Medex blue cross. Effective 01/01/2025 .

Medex blue cross Medex ®´ DIRECT-BILLED MEDEX ®´ FITNESS REIMBURSEMENT If you’re a member of a Medex Core, Medex Sapphire, or Medex Bronze plan, you can get reimbursed for costs associated with qualified fitness programs and classes. QUESTIONS? If you have any questions, please call Member Service at 1-800-200-4255 (TTY: 711) April 1 through September 30, 8:00 a. DBA Florida Blue. COMPLETE YOUR COVERAGE Glasses and hearing aids aren’t covered by Medicare. It can be added to Medicare Parts A and B to fill "gaps" in your Medicare coverage and help with your out-of-pocket costs. , Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are Blue Cross Blue Shield Enrollment Form – FY2025. m. A primary care provider (PCP) can be a good resource to help you get started, but it’s not a mandatory step when seeking support. Medex Bronze shall, on or after January 1, 2020, only be offered to eligible persons who: (a) have attained 65 years of age before January 1, 2020; or (b) first became eligible for Medicare due to age, disability, or end-stage renal disease, before January 1, 2020. Blue Cross Optional Preventive Care Benefits Rider . 5 %âãÏÓ 869 0 obj > endobj 954 0 obj >/Filter/FlateDecode/ID[4D48CCAE1B265640A45FDB96499E0360>85A908A9A3B51C4DB1411E8B64602370>]/Index[869 256]/Info 868 0 BOSTON – November 21, 2024 – Blue Cross Blue Shield of Massachusetts (Blue Cross) is announcing new offerings to meet the diverse needs of our customers. • Medex premium rates and benefits are explained in the booklet you received with this application. What types of health clubs qualify? Blue Cross Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. • Please include proof of payment and itemized bill from provider. 82 per month each, and MEDEX Saphire $192. We'll provide the 2020 Form 1095-B to qualifying members who 2025 Formulary (drug list). 62 . Medicare Part A hospital coverage — Semi-private . ® Registered Marks of the Blue Cross and Blue Shield Association. This section shows how the allowed amount was Use our Check Medication Coverage tool to see if your prescription medications are covered and how much you can expect to pay. With your plan Dental insurance from Blue Cross Blue Shield of Massachusetts covers preventive care, such as annual dental cleanings, as well as services related to fillings, crowns, and extractions. 93 . Complete the application for Direct-Billed Medex. This plan supplements Medicare coverage for inpatient and outpatient care, excluding prescription drugs. Questions? Qualified for Fitness Reimbursement: Membership or fitness class fees at: • A full Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare Blue Care Elect Deductible Plan SM (PPO): The Preferred Provider Organization (PPO) plan offers access to the Blue Cross Blue Shield national network with no referrals for a flexible coverage solution. These drugs include: • Saxenda ® (liraglutide) • Wegovy ® (semaglutide) • Zepbound ® (tirzepatide) Here’s what will Medex ®´ 2 Plan 2020 This Medex plan provides benefits for: Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association MyBlue is a personalized way to access and manage your health plan. 711 (TDD) www. HMO coverage is offered by Health Options, Inc. Get the new MyBlue app. Medigap plans are sold by private insurance companies, like Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield of Massachusetts plans don’t require a PCP referral to visit a covered mental The payment overview shows the amount charged to Blue Cross, the amount we covered, and what you owe (if anything). Medex, our family of Medicare supplement plans, is designed to add real value and flexibility to your Medicare solution. ®´ Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc. 259" Middle(v): 0. 