Our BlueSaver (HMO) Medicare Advantage Plan is designed to make Medicare easy for you. With a low cost monthly premium and coverage that's recognized nationwide, you can rest easy knowing that you're covered.
Not sure if this plan is right for you?
Call us to speak with a customer service representative.
|Primary Care Doctor||Specialist|
Use our new Find a Doctor tool to discover if your doctor, specialist, or facility are in-network.
If they are not in-network, you can search to find one that is in our network of providers.
|Medical / Drug Deductibles||$0 / $290 (tiers 3-5)|
|Part D Prescriptions:||Preferred Pharmacy||Standard Pharmacy|
The Medicare Part D Coverage Gap
The 'coverage gap' or 'donut hole' is a Part D drug coverage stage the changes what you pay for prescriptions. You may not end up in the coverage gap each year, but you should be aware of how it works, just in case.
Surgery and Treatment
|Inpatient hospital||$360/day, days 1-5 / $1,800 max per year|
Optional Supplemental Dental Care
Add Dental Care
Optional supplemental benefits (no network - see any dentist)
|Premium||Preventive Services (2 cleanings & 2 oral exams/year)||Diagnostic and Restorative Service Cost||Annual Max Allowance|
|Basic||$19||50% coinsurance||50% coinsurance||$500|
|Enhanced||$38||Full coverage||50% coinsurance||$1,000|
Note: Preventive services do not count toward the annual max allowance for dental.
Common Plan Elements
|World coverage for emergency and urgent care|
|Part B diabetes supplies and monitors||$0|
|Skilled nursing facility days 1-20||$0|
|Skilled nursing facility days 21-100||$167.50/day|
|Hearing aid (specific models)*||$699 or $999/unit|
|In-network out-of-pocket maximum||$6,700|
*Our plans cover one routine hearing exam per year with a TruHearing provider. Please call TruHearing™ to verify your benefit and schedule a hearing exam. Coverage is for TruHearing Flyte models only. TruHearing™ is a registered trademark of TruHearing, Inc. TruHearing™ is an independent company that administers the hearing aid benefit.
$0 Preventive Services:
More than 20 services are included at no cost* when you use providers in our network. These services include annual wellness visit, bone density test, cardiovascular screenings, cancer screenings, diabetes self-management training, vaccines, and more.
- Explore services offered at $0 copay
*A $0 copay applies when using an in-network provider.
$0 Gym Membership:
Stay active with access to more than 14,000 fitness locations nationwide with SilverSneakers®. Enjoy amenities including weight machines, cardio equipment, swimming pools, saunas, exercise classes for all fitness levels, and more.
$0 Care Management:
Our nationally accredited care management team works with you and your doctor to help manage your health and meet your unique goals.
- Learn more about our health care services*
*This page links to a non-Medicare page.
$0 In-Home Care:
We've partnered with Landmark Health to create Care at Home℠-- care and support available 24/7, provided in the comfort of your home.
Contracts and Additional Resources
Looking for another plan?
A division of HealthNow New York Inc., an independent licensee of the Blue Cross Blue Shield Association. BlueShield of Northeastern New York is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. This information is not a complete description of benefits. Call 1-800-329-2792 (TTY: 711) for more information. BlueShield of Northeastern New York complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-735-4515 (TTY: 711). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY: 711).
Content Last Updated October 1, 2018