Blue Cross Medicare Advantage Cov Tswv Yim Hauv 2021

Zoo Siab

• Cov phiaj xwm Blue Cross Medicare Advantage yog dab tsi?
• Blue Cross Medicare Advantage HMO cov phiaj xwm
• Blue Cross Medicare Advantage PPO cov phiaj xwm
• Blue Cross Medicare cov phiaj xwm tshuaj siv
• Blue Cross Medicare Advantage PFFS cov phiaj xwm
• Blue Cross Medicare SNPs
• Txoj kev npaj khomob Blue Cross Medicare Advantage yuav raug nqi npaum li cas?
• Medicare Advantage (Medicare Tshooj C) yog dab tsi?
• Cov nqa mus

• Blue Cross muaj ntau txoj kev pab them nqi kho mob Medicare Advantage thiab ntau hom nyob hauv ntau lub xeev hauv Tebchaws Meskas.
• Ntau txoj kev npaj khomob suav nrog kev them tshuaj noj, lossis koj tuaj yeem yuav yuav Tshooj D txoj kev npaj txawv.
• Ntau ntawm Blue Cross Medicare Advantage cov phiaj xwm muab $ 0 hwm txhua hli nrog rau cov kev pab them tshuaj.

Medicare Advantage yog lwm txoj hauv kev rau Medicare thawj qhov chaw uas lub tuam txhab pab kas phais pov hwm kev noj qab haus huv muab koj cov txiaj ntsig Medicare, ntxiv rau lwm cov txiaj ntsig qub uas Medicare tsis yog ib txwm muaj. Piv txwv li suav kev pom kev, kho hniav, thiab tiv thaiv kev noj qab haus huv. Blue Cross Cov ntaub thaiv npog xiav yog ib qho ntawm cov tuam txhab no.

Kab lus no muab rau koj saib txog Blue Blue Medicare Advantage cov phiaj xwm hauv Tebchaws Meskas.

Cov phiaj xwm Blue Cross Medicare Advantage yog dab tsi?

Blue Cross muaj ntau yam phiaj xwm Medicare Advantage. Lawv muaj peev xwm sib txawv raws cheeb tsam thiab xeev.

Cia peb tshuaj xyuas cov sib txawv ntawm tMedicare Advantage cov phiaj xwm Blue Cross muaj.

Blue Cross Medicare Advantage HMO cov phiaj xwm

Blue Cross muaj cov koom haum saib xyuas kev noj qab haus huv (HMO) nyob hauv ntau lub xeev, suav nrog Arizona, California, Florida, Massachusetts, thiab ntau yam ntxiv. Nyob hauv hom phiaj xwm no, koj yuav muaj tus thawj kws kho mob koom tes nrog (PCP).

Yog tias koj xav tau kev saib xyuas tshwj xeeb, koj yuav tsum xub ntsib koj tus PCP, tom qab ntawd lawv yuav xa koj mus ntsib kws kho mob tshwj xeeb. Koj txoj kev fajseeb khomob yuav tsum yog thawj tus kws khomob xa mus rau tshwj xeeb.

Qhov tsis suav nrog Blue Cross yog qhov feem ntau cov poj niam tsis xav tau kev xa mus ntsib sab hauv OB / GYN rau kev saib xyuas tus poj niam zoo li niaj zaus, xws li Pap smear.

Blue Cross Medicare Advantage PPO cov phiaj xwm

Blue Cross muaj cov phiaj xwm Kev Npaj Ua Haujlwm (PPO) cov phiaj xwm hauv cov xeev uas suav nrog Alabama, Florida, Hawaii, thiab Montana (tsuas yog tso npe rau ob peb tug xwb). Raws li txoj cai dav dav, PPO yuav muaj tus nqi me ntsis siab dua li HMO. Qhov no yog vim tias koj tsis tas yuav tsum tau txais kev xa mus ntsib cov kws tshaj lij thaum koj muaj PPO.

Txawm li cas los xij, koj tuaj yeem txuag tau nyiaj los ntawm kev xaiv cov kws khomob koom tes nrog los ntawm cov tuam txhab muab ntawv pov hwm. Koj tuaj yeem them ntau dua yog tias koj xaiv tus kws khomob tawm sab nrauv.