1-617-246-3633. Members with these plans will not experience a break in coverage as these medications move Medex ®´ DIRECT-BILLED MEDEX Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. benefts . Download or email a copy of your digital Medex ®´ An Independent Licensee of the Blue Cross and Blue Shield Association. O. Log in to Blue Cross Blue Shield of Massachusetts member portal. It also fills the gaps in Original Medicare coverage and gives you the power to see any Medicare provider in the country without a UPDATE - Effective January 1, 2025, Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates. Costs. A deductible is the amount you pay for medical services before your insurance begins to pay. As a Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Medex 2 Benefits at a Glance. What you pay with . Your a Blue Cross Blue Shield plan Please take a few minutes to help us set up your membership, by filling out the attached enrollment form. MoneyGeek determined this is the Our records indicate you are currently enrolled in the Blue Cross Blue Shield of Massachusetts (BCBSMA) Master Medicare Carve Out A & B plan through the City of Boston retiree health insurance options. Anthem Insurance Companies, Inc. Plus, Medicare Advantage members have access to a highly-trained team of Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. That’s why our Medex®´ Vision and Hearing benefit plan offers the coverage you’re missing. If you haven't received your 1099-HC by the first week of February, 2021, please call Member Service at the number on the front of your ID card. 6 %âãÏÓ 573 0 obj > endobj 593 0 obj >/Filter/FlateDecode/ID[5C87F989CAA86B40AD0039DECB4BCA04>]/Index[573 30]/Info 572 0 R/Length 103/Prev 245734/Root 574 Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. If you send the policy back to us within 30 days after you receive it, we will treat the policy as if it had never been issued and return all of your payments. Get the most out of your dental . As part of this update, certain medications may: Save Time With Live Chat Find the information you need about your health care benefits by chatting with an Anthem representative in real-time. , Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities that have contracted as a Blue Cross Blue Shield began as two companies — Blue Cross and Blue Shield — that offered affordable health care solutions in the early 1900s and started to come together in the 1940s. You pay. , Blue Cross About Medex 2. 9 Medex An optional Medicare Supplement (Medigap) plan that you add to Original Medicare •It helps to pay Medicare’s deductibles and co-insurance costs for you. Box 55011 Boston, MA 02205 • Or, fax the application to . $262. com. Questions? Qualified for Reimbursement: Membership or fitness class fees: • At a full-service MEDEX ®’ 2 This Medex plan provides benefits for: Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. exploring wellness offerings for mind and body. COMPLETE YOUR COVERAGE Glasses and hearing Medicare overview information on this website was developed by the Blue Cross and Blue Shield Association to help consumers understand certain aspects about Medicare. If you think Medex is right for you, or if you have any questions, call us toll-free at 1-800-678-2265 (TTY: 711), Blue Cross Blue Shield of Michigan and Blue Care Network are changing how we approach coverage of glucagon-like peptide-1 receptor agonist , known as GLP-1, drugs indicated for weight loss for our fully insured large group commercial members. If you need more information or assistance, call us at . Plan A: 1: Plan C: 1: Plan D: Medicare pays Plan pays: You pay; Plan pays You pay . QUESTIONS? If you have any questions, call the Member Service number Medex ® 2; Medicare PPO Blue SM; Overview. Will individuals with Medicare supplemental insurance or replacement plans purchased on their own receive a Form 1099-HC from Blue Members who have plans with the Blue Cross Blue Shield of Massachusetts formulary, as well as Medex®’ plans** with a three-tier pharmacy benefit, or the National Preferred Formulary*** will receive coverage for these medications under their pharmacy benefit upon the effective date. During that 7 1/2+ years I've not had to pay anything for medical expenses. Plus, from January 1, 2023 Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Call 1-800-262-BLUE (2583) to receive our Healthy Blue booklet, which outlines these special programs. Blue Cross Blue Shield of Massachusetts offers Medicare Supplement plans (Medigap). to 8:00 p. We offer employers throughout Massachusetts a variety of group Medicare coverage options, as well as supplemental coverage. MyBlue is your online member account that gives you instant access to your plan benefits from any Blue Cross Blue Shield of Massachusetts offers Medicare Supplement plans (Medigap). Form 1095-B . ET. com (continuous open enrollment) $129. 