Excellus BlueCross BlueShield contracts with the Federal Government and is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. .
Excellus Health Plan, Inc Medicare Advantage Plans with Part D (Prescription Drug) Coverage
The following Excellus Health Plan, Inc plans offer Medicare Advantage and Part D coverage to New York residents. Medicare Advantage plans, also known as Medicare Part C, are alternatives to original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans’ Part D component helps cover prescription drugs. Even if a plan’s monthly premium is $0, you would still pay the equivalent of the original Medicare premium. Not all plans shown here will be available to you; enter your zip code to see plans in your area. You can read about whether Medicare Advantage is right for you. If you only want plans with drug coverage, browse Prescription Drug (Part D) Plans.
Excellus Medicare Part D plans gets top rating
The five-star rating—CMS’ highest for drug plans—is based on weighted measures in categories such as clinical care and customer service. A benefit of the rating is Medicare enrollees can switch to the Excellus drug plan at any time, bypassing a rule that restricts Medicare beneficiaries’ ability to switch or sign up for drug plans to fall open enrollment periods.
Medicare.gov: the official U.S. government site for Medicare
Medicare Plans & Coverage: Part A, Part B, Part C, Part D
Medicare is a federal insurance program that covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, one must be an American citizen 65 years or older, or younger with a qualifying disability.
Medicare Blue Choice Value (HMO) 2014
The plan offers national in-network prescription coverage (i.e., this would include 50 states and the District of Columbia). This means that you will pay the same cost-sharing amount for your prescription drugs if you get them at an in-network pharmacy outside of the plan’s service area (for instance when you travel). Total yearly drug costs are the total drug costs paid by both you and a Part D plan. The plan may require you to first try one drug to treat your condition before it will cover another drug for that condition. Some drugs have quantity limits. Your provider must get prior authorization from Medicare Blue Choice Value (HMO) for certain drugs. You must go to certain pharmacies for a very limited number of drugs, due to special handling, provider coordination, or patient education requirements that cannot be met by most pharmacies in your network. These drugs are listed on the plan’s website, formulary, printed materials, as well as on the Medicare Prescription Drug Plan Finder on Medicare.gov. If the actual cost of a drug is less than the normal cost-sharing amount for that drug, you will pay the actual cost, not the higher cost-sharing amount. You pay $0 the first time you fill a prescription for certain drugs. These drugs will be listed as "free first fill" on the plan’s website, formulary, printed materials, and on the Medicare Prescription Drug Plan Finder on Medicare.gov. If you request a formulary exception for a drug and Medicare Blue Choice Value (HMO) approves the exception, you will pay Tier 3: Non-Preferred Brand cost sharing for that drug. In-Network $0 deductible. Supplemental drugs don’t count toward your out-of-pocket drug costs. Initial Coverage You pay the following until total yearly drug costs reach $2,850: Retail Pharmacy Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed. You can get drugs the following way(s): Tier 1: Generic