Blue Medicare PPO Premiums⁺

Understanding that not everyone has the same needs, the cost will vary depending on the plan you select.

• Value Plan - $0
• Advantage Plan - $37.40
• Premier Plan - $67.90

The premiums listed are for both medical services and prescription drug benefits.

Want more health coverage and more choice for less?

When you select Blue Medicare PPO, you'll have a choice of three affordable plans. All of our three money-saving plan options include:

• $0 deductible for in-network hospital and medical benefits
• Built-in prescription drug coverage
• Benefits in and out of our provider network

Review a Blue Medicare PPO Plan Comparison (PDF, 125KB). The benefits listed here are a partial description only.

For a complete list of benefits, please consult the Summary of Benefits (PDF, 117KB).

Extra Help

Availability of Medicare Subsidy Information

You may be able to receive extra help for your prescription drug premiums and costs. If you qualify for extra help, your premium and drug costs will be lower than what is published. When you join Blue Medicare PPO, Medicare will tell us how much extra help you are getting. Then, we will let you know the amount you will pay.

To see if you qualify for extra help:

• Call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day/7 days a week. For the hearing or speech impaired, please call 1-877-486-2048.
• Call the Social Security Administration at 1-800-772-1213, Monday - Friday, 7 a.m. - 7 p.m. CST. For the hearing or speech impaired, please call 1-800-325-0778.
• Contact your State Medicaid Office.

Low Income Subsidy Premium

The premiums listed do not include the amount you pay for your Medicare Part B premium.

For more information about Low-Income Subsidy, visit the Centers for Medicare & Medicaid Services (CMS).*