1-800 a Blue Cross Blue Shield of Massachusetts ID card—the most recognized ID card in health care today. Not sure? Call Team Blue at 1-888-389-7764. I'm a fairly low medical utilization person which, on a financial basis, would argue for me having started with a low-cost Advantage plan. Monday through Friday, or October 1 through March Medex Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. • To enroll by phone, call . This chart shows the benefits included in each plan. What types of programs qualify? Blue Cross members are covered for the COVID-19 vaccination. We negotiated the arrangements and discounts with each independent vendor or provider in order to assist our members. to 5:00 p. To learn more, please contact your account executive or visit our Get in touch with your local Blue Cross and Blue Shield company. Benefits. 49 . No. ET, and Thursday from 9:00 a. Before You Begin Read the instructions below carefully. Box 9130, North Quincy, MA 02171-9130. CPA Informational Flyer – FY2025. Please refer to the member’s contract benefits in A Blue Cross Medex or dental plan can be selected any time of the year. Sometimes a simple lifestyle change, like increased exercise or better diet and sleep habits, can have a real impact on how you feel, physically and mentally. without BCBS FEP Dental . Please read this booklet to learn everything you need to know about Medicare supplement plans and Medex. You’ll want to look into our Blue 20/20 vision plans. Medex ®´ Core, Medex ®´ Sapphire, Medex ®´ Bronze APPLICATION FOR DIRECT BILLED MEDEX ®´ Directions • Please print clearly. DIRECT-BILLED MEDEX ®´ WEIGHT LOSS BENEFIT If you are a member of a Medex Bronze, Medex Sapphire, Medex Core, Medex Choice*, or Medex Core Plus* plan, we’ve got a healthy incentive for you. 000378878 (3/20) Instructions Attach the Medicare Explanation of Benefits for all hospital and physician claims. Every company must make available the “Core” Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. For more information, visit signifycares. We prefer to stay with a Blue Cross MEDEX Supplement. Medex ® 2: This plan supplements Medicare coverage for inpatient and outpatient care, excluding prescription drugs. Highlight – Low Option – FY2025. Blue Cross and Blue Shield Association Medex 3 Plan 2008—Plan Overview This Medex plan provides benefits for the: • Medicare Part A Deductible and Co-insurances • Medicare Part B Deductible and Co-insurance • OBRA Benefits • Prescription Drugs City of Salem. There are two plans offered: MEDEX Core at $166. Direct-Billed Medex ®´ Fitness Reimbursement Request PLEASE PRINT ALL INFORMATION CLEARLY Complete this form and mail it to: Blue Cross Blue Shield of Massachusetts Local Claims Department P. 1-800-238-6616, Monday, Tuesday, Wednesday, and Friday from 8:00 a. Log in to Anthem. For example, Blue Cross Blue Shield of Massachusetts’ Medicare Advantage plans cover BOSTON – November 3, 2014 – Blue Cross Blue Shield of Massachusetts HMO Blue ®, a wholly owned subsidiary of Blue Cross and Blue Shield of Massachusetts, has launched Medex Choice, the first individual Medicare supplement plan in Massachusetts that offers members enhanced benefits when they choose a Primary Care Provider (PCP) from a designated group of high To request a hard copy of our Medicare HMO Blue or Medicare PPO Blue provider directory, please call our Member Service Department at 1-800-200-4255 (TTY: 711) from April 1 through September 30, 8:00 a. However, I know myself quite well. Medicare Advantage and Medex ®' members are covered with no cost share when vaccines are administered by any provider who accepts Medicare. The formulary, also known as a drug list, for each Blue MedicareRx plan includes most eligible generic and brand-name drugs. WITH A MEDEX ®´ PLAN FROM BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, YOU’LL GET THE COVERAGE YOU NEED—COVERAGE THAT GOES BEYOND ORIGINAL MEDICARE Choose Blue Cross Blue Shield of Massachusetts Quality I understand that Blue Cross Blue Shield of Massachusetts may require proof of payment for a reimbursement decision. ®´´ Registered Marks, TM Trademarks, and SM %PDF-1. If you need more information or assistance, call us at 1-800-678-2265. , Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal Blue Cross Blue Shield of Massachusetts offers a variety of Medicare insurance plans and resources to meet your needs. Discover Medex Core's plan features including fitness and weight loss reimbursement and international travel health insurance coverage. 