Platinum Blue Core Plan (Cost)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by Blue Cross and Blue Shield of Minnesota
Additional Coverage
Hearing
Overall Government Star Rating
 4.5
out of 5 stars

State: Minnesota

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

$26
$26
$0
$0
$6,000 In-network
No
Yes
No
No

Medical Benefits

Doctor Services

$0 or 20% per visit
$0 or 20% per visit

Tests, labs, & imaging

$0 or 20%
$0 or 0%
$0 or 20%
$0 or 20%
$90 per visit (always covered)
$25 per visit (always covered)

Hospital Services

$600 per stay
$0 or 20% per visit

Skilled nursing facility

$0 per day for days 1 through 20
$178 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

$0 or 20%

Therapy services

$0 or 20%
$0 or 20%

Mental health services

$0 or 20%
$0 or 20%
$0 or 20%
$0 or 20%

Opioid treatment services

Covered

Other services

$0 or 20% per item
$0 or 20% per item
$0 or 20% per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

$0 or 20%
$0 or 20%

Extra Benefits

Hearing

$20
Not covered
$699-999

Preventive Dental

Not covered
Not covered
Not covered
Not covered

Comprehensive dental

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Vision

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Other benefits

Limited coverage
Not covered
Not covered
Not covered
Not covered
Limited coverage
Not covered
 4
 4
 3
 5
 4
 5

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