BCBS MN Products

Cost-Sharing

100

How much is the OTC quarterly allowance on MAPD Metro Complete?  

$50 allowance per quarter

200

How much is a 30 day Tier 1 prescription at a standard pharmacy on MedicareBlueRx Premier?

$15 copay

300

What is a Tier 3 medication cost at a standard pharmacy under the MAPD Choice West plan? 

$47 copay

400

What is my copay for a preventive dental exam on Platinum Blue Core? 

Member pays 100% (not covered)

500

How much would a member pay for emergency care within the US on Plan N? 

$50 copay

Enrollment Periods

100

What is the enrollment timeframe for Initial Enrollment Period?

The initial enrollment period is the seven months surrounding a person's Medicare effective dates when both A and B occur together (typically the 65th birth month). 

200

When is Annual Enrollment Period? 

October 15 - December 7

300

If someone has Platinum Blue Complete medical only when can they make changes to their plan? 

If members have the medical only plan, they could switch between plans on a month-to-month basis throughout the year.

400

When can someone enroll into a drug plan outside of their Initial Enrollment Period (IEP) and Annual Enrollment Period (AEP)? 

Special enrollment period (SEP) 

500

What is someone's Guarantee Issue when they first enroll into Part B? 

The beneficiary has six months from their Part B effective date

Networks

100

What is the provider network name for MAPD Metro? 

Blue Cross Medicare Advantage/Medicare High Value

200

What is the Provider Network for Platinum Blue? 

Platinum Blue (Cost)

300

What is the Provider Network for Basic Blue? 

All providers that accept Medicare assignment

400

What is the Provider Network for MAPD South? 

Medicare Southern MN Network 

500

What is the dental network for MAPD plans?

BCBSMN Medicare Dental - United Concordia Dental

Original Medicare

100

What are the Parts of Medicare?

Part A, Part B, Part C, Part D

200

What does Part A cover? 

• Hospital care
• Skilled nursing facility care
• Nursing home care
• Hospice care
• Some home health service

300

What does Part B cover? 

• Preventive services – health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best
• Doctor’s services
• Outpatient care
• Ambulance service
• Durable medical equipment
• Mental health – inpatient, outpatient, partial hospitalization
• Clinical research
• Getting a second opinion before surgery
• Limited outpatient prescription drugs

400

When can someone get Medicare?

-Turning 65
-Under 65 with certain disabilities

500

How much is the standard part B premium for 2023?

$164.90

ZIP Code

100

What plans are available in 55122?

MAPD Metro, MedicareBlue Rx, Medicare Supplement

200

What counties are in 56062?

Brown (West) & Watonwan (South)

300

What plans are available in 55324? 

Platinum Blue (Cost), Medicare Supplement, MedicareBlue Rx

400

What plans are available in 56316?

MAPD West, MedicareBlue Rx, Medicare Supplement

500

What plans are available in 55049?

MAPD South (Steele county only), Platinum Blue (Cost) (Rice county only), MedicareBlu Rx, Medicare Supplement