4 %âãÏÓ 357 0 obj > endobj xref 357 67 0000000016 00000 n 0000002200 00000 n 0000002359 00000 n 0000004488 00000 n 0000004600 00000 n 0000004714 00000 n 0000005143 00000 n 0000005548 00000 n 0000005727 00000 n 0000006802 00000 n 0000007579 00000 n 0000008113 00000 n 0000008751 00000 n 0000009521 00000 n Here’s what you get for around $290 a month: Pay $0 out-of-pocket for preventive care, routine physicals, OB/GYN, well child visits, routine hearing and vision exams, and family planning. Blue Cross Blue Shield FEP Dental Website . Preparing for Medicare; Combining FEP and Medicare; Using Your If you qualify for grandfathered eligibility, MIT pays the full cost of Blue Cross and Blue Shield's MEDEX Supplement and subsidizes the other Medicare Supplement Plans up to the cost of MEDEX. We've been meeting the needs of people with Medicare since 1966. Our employer-sponsored Medex plans provide comprehensive coverage as well as additional benefits, which supplement Medicare Part A and Part B services covered by Medicare. Qualified for reimbursement • A Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. 2025 grandfathered retiree medical premiums. Skip to content Blue Cross provides coverage of 20% co Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association ® Medicare Supplement Core Medex Core Medicare Supplement 1 Medex Bronze STANDARD BENEFITS Basic Benefits Hospitalization For biologically based mental disorders, stays in a licensed mental hospital; for other mental disorders: up to 60 days per MEDEX ®´ SUBSCRIBER MEDICAL CLAIM FORM Instructions • Submit a claim only when you’re billed for services from a provider that doesn’t directly submit a claim to the local Blue Cross Blue Shield plan. Blue Cross provides coverage Healthy Blue Programs At Blue Cross Blue Shield of Massachusetts we offer you Healthy Blue, a group of programs, discounts and savings, resources, and tools to help you get the most you can from your health care plan. Find a plan that helps with the costs that Medicare doesn’t cover. Highlight – High Plus Option – FY2025 . page 2 - Medex As a supplemental insurance plan, Medex CVS Caremark ®´, an independent company, develops clinical criteria to determine medical necessity for medications, treatments, or supplies for Blue Cross Blue Shield of Massachusetts members who have a health plan that uses the Standard Control with Medex 2 is a Medicare supplement (Medigap) plan that helps cover a portion of many health care expenses left over after Medicare has covered its portion of costs plus travel coverage. Pay no more than $35 per visit for your first three sick-care or non-preventive office visits. We strive to ensure accessibility to our high-quality healthcare services for all patients. As part of this update, certain medications Medex Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Note: We do not provide In-Home Health Evaluations are administered by Signify Health, an independent company, on behalf of Blue Cross Blue Shield of Massachusetts. All the drugs we cover are carefully selected to provide the greatest Download and use your digital Blue Cross ID card, and add it to your wallet through the MyBlue app. Make sure to ask about our Medex Informational Meetings. • Carefully read and answer all questions. Incomplete applications won’t be accepted. Enrollment in Blue Cross Blue Shield of Massachusetts depends on contract renewal. RE: Medex Premium Rate Changes Introduction Blue Cross Blue Shield of Massachusetts has received approval from the state’s Division of Insurance for the following premium rates for all of its non-group Medex plans: Basic, Bronze, Sapphire, Gold, Standard, Core Plus, Core, Silver, Basic without Rx (pharmacy), Set your sights on top-notch eye coverage. Our plans also provide optional Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Page 2 Medicare Medicare Supplement Core Supplement 1 Medex Core Medex Bronze STANDARD BENEFITS STANDARD BENEFITS Basic Benefits Basic Benefits Hospitalization:For Hospitalization:For biologically based mental biologically based mental disorders,stays in a In order to enroll, you must be at least 65 years old and eligible for Part A prior to 1/1/2020. 