alabama Medicaid?

Blue Cross is honored to begin serving 325,000 Medicaid eligible individuals effective October 1, 2019. My Care was formed by Blue Cross to serve as an extension of the 82-year-old company to specifically focus on opportunities to serve Alabama's Medicaid population.

Is Blue Cross Blue Shield of Alabama PPO or HMO?

Birmingham – Blue Cross and Blue Shield of Alabama's Blue Advantage PPO Plan, a Medicare Advantage Plan, is the only statewide plan in Alabama to receive a four-star quality rating from the Centers for Medicare and Medicaid Services (CMS).

What is the deductible for Blue Cross Blue Shield of Alabama?

What is the overall deductible? $300 per person per calendar year Maximum of three deductibles per family Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay.

Can you use BCBS Alabama in another 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.

Does Alabama have free health insurance?

Quick Info. Medicaid provides free or low-cost health coverage to eligible needy persons.

Does Alabama have Medicare Advantage plans?

Alabama offers three general Medicare Advantage plan types: Preferred Provider Organization (PPO), Health Maintenance Organization (HMO) and Private Fee-for-Service (PFFS). Health Maintenance Organizations, or HMOs, are a type of health insurance plan that includes a network of approved providers.

What is the copay for Blue Cross Blue Shield of Alabama?

$35 copay/physician per visit $150 copay/facility per visit & $35 copay/physician per visit Benefits are for medical emergencies and treatment of accidental injuries if treated within 72 hours; Facility and Physician charges for treatment of accidental injuries treated after 72 hours covered at 80% of the allowed ...

Who owns Blue Cross Blue Shield of Alabama?

United Trust Insurance Company By the end of 2012, the company held US$1 million of capital stock and a surplus of US$986 million.

How much is Blue Cross Blue Shield per month?

Blue Cross Blue Shield Insurance Plan OptionsPlan nameMonthly premiumAnnual maximum out-of-pocket costBronze B07S, Network S$435.55$6,900Silver S21S, Network S$601.53$8,000Silver S01S, Network S$721.42$7,800Gold G06S, Network S$781.54$6,3501 more row•May 21, 2022

What is the average cost of health insurance in Alabama?

How much does health insurance cost in Alabama? Alabama residents can expect to pay an average of $642 per person* for a major medical individual health insurance plan. Prices will vary and premiums can be lower if you are in good health.

Does Blue Cross Blue Shield Alabama cover abortion?

Blue Cross Blue Shield (BCBS) is the most popular MSP, and one that consistently does not publish its Summary of Benefits and Coverage. In the few instances where these documents are publicly available, BCBS does not cover abortions beyond the circumstances of life endangerment, rape, or incest.

Do copays count towards deductible?

In most cases, copays do not count toward the deductible. When you have low to medium healthcare expenses, you'll want to consider this because you could spend thousands of dollars on doctor visits and prescriptions and not be any closer to meeting your deductible. Better benefits for copay plans mean higher costs.

IF YOU'RE OVER 65 AND PLAN TO WORK FOR A FEW MORE YEARS

More and more Alabamians are opting to retire later in life, in some cases to maximize Social Security retirement income. If you're part of an employer health plan, Medicare might already pay benefits under Part A (hospital coverage). Whether or not you should enroll in Part B (medical coverage) depends on:

WHEN YOU DECIDE TO STOP WORKING

When you leave your job and lose your employer coverage, you'll have a Special Enrollment Period to sign up for Medicare Part B (and Part A if you haven't already). This period lasts for 8 months, starting the month after your employment OR your group health insurance ends.

IMPORTANT

If you are interested in joining a Medicare Advantage or Medicare Prescription Drug plan, your chance to join lasts for two months after the month your employer coverage ends.

IF YOU HAVE COBRA COVERAGE

COBRA is not considered employer coverage. You must sign up for Part B during the first 8 months you have COBRA to avoid the late-enrollment penalty. If you miss the 8-month window, you must wait to sign up during the next General Enrollment Period (January 1 - March 31) and coverage won't start until July 1.

How old do you have to be to get Medicare?

You qualify for full Medicare benefits at age 65 or older if: You are a U.S. citizen or permanent legal resident who has lived in the United States for at least five years and are eligible for Social Security.

What is a special enrollment period?

Special Enrollment Period (Special Circumstances) Certain life events — such as moving or losing your employer group coverage when you retire past age 65 — may make you eligible for a Special Enrollment Period. This allows you to change or obtain your initial coverage outside your Initial Enrollment Period or the Annual Election Period.

How much does Medicare cover?

It only covers about 80% of your healthcare bills, and you are responsible for the rest. With Original Medicare alone, you are responsible for 100% of your prescription drug costs. Gaps in your Medicare coverage can be costly.

How many parts are there in Medicare?

Medicare is made up of 4 parts: A, B, C and D. Medicare is made up of. 4. parts: A, B, C and D.

Does Medicare cover Alabama?

Extensive network across Alabama with over 90% of doctors, 100% of hospitals and 90% of pharmacies. Original Medicare (PART A + PART B) won't cover all of your health insurance expenses. A Medicare benficiary is responsible for the other 20% not covered under Medicare.

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