Blue choice ny insurance

Medicare Blue Choice Value (HMO) is a 2015 Medicare Advantage ("Part C" or "MA Plan") plan by Excellus Health Plan, Inc. This plan from Excellus Health Plan, Inc works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for Medicare Blue Choice Value (HMO) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Excellus Health Plan, Inc and not Original Medicare. With Medicare Advantage plans your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from this plan except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.

The Medicare Blue Choice Value (HMO) H3351-011 is available to residents in New York, and has a in-network Maximum Out-of-Pocket limit of $6,000 MOOP. This means that if you get sick or need a high cost procedure your co-pays are capped. If you enroll in Medicare Blue Choice Value (HMO) plan you will stop paying co-pays for the rest of the year once you pay out of pocket $6,000 This is a very nice safety net. This plan includes additional Medicare prescription drug (Part-D) coverage .

Medicare Blue Choice Value (HMO) is a Local HMO. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you need special care for a physician specialist, your primary care physician will make the arrangements and tell you where you can go in the network. You will need your PCPs okay, called a referral. Without getting a referral or services received from out-of-network providers are not typically covered by the plan.

Ratings for Medicare Blue Choice Value (HMO) H3351

Member Complaints and Changes in Medicare Blue Choice Value (HMO) Plans Performance

Health Plan Customer Service Rating for Medicare Blue Choice Value (HMO)

Ratings For Member Complaints and Changes in the Drug Plans Performance

Medicare Blue Choice Value (HMO) Drug Plan Customer Service ratings

Excellus Health Plan, Inc plan charges a $5.70 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.

The Medicare Blue Choice Value (HMO) plan has a monthly drug premium of $17.30 and a $0.00 drug deductible. This Excellus Health Plan, Inc plan offers a $17.30 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Excellus Health Plan, Inc above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $17.30. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Medicare Blue Choice Value (HMO) medicare insurance plan offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $4.30 for 75% low income subsidy $8.60 for 50% and $13.00 for 25%.

In 2015 once you and your plan provider have spent $2,960 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs. Once you reach the coverage gap you will pay 45% of the plan's cost for covered brand-name prescription drugs unless your plan offers additional coverage. This Excellus Health Plan, Inc plan does not offer additional coverage through the gap.

For More Information on Ratings Please See the CMS Tech Notes Here .

Notes: Data are subject to change. All contracts for 2015 have been finalized. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit

Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

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