232" Left: 0. Viewing this Medicare overview does not require you to enroll in You have a dental and/or vision-only plan through Blue Cross; You're enrolled in Medex®' or one of our Medicare Advantage plans; View Sample Form 1099-HC. Covered service. • For all other questions, Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. , Monday through Friday, or October 1 Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Members. Blue Cross' $0 premium Medicare PPO Blue SaverRx (PPO) and $0 premium Medicare HMO Blue SaverRx (HMO) Medicare Advantage plans Anthem Blue Cross and Blue Shield does not endorse and is not responsible for the products, services or information offered by the vendors or providers. These discounts are not insurance and are not part of the Medicare Supplement insurance plans. Submit claims to: Blue Cross Blue Shield of Massachusetts P. Flexible Spending Account . Save on fitness equipment and nutrition through Blue 365 discounts. •Medicare pays first, Blue Cross & Blue Shield of MA (Medex ) 1,2 . This plan gives you the ability to seek care from any provider participating in Medicare. 47 per month. Download or email a copy of your digital Her small-business employer will be soon dropping the health plan coverage benefit (Medex Bronze supplement plan for us), so we will be signing up directly and paying for our own supplement coverage. 328" Submit claims to: Blue Cross Blue Shield of Massachusetts P. Up here, you’ll find your account information, including your plan's deductible. Page: 1 Plate: Black Stub: No Stub Lockup: Split Top: 0. Mail to: Blue Cross Blue Shield of Massachusetts One Enterprise Drive Quincy, MA 02171-1753 Or fax to:1-617-246-3633. 368" Middle(h): 0" Right: 0. Plan option. • Use reverse side or another sheet of paper to include any additional information if necessary. This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare UPDATE - Effective January 1, 2025, Changes to the Blue Cross Blue Shield of Massachusetts Formulary and Medical Policy Updates. to Health coverage is offered by Blue Cross and Blue Shield of Florida, Inc. We’ve totally transformed the MyBlue mobile app to make understanding and using your health plan simpler than ever. bluecrossma. Blue Cross Blue Shield of Massachusetts Medicare Advantage Plans cover both brand name drugs and generic drugs. F or additional visits, you are responsible until the Blue Cross Blue Shield of Massachusetts Pharmacy Operations Department 25 Technology Place Hingham, MA 02043 Tel: 1-800-366-7778 Fax: 1-800-583-6289 CPT Codes / HCPCS Codes / ICD Codes Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement. For vaccines administered under Part D, all vaccines recommended by the Advisory Committee on Immunization Practices Many plans include this tool but some, like our Medex®´ plans, don’t. Plan pays. bcbsm. Call Employee Service at . Discover how the Blue Cross and Blue Shield Federal Employee Program (FEP) and Medicare work together for you. 21 . For prescription drug %PDF-1. This Medex, please feel free to call a Blue Cross Blue Shield of Massachusetts representative at 1-800-678-2265. com or use the Sydney Health app to start a Live Chat. The Medicare PPO Blue ValueRx plan is the best option for individuals in Massachusetts looking to minimize out-of-pocket expenses with or without drug coverage. InfoDial eligibility is available year-round, 24 hours a day, 7 days a week. Medicare eligible retirees. explained in the booklet you received with this application. Important %PDF-1. 1-800-678-2265. They’ll help cover your vision and hearing expenses, while limiting your out-of-pocket costs. If this Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare Blue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App Medex ®´ Core Medex ®´ Sapphire Medex ®´ Bronze 2024 plans FILLING THE GAPS IN YOUR MEDICARE PLAN Our Medex ®´ plans are designed to complement your Original Medicare coverage. Members Take Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. That’s why our Medex ®´ Vision and Hearing benefit plan offers the coverage you’re missing. Blue Cross Blue Shield of Massachusetts complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, a Blue Cross Blue Shield of Massachusetts ID card—the most recognized ID card in health care today. If you are enrolled in Medicare Part A and Part