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Blue Cross Senior SELECTSM
Blue Cross Senior SELECT PLUS
A Sweeping New Approach to Medicare Supplemental Coverage
The Advantages are Yours with Blue Cross Senior SELECT and Blue Cross Senior SELECT PLUS
Finally, the advantage of $5 doctor's office visits, like a
Medicare HMO, combined with the convenience and freedom to choose
from over 40,000 Prudent Buyer® Physicians
and Participating Blue Cross Senior SELECT Hospitals!
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Medicare, Blue Cross of California and You |
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Before Medicare will pay for any of the medical
services you want or need, you must first pay the Medicare deductibles. When combined with
the Medicare coinsurance you are also required to pay, you could be out hundreds, even
thousands of dollars before any benefits are paid by Medicare. Blue Cross Senior
SELECT and
Blue Cross Senior SELECT PLUS plans can help provide you with protection from these
ever-increasing gaps in Medicare.
These plans are intended only for
people age 65 or older, who are enrolled in both Parts A and B of
Medicare.
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The Plans of Choice |
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Blue Cross Senior SELECT and Blue Cross Senior SELECT PLUS are Medicare supplement Standard Plan A's with additional benefits for services received In Network as defined below.
- Low monthly premiums
- Guaranteed renewable
- ClaimFree® processing when using plan providers.
- A prescription drug benefit, including convenient mail order program, is available with Blue Cross Senior SELECT PLUS
- A dedicated toll-free customer service phone number.
- Only a $5 copay for office visits to any Participating Prudent Buyer Physician. The same advantage of an HMO, but because you are not "locked-in" to using only the health care providers specified by an HMO, you retain the complete freedom of choice that you have with Medicare.
- Freedom to use the doctor of your choice from over 40,000
Prudent Buyer Physicians, including specialists, without
the "gatekeeper" role.
- Eliminates out-of-pocket costs for the Medicare Part A $912 deductible
when you use a Participating Blue Cross Senior SELECT Hospital (or
if you are admitted as an inpatient immediately following an emergency
room visit for medical emergency at any hospital, anywhere in the U.S.).
- Pays* the Medicare Part B $110 annual deductible when
you use Participating Prudent Buyer Providers.
- Benefits for Medicare Part B coinsurance, no matter which provider you choose.
- No cost to you for Medicare Part B excess charges when
you use a Participating Prudent Buyer Physician, or any
doctor who accepts Medicare assignment.
- Full conventional Medicare Benefits at all providers, inside and outside the state -- anywhere in the U.S.
- You keep the freedom you have with Medicare, and you get to keep your Medicare card too!
*With only a $5 office visit co-pay, up to a
maximum out-of-pocket expense of $110 per year.
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BENEFITS
(Effective January 1, 2005) |
Participating
Prudent Buyer Physicians, pharmacies and/or Participating Blue Cross Senior
SELECT Hospitals
Additional Benefits |
Non-participating
Physicians, Pharmacies and/or Nonparticipating Hospitals4 |
| Part A Deductible ($912) |
Yes1 |
No5 |
| Basic
Benefits |
Yes |
Yes |
| Part
A Hospital (Days 61-90) |
Yes |
Yes |
| Lifetime
Reserve Days (91-150) |
Yes |
Yes |
| 365
Lifetime Hospital Days |
Yes |
Yes |
| Parts
A and B Blood |
Yes |
Yes |
| Part
B Coinsurance |
Yes2 |
Yes |
| Part
B Annual Deductible ($110) |
Yes2 |
No |
| Part
B Excess Charges at 100% |
Yes |
No |
| "Extended"
Prescription Drugs, Including Convenient Mail Order Program (Combined $250 Annual
Deductible, 50% Coinsurance, $3,000 Maximum Annual Benefit) |
Yes3 |
No |
1 Waived by Participating Blue Cross Senior
SELECT Hospital.
2 Only a $5 office visit co-pay when using a Participating
Prudent Buyer Professional Doctor/Provider, up to a maximum out-of-pocket
expense of $110 per year.
3 This benefit is covered under Blue Cross Senior SELECT PLUS only when using a
Participating Pharmacy or mail order program. This benefit is not covered under Blue Cross Senior SELECT.
4 Blue Cross Senior SELECT and Blue Cross Senior SELECT PLUS Out of Network benefits are
exactly equivalent to Standard Plan A.
5 Unless you are admitted as an inpatient immediately following an emergency room visit
for medical emergency.
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