Blue Cross Medicare cov phiaj xwm tshuaj siv

Medicare Part D cov kev pab them nqi kho mob rau koj cov tshuaj noj. Qee qhov kev pab Medicare Advantage los ntawm Blue Cross muaj kev pab them tshuaj siv. Txawm li cas los xij, yog qhov phiaj xwm tsis muaj kev pab them nqi, koj tuaj yeem xaiv cov phiaj xwm muag tshuaj tshwj xeeb.

Blue Cross muaj cov phiaj xwm "yooj yim" thiab "txhim kho" hauv cov tshuaj kws kho mob ntxiv nrog Cov Qauv, Ntxiv, Txhim Kho, Nyiam, Tshwj Xeeb, Xaiv, thiab ntau txoj cai xaiv tshuaj. Txhua tus yuav muaj cov qauv tshuaj, lossis cov npe teev cov tshuaj noj uas lub hom phiaj pab them thiab ntau tus nqi. Koj tuaj yeem tshawb xyuas cov npe lossis cov ntawv foos kom paub tseeb tias txhua txoj kev npaj khomob koj xav txog suav nrog cov tshuaj koj noj.

Blue Cross Medicare Advantage PFFS cov phiaj xwm

Lub Luag Haujlwm Them Nqi Kho Mob (PFFS) yog txoj kev npaj Medicare Advantage uas Blue Cross muaj rau hauv Arkansas nkaus xwb. Hom phiaj xwm no tsis tas koj yuav tsum tau siv PCP tshwj xeeb, koom tes nrog, lossis tau txais kev xa mus. Hloov chaw, txoj kev npaj them nqi tias nws yuav them nyiaj ntau npaum li cas rau tus kws kho mob thiab koj yuav tsum them qhov seem ntawm tus kws kho mob cov nyiaj rov qab.

Qee zaum, cov chaw muab kev pabcuam yuav cog lus nrog PFFS txoj kev npaj los muab kev pabcuam. Tsis zoo li lwm cov phiaj xwm Medicare, PFFS qhov chaw muab kev pab tsis tas yuav muab kev pab rau koj tsuas yog vim lawv lees txais Medicare. Lawv tuaj yeem xaiv yog tias lawv yuav muab kev pabcuam ntawm Medicare tus nqi them rov qab lossis tsis yog.

Blue Cross Medicare SNPs

Ib Qhov Kev Xav Tau Tshwj Xeeb (SNP) yog Medicare Advantage txoj kev npaj rau cov neeg uas muaj tus mob lossis tus yam ntxwv tshwj xeeb. Qhov tsim nyog, daim phiaj xwm muab cov kev pab ntau dua uas ib tus neeg xav tau. Medicare yuav tsum kom tag nrho cov SNP muab kev pab them cov tshuaj kws kho mob sau tseg.

Cov piv txwv ntawm Blue Cross SNPs suav nrog:

• Txoj kev npaj khomob Blue Cross Medicare Advantage yuav raug nqi npaum li cas?

  Medicare Advantage kev ua lag luam yog qhov sib tw nce siab ntxiv. Yog tias koj nyob hauv nroog loj, tej zaum yuav muaj ntau txoj kev xaiv los xaiv.

  Cov hauv qab no yog qee cov piv txwv ntawm Blue Cross Medicare Advantage phiaj xwm hauv ntau qhov chaw nrog lawv cov nqi txhua hli thiab lwm yam nqi. Cov phiaj xwm no tsis suav tus nqi ntawm koj qhov nqi them txhua hli B B.

  Nroog / phiaj xwm	Kev ntaus nqi lub hnub qub	Tus nqi txhua hli	Kev noj qab haus huv txiav tawm, tshuaj yus them yus	Hauv-network tawm ntawm hnab nyiaj max	PCP nrog them nyiaj ib zaug	Kws kho mob ib leeg them ib zaug
  Los Angeles, CA: Anthem MediBlue StartSmart Plus (HMO)	3.5	$0	$0, $0	$3,000	$5	$0–$20
  Phoenix, AZ: BluePathway Plan 1 (HMO)	Tsis muaj	$0	$0, $0	$2,900	$0	$20
  Cleveland, OH: Anthem MediBlue Nkag Nkag Tawm (Cheeb Tsam PPO)	3.5	$0 (tsis suav nrog kev them tshuaj)	$ 0, tsis suav nrog	$4,900	$0	$30
  Houston, TX: Blue Cross Medicare Advantage Basic (HMO)	3	$0	$0, $0	$3,400	$0	$30
  Trenton, NJ: Qab ntug Medicare Blue Advantage (HMO)	4	$31	$0, $250	$6,700	$10	$25

