NextBlue Freedom PPO (PPO)
North Dakota Medicare Advantage Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
4.5Ready to Enroll Online?
Plan Overview
NextBlue Freedom PPO (PPO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in North Dakota and offered by the health insurance company NextBlue of North Dakota. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
NextBlue Freedom PPO (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $4,500 In and Out-of-network $4,500 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for NextBlue Freedom PPO (PPO) are defined below.
Additional Benefits and Coverage
NextBlue Freedom PPO (PPO) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. NextBlue Freedom PPO (PPO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. NextBlue Freedom PPO (PPO) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of NextBlue Freedom PPO (PPO) to Other Plans in North Dakota
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, NextBlue Freedom PPO (PPO) received an overall government quality rating of 4.5 stars out of 5 stars.
NextBlue Freedom PPO (PPO) performed better than North Dakota’s State average overall quality score of 4.0 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
NextBlue Freedom PPO (PPO) received 4 stars for its health plan quality score which is better than the North Dakota State average health plan quality score of 3.9 stars.
Plan Benefits and Coverage Details
$4,500 In-network
Medical Benefits
Doctor Services
Out-of-network: $0 copay
Out-of-network: $25 copay per visit
Tests, labs, & imaging
Out-of-network: $0-325 copay
Out-of-network: $0 copay
Out-of-network: $0-325 copay
Out-of-network: $15 copay
Hospital Services
Out-of-network: $350 per stay
Out-of-network: $200 copay per visit
Skilled nursing facility
$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
Out-of-network: $0 copay
Ambulance
Out-of-network: $150 copay
Therapy services
Out-of-network: $25 copay
Out-of-network: $25 copay
Mental health services
Out-of-network: $25 copay
Out-of-network: $25 copay
Out-of-network: $25 copay
Out-of-network: $25 copay
Opioid treatment services
Other services
Out-of-network: 0-20% 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: $35 copay or 20-30% coinsurance
Out-of-network: $35 copay or 20-30% coinsurance
Extra Benefits
Hearing
Out-of-network: $5-25 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Preventive Dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Out-of-network: 25% coinsurance
Vision
Out-of-network: 40% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
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