Compare 2009 Blue Medicare HMO benefits

Enhanced plan Medical-only plan Standard plan
Additional monthly premium1 $67.40 $0 $0
Provider choice
  • In-network benefits only
  • Must use a network provider
  • In-network benefits only
  • Must use a network provider
  • In-network benefits only
  • Must use a network provider
Primary care physician office visits
  • $15 copayment for in-network visits only
  • $5 copayment for in-network visits only
  • $15 copayment for in-network visits only
Inpatient hospital benefits
  • $350 copayment for each Medicare-covered stay
  • $350 copayment for each Medicare-covered stay
  • $700 copayment for each Medicare-covered stay
Medicare prescription drug benefit2
  • Includes our enhanced drug benefit
  • No deductible
  • Generics covered in coverage gap
  • None
  • Includes our standard drug benefit
  • No deductible
  • No coverage in the coverage gap
Features
  • Includes our most robust medical benefits
  • Prescription drug coverage offered
  • Includes our most robust medical benefits
  • Basic medical and standard prescription drug coverage


For a complete outline of coverage, refer to the Summary of Benefits, Evidence of Coverage, Exclusions and Limitations.

Compare Blue Medicare HMO and Blue Medicare PPO
View a side-by-side comparison of Blue Medicare HMO and Blue Medicare PPO.

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Benefits, premium and/or copayment/coinsurance may change on January 1, 2010. Please contact Blue Cross and Blue Shield of North Carolina for more details.

Blue Medicare HMO and Blue Medicare PPO plans are offered by PARTNERS National Health Plans of North Carolina, Inc. (PARTNERS), a subsidiary of Blue Cross and Blue Shield of North Carolina (BCBSNC). PARTNERS is a Medicare Advantage organization with a Medicare contract to provide HMO and PPO plans. Plans are administered by BCBSNC. BCBSNC and PARTNERS do not discriminate based on color, gender, religion, national origin, age, race, disability, handicap, sexual orientation, genetic information, source of payment or health status as defined by the Centers for Medicare & Medicaid Services (CMS). All qualified Medicare beneficiaries may apply. You must be entitled to Medicare Part A and enrolled in Medicare Part B and must reside in the CMS-approved service area. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or another third party. BCBSNC and PARTNERS are independent licensees of the Blue Cross and Blue Shield Association.

1 As a member of the Blue Medicare HMO or Blue Medicare PPO plans, you must continue to pay the Medicare B premium in addition to your plan premium.

2 Formulary applies. Refer to the Guide to Medicare Prescription Drug Coverage for details on the Enhanced and Standard plans.

The information on this page is current as of 10/16/08.

© , Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.