  Cov no tsuas yog qee yam piv txwv ntawm cov phiaj xwm Blue Cross Advantage los ntawm Medicare.gov phiaj xwm nrhiav lub vev xaib. Muaj ntau lwm cov kev xaiv nyob rau thaj tsam ZIP code.

  Medicare Advantage (Medicare Tshooj C) yog dab tsi?

  Muaj Medicare Advantage (Tshooj C) txhais tau tias lub tuam txhab kev pov hwm uas muab koj txoj kev npaj yuav them rau Medicare Tshooj A (kev fajseeb khomob hauv tsev khomob), Medicare Tshooj B (kev fajseeb khomob). Qee qhov phiaj xwm tseem muaj pab them tshuaj siv. Medicare Advantage cov kev pab them nqi sib txawv nyob rau hauv lawv cov nyiaj them tawm-hnab tshos thiab cov kev pab them nqi, suav nrog cov nqi them thiab cov nqi them.

  Hnub kawg rau kev sau npe los yog pauv koj qhov Medicare Advantage txoj kev npaj

  Cov hauv qab no yog cov hnub tseem ceeb rau kev sau npe los yog pauv koj qhov Medicare Advantage txoj kev npaj:

  • Lub sijhawm nkag thaum xub thawj. Thawj 3 lub hlis ua ntej koj 65 xyoos, koj lub hnub yug, thiab 3 hlis tom qab koj 65 xyoos.
  • Qhib lub sijhawm sau npe. Lub Kaum Hlis 15 txog Kaum Ob Hlis 7 yog lub sijhawm qhib rau npe rau Medicare Advantage. Cov phiaj xwm tshiab pib siv txij lub Ib Hlis 1.
  • Medicare Advantage qhib kev rau npe nkag. Nyob rau lub sijhawm no, ib tus neeg tuaj yeem hloov mus rau lwm qhov Medicare Advantage txoj kev npaj yog tias lawv twb muaj Medicare Advantage.
  • Medicare Advantage lub sijhawm sau npe tshwj xeeb. Lub sijhawm sijhawm thaum lub sijhawm koj tuaj yeem hloov koj txoj kev pabcuam Advantage vim qee qhov tshwjxeeb zoo li txav lossis lossis txoj kev npaj khomob tau txo rau hauv koj thaj chaw.

  Cov nqa mus

  Blue Cross yog ib qho ntawm ntau lub tuam txhab kev tuav pov hwm uas muab Medicare Advantage cov phiaj xwm. Koj tuaj yeem pom cov kev pab them nqi uas muaj nyob hauv kev tshawb fawb hauv khw Medicare Medicare.gov lossis ntawm Blue Cross lub vev xaib. Nco ntsoov cov hnub tseem ceeb hauv siab thaum txiav txim siab thaum twg los teev npe rau hauv Medicare Advantage phiaj xwm.

  Kab lus no tau raug hloov kho thaum Lub Kaum Ib Hlis 19, 2020, kom pom zoo 2021 Cov ntaub ntawv Medicare.

  

  Cov ntaub ntawv ntawm lub vev xaib no tuaj yeem pab koj txiav txim siab tus kheej txog kev tuav pov hwm, tab sis nws tsis yog yuav pab tswv yim txog kev yuav khoom lossis kev siv cov khoom pov hwm lossis kev tuav pov hwm. Healthline Media yuav tsis hloov lag luam ntawm kev tuav pov hwm tsis hais yam twg thiab tsis tau ntawv tso cai raws li cov tuam txhab pov hwm lossis cov neeg tsim khoom hauv ib cheeb tsam ntawm Teb Chaws Asmeskas. Healthline Media tsis tau qhia lossis pom zoo rau ib tog neeg thib peb uas ua lag luam ntawm kev tuav pov hwm.