NextBlue Freedom PPO (PPO)

Medicare Plan Details (2023 Plan)

Monthly Premium

by NextBlue of North Dakota

Additional Coverage

HearingVisionDental

Overall Government Star Rating

4.5

out of 5 stars

Ready to Enroll Online?

Plan Type

Medicare Advantage (Part C)

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

Monthly Premium

Health Portion of Premium

Drug Portion of Premium

Health Plan Deductible

Health Plan Max Out-of-Pocket

$4,250 In and Out-of-network
$4,250 In-network

Nationwide Coverage included

Hearing Coverage included

Yes

Vision Coverage included

Yes

Dental Coverage included

Yes

Doctor Lookup Link

http://www.nextblueND.com/findadoctor

Plan Link

http://www.nextblueND.com

Doctor Services

Primary doctor visit

In-network: $0 copay
Out-of-network: $0 copay

Specialist visit

In-network: $25 copay per visit
Out-of-network: $25 copay per visit

Tests, labs, & imaging

Diagnostic tests & procedures

In-network: $0-325 copay
Out-of-network: $0-325 copay

Lab services

In-network: $0 copay
Out-of-network: $0 copay

Diagnostic radiology services (like MRI)

In-network: $0-325 copay
Out-of-network: $0-325 copay

Outpatient x-rays

In-network: $15-325 copay
Out-of-network: $0-325 copay

Emergency care

$75 copay per visit (always covered)

Urgent care

$40 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage

In-network: $350 per stay
Out-of-network: $350 per stay

Outpatient hospital coverage

In-network: $200 copay per visit
Out-of-network: $0-200 copay per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$125 per day for days 21 through 48
$0 per day for days 49 through 100
Out-of-network: $0 per day for days 1 through 20
$125 per day for days 21 through 48
$0 per day for days 49 through 100

Preventive services

In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance

In-network: $150 copay
Out-of-network: $0-200 copay

Therapy services

Occupational therapy visit

In-network: $25 copay
Out-of-network: $25 copay

Physical therapy & speech & language therapy visit

In-network: $25 copay
Out-of-network: $25 copay

Mental health services

Outpatient group therapy with a psychiatrist

In-network: $25 copay
Out-of-network: $25 copay

Outpatient individual therapy with a psychiatrist

In-network: $25 copay
Out-of-network: $25 copay

Outpatient group therapy visit

In-network: $25 copay
Out-of-network: $25 copay

Outpatient individual therapy visit

In-network: $25 copay
Out-of-network: $25 copay

Opioid treatment services

Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)

In-network: 0-20% coinsurance per item
Out-of-network: 0-20% coinsurance per item

Prosthetics (like braces, artificial limbs)

In-network: 20% coinsurance per item
Out-of-network: 0-20% coinsurance per item

Diabetes supplies

In-network: $0 copay
Out-of-network: 0-20% coinsurance per item

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

Part B Drugs

Chemotherapy drugs

In-network: 20% coinsurance
Out-of-network: 20-30% coinsurance

Other Part B drugs

In-network: 20% coinsurance
Out-of-network: 20-30% coinsurance

Hearing

Hearing exam

In-network: $5-25 copay
Out-of-network: $0-25 copay

Fitting/evaluation

In-network: $0 copay
Out-of-network: $0 copay

Hearing aids - All types

In-network: $0 copay
Out-of-network: $0 copay

Preventive Dental

Oral exam

In-network: $0 copay
Out-of-network: $0 copay

Cleaning

In-network: $0 copay
Out-of-network: $0 copay

Fluoride treatment

In-network: $0 copay
Out-of-network: $0 copay

Dental x-rays

In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Non-routine services

Not covered

Diagnostic services

In-network: 25% coinsurance
Out-of-network: 25% coinsurance

Restorative services

In-network: 25% coinsurance
Out-of-network: 25% coinsurance

Endodontics

In-network: 25% coinsurance
Out-of-network: 25% coinsurance

Periodontics

In-network: 25% coinsurance
Out-of-network: 25% coinsurance

Extractions

In-network: 25% coinsurance
Out-of-network: 25% coinsurance

Prosthodontics, other oral/maxillofacial surgery, other services

In-network: 25% coinsurance
Out-of-network: 25% coinsurance

Vision

Routine eye exam

In-network: $0 copay
Out-of-network: 40-50% coinsurance

Contact lenses

In-network: $0 copay
Out-of-network: 40-50% coinsurance

Eyeglasses (frames & lenses)

In-network: $0 copay
Out-of-network: 40-50% coinsurance

Eyeglass frames (only)

In-network: $0 copay
Out-of-network: 40-50% coinsurance

Eyeglass lenses (only)

In-network: $0 copay
Out-of-network: 40-50% coinsurance

Upgrades

Not covered

Other benefits

Fitness benefit

Limited coverage

Over the counter drug benefits

Limited coverage

In-home support services

Not covered

Home and bathroom safety devices

Not covered

Meals for short duration

Not covered

Annual physical exams

Limited coverage

Telehealth

Limited coverage

Summary rating of health plan quality

4.5

Staying healthy: screenings, tests, & vaccines

No Rating (new plans)

Managing chronic (long term) conditions

Member experience with health plan

Member complaints & changes in the health plan's performance

Health plan customer service

No Rating (new plans)

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No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! Plan availability depends on your location. Licensed agents may not be able to provide assistance for all plans shown on this site.

Health Plan Radar

In this article we rank North Dakota Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.

Health Plan Radar

The Medicare landscape in North Dakota is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in North Dakota.

NextBlue Freedom PPO (PPO)

Medicare Plan Details (2023 Plan)

Monthly Premium

by NextBlue of North Dakota

Additional Coverage

Overall Government Star Rating

Ready to Enroll Online?

Plan Type

Medicare Advantage (Part C)

Plan Details

Medical Benefits

Doctor Services

Tests, labs, & imaging

Hospital Services

Skilled nursing facility

Preventive services

Ambulance

Therapy services

Mental health services

Opioid treatment services

Other services

Prescription Drug Benefits

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

Part B Drugs

Extra Benefits

Hearing

Preventive Dental

Comprehensive dental

Vision

Other benefits

Health Plan Star Ratings

(government star ratings are out of 5 stars)

When Can I Sign Up for Medicare?

Ready to Enroll Online?

Medicare Health Plans

Get Advice & Sign Up Help

Best North Dakota Medicare Advantage Health Insurance Companies for 2023

New North Dakota Medicare Advantage Health Insurance Companies for 2023