Blue Medicare Advantage Flex (no Part D) (PPO)
Medicare Plan Details (2022 Plan)
Monthly Premium
by Blue Medicare Advantage
Additional Coverage
Overall Government Star Rating
4.0Ready to Enroll Online?
Plan Type
Medicare Advantage (Part C)
Medicare Advantage combines Part A and Part B. This plan = Part A + Part B
Plan Details
$4,000 In-network
Medical Benefits
Doctor Services
Out-of-network: $0 copay
Out-of-network: $20 copay per visit
Tests, labs, & imaging
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $185-285 copay
Out-of-network: $0 copay
Hospital Services
$0 per day for days 7 through 90
Out-of-network: $285 per day for days 1 through 6
$0 per day for days 7 through 90
Out-of-network: $285 copay or 20% coinsurance per visit
Skilled nursing facility
$184 per day for days 21 through 100
Out-of-network: $0 per day for days 1 through 20
$184 per day for days 21 through 100
Preventive services
Out-of-network: $0 copay
Ambulance
Out-of-network: $285 copay
Therapy services
Out-of-network: $20 copay
Out-of-network: $20 copay
Mental health services
Out-of-network: $20 copay
Out-of-network: $20 copay
Out-of-network: $20 copay
Out-of-network: $20 copay
Opioid treatment services
Other services
Out-of-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
Out-of-network: 0-20% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Out-of-network: 0-20% coinsurance
Out-of-network: 0-20% coinsurance
Extra Benefits
Hearing
Out-of-network: $20 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Preventive Dental
Comprehensive dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Other benefits
Health Plan Star Ratings
(government star ratings are out of 5 stars)
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