Benefit Summary
Medicare Blue PPO is a Medicare Advantage plan designed to offer you another choice when it comes to your health care coverage. With Medicare Blue PPO you'll enjoy affordable health care and prescription drug coverage in one plan.
Medicare beneficiaries may enroll in Medicare Blue PPO through the Centers for Medicare & Medicaid Services Online Enrollment center at www.medicare.gov.* Enrollment for January 1, 2010 does not begin until November 15, 2009. For more information, contact a Product Specialist.
For more details about Medicare Blue PPO benefits, please review the benefit summary.
- MedicareBlue PPO with Rx Benefit Summary

- MedicareBlue PPO without Rx Benefit Summary

- Coverage for HIV Screenings

The Medicare Blue PPO follows the same coverage policies of the Center for Medicare and Medicaid Services (CMS). The policies are posted on the CMS Web site. Get additional information on national and local medical policy from CMS.*
How do I apply for extra help?
For full information on Medicare Blue PPO, call our Product Specialist at 1-866-303-2583, 8 a.m. - 8 p.m., Central time, 7 days a week. For hearing or speech impaired, call 1-800-722-0353.
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for seventy-five percent of drug costs including monthly prescription drug premiums, annual deductibles, and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.
The documents are available in alternate formats or languages; please contact a Product Specialist at 1-866-303-2583, 8 a.m. - 8 p.m., Central time, 7 days a week. For hearing or speech impaired, call
1-800-722-0353.
