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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 |
Prescription Drugs
not covered |
Medicare
Rx |
Medicare
Rx |
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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Copyright © 2005 Oleg Skurskiy Authorized
Independent Agent, CA License 0E50389 |
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