What Medicare Plans Does Blue Cross ® and Blue Shield ® of Oklahoma Offer?
This article was updated on: 10/06/2018
Blue Cross and Blue Shield of Oklahoma offers Medicare Advantage plans and stand-alone Medicare Part D prescription drug coverage to beneficiaries in the state. Whether you’re new to Medicare or exploring your different coverage options, here’s a look at the options under Blue Cross and Blue Shield of Oklahoma. Please note that not every plan may be available in your area.
Can I get a Medicare Advantage plan from Blue Cross and Blue Shield of Oklahoma?
You may be eligible for Medicare Advantage (Part C) coverage if you are enrolled in Part A and Part B, live in the service area of a Medicare Advantage plan, and don’t have end-stage renal disease (with certain exceptions).
Medicare Advantage plans offer an alternative way to get your Original Medicare (Part A and Part B) benefits. All plans must cover everything that Original Medicare covers, at a minimum, except for hospice care, which is still covered under Part A. Blue Cross and Blue Shield of Oklahoma offers a Medicare Advantage plan (described below) that includes prescription drug coverage.
The Medicare Advantage plan available from Blue Cross and Blue Shield of Oklahoma is Blue Cross Medicare Advantage Select (HMO)®. With this plan, you’ll use a network of doctors, hospitals, pharmacies and other providers. Please note that this plan is only available in certain counties.
With an HMO:
- A primary care physician manages care.
- You may pay lower monthly premiums and out-of-pocket costs.
- The plan doesn’t generally pay your out-of-network claims.
You must continue to pay your Part B premium.
Does Blue Cross and Blue Shield of Oklahoma offer stand-alone Medicare Part D Prescription Drug Plans?
If you are newly eligible for Medicare, you may be eligible for a Blue Cross MedicareRx® Prescription Drug Plan. These plans provide prescription drug benefits for Oklahoma beneficiaries enrolled in Original Medicare.
Please note that a stand-alone Medicare Part D Prescription Drug Plan cannot be combined with Blue Cross and Blue Shield of Oklahoma Medicare Advantage Prescription Drug plans In fact, if you enroll in a stand-alone Medicare Prescription Drug Plan when you’re already enrolled in a Medicare Advantage plan with prescription drug coverage, you’ll be automatically disenrolled from your Medicare Advantage Prescription Drug plan and returned to Original Medicare.
Each Blue Cross MedicareRx® plans, like all Medicare plans that cover prescription drugs, uses a formulary, or list of covered medications. You can call your plan and ask for the plan formulary to learn whether your prescription drugs are covered by the plan and what your copayments and coinsurance costs may be. Plans may change their formularies at any time, but you will get a written notice before they do.
You may have different copayments, coinsurance amounts, and deductibles depending on the plan option you choose, and your plan premium may vary depending on where you live. If you want prescription drug coverage, it’s important to sign up for a plan with Medicare Part D coverage as soon as you are eligible or you may have to pay a late-enrollment penalty with your monthly premium as long as you are covered under Medicare Part D. This could occur if you go for 63 days in a row or longer without Medicare Part D coverage after you’re eligible, if you don’t have creditable prescription drug coverage (coverage that pays, on average, as much as the Part D benefit).
As you can see, Blue Cross and Blue Shield of Oklahoma offers different Medicare coverage options. It’s a good idea to compare and browse what’s available in your area to find the coverage that works for your situation, budget, and preferences.
Would you like to learn more? You can start comparing plan options right away by clicking on the Find Plans button on this page. Or, to speak with a licensed eHealth insurance agent, just call the number below to reach me; if I’m unavailable, another licensed eHealth insurance agent would be happy to help you with your Medicare questions.
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