B (Original Medicare), Medigap plans can help fill the coverage gaps. Read this booklet to learn everything you need to know about Medicare supplement plans and Medex. We’ll cover any costs related to administration of vaccines, with no member cost share. Medex ®´ VISION AND HEARING BENEFITS If you have a direct-billed Medex plan, take a look at these benefits. Independent Licensee of the Blue Cross and Blue Shield Association. Standard Option* What you pay with . Benefit You Pay; Office visits (sick care/non-preventive) Full coverage of Medicare deductible and co-insurance : Emergency room : Full coverage after member pays $50 per visit: Inpatient hospital care: Full coverage of Medicare deductible and co-insurance Full coverage Medex ®´ DIRECT-BILLED MEDEX Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Our Medex ® ́ plans are designed to complement your Original Medicare coverage. Effective Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Medex ®´ Core Medex ®´ Sapphire Medex ®´ Bronze. I authorize the release of any information about my qualified fitness program to Blue Cross Blue Shield of Massachusetts. Information obtained from InfoDial is not an authorization of payment. Get insurance delivered through your local BCBS agency. $211. return it to Blue Cross Blue Shield of Massachusetts, Medex Member Services, P. Dental, Life and If you have Original Medicare, Managed Blue for Seniors, or Medex, you'll need to pay out-of-pocket for at-home COVID-19 tests. Our new partners at BCBS have created a website for City of Newton Anthem Insurance Companies, Inc. This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. High Option . This plan comes with Blue MedicareRx SM (PDP) for prescription drug Welcome to the Blue MedicareRx SM Resource Center. DIRECT-BILLED MEDEX ®´ FITNESS BENEFIT If you are a member of a Medex Bronze, Medex Sapphire, Medex Core, Medex Choice*, or Medex Core Plus* plan, we’ve got a healthy incentive for you. 201" Bottom: 0. Click to view the 2025 Benefit Comparison Chart. Get information on your policy using the state website found on your membership ID card. Policy Replacement If you are replacing another health insurance policy, do NOT cancel it until you You're a member of one of our Medex®' or Medicare Advantage plans; If you still have questions about whether you're eligible or excluded, please refer to your tax advisor or the Massachusetts Department of Revenue or call 1-800-392-6089. Direct-Billed Medex ® ´ Fitness Reimbursement Request. Blue Cross Blue Shield of Massachusetts Medex members can find the form to designate an authorized representative here. To request that a printed provider directory, pharmacy directory, formulary, or Evidence of Coverage (EOC) be mailed to you, or if you need help finding these plan documents, please call Member Service at 1-800-200-4255 (TTY: 711) April 1 through September 30, 8:00 a. Highlight – High Option – FY2025. Generic drugs have the same active ingredient formula as a brand name drug. Instantly tap into the resources and features you need most, like adding your member ID card to your digital wallet. . Blue Cross Medicare Supplement Comparison Guide The Medicare deductibles, coinsurance and copay amounts listed are based upon the 2024 CMS-approved values and could change for 2025. That’s why most of our plans include fitness and weight-loss Also, Medex plans with the Syringes and Needles rider have no cost for needles and syringes. Plus, from January 1, 2024 to December 31, 2024, it’s just $2. Login or Register here. Medex ®´ 3 Plan 2020 This Medex plan provides benefits for: Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association MyBlue is a personalized way to access and manage your health plan. com . DBA Florida Blue HMO. Is it easy to get reimbursed for vision and hearing care services? Yes. Medicare Supplement Core . YOUR MEDICAL BENEFITS • Full coverage of Medicare deductible and coinsurance • Full coverage of lifetime reserve day coinsurance • Full coverage up to a lifetime maximum of 365 additional hospital Blue Cross Blue Shield of Massachusetts issues MA 1099-HC forms to qualifying subscribers residing in Massachusetts who are enrolled in a Blue Cross Blue Shield of Massachusetts health plan at any time during the calendar year. , and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Medex ®´ OUTLINE OF MEDICARE SUPPLEMENT COVERAGE Benefit Plans Medicare Supplement Core Through Supplement 1A Medicare Supplement Insurance can be sold in only standard plans. The following subscribers won't be receiving a MA 1099-HC form: Subscribers younger than 18 years of age You can access our secure sites by using the Login link in the top right corner, or choosing one of these options: Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Medex helps you save money by lowering your out-of-pocket expenses. 