Don't delay. Discover your Medicare choices now. Medicare Annual Enrollment ends December 7. Let us help you find the Medicare Advantage plan to meet your needs.
Secure Blue no Rx PPO offers low office visit copays! Only $15 when you see in-network primary care providers, or $25 to see in-network specialists. Plus you get a gym membership, and the freedom to see your choice of providers in or out-of-network. When you travel, you have access to in-network providers in over 30 states and Puerto Rico with Blue Cross and Blue Shield Medicare Advantage PPO plans.
You are eligible to enroll in Secure Blue no Rx PPO if you are:
- Entitled to Medicare benefits under Part A
- Enrolled in Medicare Part B
- Reside in the plan's service area: Ada, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Canyon, Cassia, Clark, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls
The benefit information provided below is a brief summary, not a comprehensive description of benefits. For more information, call us at 888-492-2583. TTY users call 800-377-1363.
2019 PLAN OVERVIEW
|Premium||In-Network PCP Office Visit||In-Network Fitness Options||Part D Deductible||In-Network Specialist Office Visit||In-Network Inpatient Hospital Care||In-Network Out-of-Pocket Maximum|
|Secure Blue no Rx PPO
without Part D Coverage
(see service area premium table below)
annual gym membership
annually for two at home fitness kits
no referral needed
per day for days 1-5
per calendar year includes most plan services
SECURE BLUE PLAN PREMIUM TABLE
|Secure Blue no Rx (PPO)
Ada, Bannock, Bingham, Boise, Bonner, Bonneville, Boundary, Cassia, Canyon, Clark, Elmore, Fremont, Gem, Jefferson, Kootenai, Madison, Minidoka, Nez Perce, Owyhee, Payette, Power, and Twin Falls counties.
|$29 monthly plan premium in addition to your monthly Medicare Part B premium|
SUMMARY OF BENFITS
EVIDENCE OF COVERAGE
ANNUAL NOTICE OF CHANGE
Y0010_MK19182_M Accepted 10/1/2018
Last updated 10/01/2018