Medicare Blog

what is community blue medicare hmo

by Lillie Kub Published 2 years ago Updated 1 year ago
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Community Blue Medicare HMO is a Medicare Advantage Health Maintenance Organization that offers affordable plans made possible by partnerships with community hospitals.Sep 7, 2021

Full Answer

What does community Blue Medicare HMO pay for?

Community Blue Medicare HMO pays for emergency care members receive within the service area and while traveling outside of the service area, for both inpatient and outpatient services that are furnished by a qualified provider and needed to evaluate or stabilize an emergency medical condition.

What is the mailing address for community Blue Medicare PPO?

Mailing Address: Community Blue Medicare PPO. P.O. Box 1068. Pittsburgh, PA 15230-1068

What is the difference between community blue and Highmark senior health company?

Community Blue Medicare PPO is a plan with in- and out-of-network coverage. If you want in-network access to Highmark’s full provider network, you may wish to consider our Security Blue HMO-POS and Freedom Blue PPO Medicare Advantage products. Highmark Senior Health Company is a PPO plan with a Medicare contract.

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What is Highmark Community Blue Medicare?

Community Blue Medicare PPO is a Medicare Advantage Preferred-Provider Organization plan that gives you coverage for every need— health, prescription drugs, routine dental, vision, hearing, and preventive care.

In what counties is Highmark Community Blue Medicare Plus PPO offered?

Community Blue Medicare HMO will be available in Cumberland, Dauphin, Juniata, Lackawanna, Lehigh, Luzerne, Lycoming, Northampton, Perry, Sullivan, Susquehanna, Tioga, Wayne and Wyoming counties.

Is Highmark Freedom Blue a Medicare Advantage Plan?

Freedom Blue PPO is a Medicare Advantage Preferred-Provider Organization that gives you coverage for every need - health, prescription drugs, routine dental, vision, hearing and preventive care.

What is a community blue PPO?

Community Blue Medicare PPO is a Medicare Advantage Preferred-Provider Organization plan that gives you coverage for every need— health, prescription drugs, routine dental, vision, hearing, and preventive care . Community Blue Medicare PPO includes a high value network of select providers, PLUS an enhanced service model to assist in finding doctors, making medical appointments and coordinating your health information between doctors and hospitals. With Community Blue Medicare PPO, you have access to a select network of community doctors and hospitals in 9 counties in western Pennsylvania and 34 counties in north east and central Pennsylvania. Plus you also have the additional freedom to travel across the United States and find in-network coverage.

Is Community Blue Medicare PPO in network?

Plus you also have the additional freedom to travel across the United States and find in-network coverage. Community Blue Medicare PPO is a plan with in- and out-of-network coverage.

Is Highmark a PPO?

Highmark Senior Health Company is a PPO plan with a Medicare contract. Enrollment in Highmark Senior Health Company depends on contract renewal.

What is Blues on Call?

Blues On Call supports your relationship with your PCP and other treating physicians— it is not a substitute for your PCP or other physician’s care. When you call, you will speak to a health coach (a specially trained registered nurse) who can answer questions you have about your health.

How much does Medicare Part D premium go up if you lose FEHB?

If you lose or drop your FEHB coverage and go 63 days or longer without prescription drug coverage that’s at least as good as Medicare’s prescription drug coverage, your monthly Medicare Part D premium will go up at least 1% per month for every month that you did not have that coverage.

How do I contact Medicare for prescription drug?

socialsecurity.gov, or call the SSA at 800-772-1213 (TTY: 800-325-0778) .

Is Community Blue HMO a creditable plan?

The Office of Personnel Management (OPM) has determined that the Community Blue HMO prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participants and is considered Creditable Coverage.

What is Blues on Call?

Blues On Call supports your relationship with your PCP and other treating physicians— it is not a substitute for your PCP or other physician’s care. When you call, you will speak to a health coach (a specially trained registered nurse) who can answer questions you have about your health.

How much does Medicare Part D premium go up if you lose FEHB?

If you lose or drop your FEHB coverage and go 63 days or longer without prescription drug coverage that’s at least as good as Medicare’s prescription drug coverage, your monthly Medicare Part D premium will go up at least 1% per month for every month that you did not have that coverage.

How do I contact Medicare for prescription drug?

socialsecurity.gov, or call the SSA at 800-772-1213 (TTY: 800-325-0778) .

Is Community Blue HMO a creditable plan?

The Office of Personnel Management (OPM) has determined that the Community Blue HMO prescription drug coverage is, on average, expected to pay out as much as the standard Medicare prescription drug coverage will pay for all plan participants and is considered Creditable Coverage.

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