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Blue Medicare Advantage (PPO)SM

Blue Medicare Advantage

Life is all about the choices you make. Blue Cross and Blue Shield of Texas is adding to your Medicare choices with 2013 Blue Medicare AdvantageSM.

Blue Medicare Advantage is our "all-in-one" plan, providing your Medicare Part A (Hospital Insurance) and Part B (Medical Insurance) benefits as well as prescription drug coverage (Part D). Blue Medicare Advantage also offers extra benefits such as 24/7 Nurseline.

How is Blue Medicare Advantage different from Medicare Supplement* insurance?

Medicare Supplement insurance is designed to pay some of the health care costs that Original Medicare doesn’t cover: copayments, coinsurance, and deductibles. Blue Medicare Advantage provides all of the services that Original Medicare covers, plus includes prescription drug coverage (Part D) and additional benefits.

Blue Medicare Advantage premiums apply to residents of Bastrop, Burnet, Caldwell, Collin, Dallas, Denton, Fayette, Fort Bend, Harris, Hays, Lee, Montgomery, Tarrant, Travis and Williamson counties in Texas only.

How do you decide which is right for you?

The plan you have now may still be the right choice. However, this might be the right time to do a quick coverage check and consider some basic essentials:

  • Your doctor: Blue Medicare Advantage uses a network of providers so you need to be sure your doctor is in the network or choose one who is. Visit www.mybluemapd.com/providers/tx or call to review the doctors on the plan.
  • Your prescriptions: Do you have prescription medications? Even if you don’t, you still need to consider having prescription drug coverage to protect yourself against unexpected costs. Both Blue Medicare Advantage and Medicare Part D cover prescription drugs. Make sure yours are on our formulary. Visit www.myprime.com to check.
  • Your budget: Costs can vary. Look at your budget, keeping in mind these typical plan expenses:
    • Premiums for Medicare Part B with every plan you choose
    • Copays and coinsurance for doctor visits, tests and prescription drugs
    • Deductibles are part of some plans

When can I enroll in Blue Medicare Advantage?

The Annual Enrollment Period is October 15 – December 7. During this time anyone can enroll, switch or drop a Medicare Advantage plan. Your coverage will begin on January 1. If you enroll in a Blue Medicare Advantage plan you will need to continue paying your Medicare Part B premium as well as any premium charged by the plan.

Questions? Call our product specialist at 1-877-260-0298, TTY/ TDD 711, 8 a.m. - 8 p.m., local time, 7 days a week. From February 15 - September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays. Or visit www.mybluemapd.com.

Medicare Supplement Insurance Plan Notice:

*Not connected with or endorsed by the U.S. Government or Federal Medicare Program.

Medicare Supplement insurance plans are offered by Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross Blue Shield Association.

Medicare Advantage Plan Notice:

Blue Cross and Blue Shield of Texas refers to HCSC Insurance Services Company (HISC), which is a wholly-owned subsidiary of Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company. These companies are independent licensees of the Blue Cross and Blue Shield Association and offer or provide services for Medicare Advantage under contract H1666 with the Centers for Medicare and Medicaid Services.

HISC is a Medicare Advantage organization with a Medicare contract.

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