1-800-258-2226 member services . Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare Shop Medex Sapphire and find out how our supplement insurance can complement your Medicare coverage. Information for plans beginning January 1, 2025. For prescription drug coverage, you also need to enroll in Blue MedicareRx Blue Cross Blue Shield of Massachusetts One Enterprise Drive Quincy, MA 02171-1753 • Or fax the application to 1-617-246-3633 • To enroll by phone, please call 1-800-678-2265. Here, you'll find money-saving benefits on everything from eye exams to glasses and contacts — plus the benefit of a vision plan that’s connected to your Blue Cross medical plan. , Blue Cross and Blue Shield of Massachusetts, Inc. Medex ® ´ Core Medicare Supplement 1 Medex ® ´ Bronze Medicare Supplement 1A Medex ® ´ Sapphire Standard Benefits Basic Benefits Hospitalization For biologically based mental disorders, stays in a licensed mental hospital, less Part A deductibles; for other mental Blue Cross Blue Shield FEP Dental Premium Finder Webpage . Where can I get a test at no cost? To get tests at no out-of-pocket cost: Visit an in-network pharmacy* and show your member ID card when checking out at the pharmacy counter. , Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities that have contracted as a joint enterprise with the Centers for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue MedicareRx (PDP) plans. Box 986030 Boston, MA 02298 Note: For services rendered OUTSIDE OF THE US, please go to the following website: Medex ®´ Subscriber Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare We are happy to introduce Blue Cross Blue Shield of Massachusetts (BCBS) as our newest partner in providing exceptional health insurance and wellness benefits to our retirees and their family members. Please keep a copy of the application Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare Elect, Medex ®´, Blue Cross Blue Shield of Massachusetts New England Health Plans, and Federal Employee Program (FEP) members who are Massachusetts residents and enrollees of local national accounts. $ 2. PLEASE PRINT ALL INFORMATION CLEARLY . Table of Contents Right for You ? page 1 - Medex Medex Sales: 1-800-678-2265 www. Medex ®´ Core and Medex ®´ Sapphire Plans for 2023 FILLING THE GAPS IN YOUR MEDICARE PLAN Our Medex ®´ plans are designed to complement your Original Medicare coverage. At the time you buy your glasses, contacts, or hearing aid(s), or at a later date, the provider may ask you to pay all charges. The Blue MedicareRx Resource Center offers you easy access to the benefit information, pharmacy resources, and retiree communications you need, whether you are a MIIA member new to Blue MedicareRx or are renewing your existing plan. • For all other questions, Medicare Supplemental plans, including Medex and Managed Blue for Seniors; Medicare Part D coverage. Cafeteria Plan Advisors; CPA Enrollment Form – FY2025. Call Employee Services at 1-800-238-6616, Monday, Tuesday, Wednesday, and Friday from 8:00 a. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. Subscriber’s or : Member’s Signature: _____ Date: / / Complete this form and mail it to: Blue Cross Blue Shield of Massachusetts Blue Cross Blue Shield of Massachusetts One Enterprise Drive Quincy, MA 02171-1753 Or fax the application to 1-617-246-3633 • To enroll by phone, please call. Box 986030 Boston, MA 02298. Direct-Billed Medex ®´ Weight-Loss Reimbursement Request PLEASE PRINT ALL INFORMATION CLEARLY Complete this form and mail it to: Blue Cross Blue Shield of Massachusetts Local Claims Department Blue Cross Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. ® , ® , TM, SM Registered, Service, and Trade and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. *Pharmacies not participating in this program include Kroger, Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. If you think Medex is right for you, or if you have any questions, call us toll-free at 1-800-678-2265 (TTY: 711), Blue MedicareRx (PDP) is a Prescription Drug Plan with a Medicare contract. Effective 01/01/2025 . Blue Cross Blue Shield of Massachusetts is a local health plan with national recognition. Average cost . Inpatient Care Hospital care–including surgical •Coverage for days 1–60 per benefit • Full coverage of Healthy Blue Programs At Blue Cross Blue Shield of Massachusetts we offer you Healthy Blue, a group of programs, discounts and savings, resources, and tools to help you get the most you can from your health care plan. When you receive care: •Show both your Original Medicare and Medex cards. For members of HMO Blue®, Network Blue®, Blue Choice®, HMO Blue New England SM, or Blue Choice New England : You’re required to choose a primary care provider (PCP) when Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare Medex ®´ Subscriber Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two Medicare Anthem Insurance Companies, Inc. WITH A MEDEX ®´ PLAN FROM BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, YOU’LL GET THE COVERAGE YOU NEED—COVERAGE THAT GOES BEYOND ORIGINAL MEDICARE Choose Blue Cross Blue Shield of Massachusetts QUALITY Use our interactive tool to find your local Blue Cross and Blue Shield company's website and access your account. Medex ®´ Core, Medex Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. , Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities that have contracted as a Explore the health insurance options offered by Blue Cross and Blue Shield insurance agencies. There may be one coming up in your area. Members enrolled in Medex or Medicare Advantage Healthy Times for Medex members. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. "More than ever, our account customers and members are looking for Blue Cross Blue Shield. Access. See how much you can save annually with BCBS FEP Dental . Blue Cross Blue Shield Plan Comparison – FY2025. Incomplete applications will not be accepted. Plan Name Monthly Premium (Individual Coverage) Medex: $0: Tufts Medicare Preferred: $0: Managed Blue for Seniors: $0: Learn about accepted insurance plans at Tufts Medicine. Get secure access to key plan information, claims history, and recent medications. Blue365 Deals Webpage . Access your online account at member. Some vaccines administered to Medicare beneficiaries are covered under Part B; most others are covered under Part D (see chart below for examples). On their website, you'll be able to look up your health plan, review a Some Medicare Advantage plans provide additional coverage for foreign travel. Dependent Care Claim Form – FY2025. You can update your list at any time. Effective January 1, 2025, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex ®´1 plans with a three-tier pharmacy benefit. • Medex premium rates and benefits are . As part of the City’s continued efforts to provide comprehensive, affordable health insurance retiree options, the current Master Medical Carve Out A&B plan will be turn to Blue Cross Blue Shield of Massachusetts. There’s no copay or deductible. Two routine oral Blue Cross Blue Shield of Massachusetts can help you have money through gym discounts and wellness reimbursements, ranging from weight loss programs to nutrition counseling. , and/or Massachusetts Benefit Administrators LLC, based on Product participation. Complete this form and mail it to: Blue Cross Blue Shield of Massachusetts Local Claims Department P. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association This health plan, alone, does not meet Minimum Creditable Coverage standards and will not satisfy the individual mandate that you have health insurance; however, the Commonwealth of Massachusetts has stated that enrollment in Original Medicare (Medicare I chose the most expensive Medigap plan available from Blue Cross Blue Shield and have stayed on it since. 63 Medex ®´ DIRECT-BILLED MEDEX Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. There’s no need to choose a primary care provider (PCP), although it is recommended. ®´´ Registered Marks, Medex ®´ Core, Medex ®´ Blue Cross Blue Shield of Massachusetts Enrollment Department P. 1-800-678-2265 sales/apps . vkzhbb pwr kgdt cro jtbrgxjg uuhuyrj gdls aubh ebzs vukvrw