Blue Cross Medicare AdvantageSM

Blue Cross Medicare Advantage
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Blue Cross Medicare Advantage offers all of the coverage of Original Medicare — plus benefits not covered by Medicare or most Medicare Supplement insurance plans, including built-in prescription drug coverage. Think of it as an all-in-one plan.

Whether you're new to Medicare or thinking about switching plans, here are some important things to consider before choosing Blue Cross Medicare Advantage.


  • Be sure you are eligible for Medicare. Your primary residence must be in Canadian, Cleveland, Comanche, Garfield, Grady, Lincoln, Logan, McClain, Oklahoma, or Pottawatomie counties to enroll in Blue Cross Medicare Advantage.
  • If you're eligible for Medicare and planning to retire, speak with your benefits administrator at work about your benefit options.
  • Learn how Medicare Advantage works.
  • If you'd like to enroll in a Medicare Advantage plan, make sure you're aware of enrollment periods. Members may enroll in the plan only during specific times of the year.

2014 Blue Cross Medicare Advantage Plans

  Monthly Premium Maximum Out of Pocket Doctors' Office Visits Prescription Deductible Inpatient Hospital Skilled Nursing Facility Supplemental Benefits
HMO - Basic $0 $4,500 $5 Primary Care Physician copay
$35 Specialist copay
$0 $250/day (days 1-4) $25/day (days 1-20)
$125/day (days 21-100)
Vision
Hearing
Dental
SilverSneakers
HMO - Basic
Evidence of Coverage
English - [H3979]_BEN_OK_HMOEOC2014 Accepted 09062013
Espanol - H3979_BEN_TMP_MAEOCCVR14SPA Approved 08222013
HMO POS -
Premier Plus
$39 $4,500 $10 Primary Care Physician copay
$35 Specialist copay
$0 $250/day (days 1-5) $25/day (days 1-20)
$125/day (days 21-100)

Vision
Hearing
SilverSneakers
HMO POS - Evidence of Coverage English - [H3979]_BEN_OK_HMOPOSEOC2014 Accepted 09062013
Espanol - H3979_BEN_TMP_MAEOCCVR14SPA Approved 08222013
PPO - Choice $54 $3,400 $10 Primary Care Physician copay
$35 Specialist copay
$0 $250/day (days 1-7) $0/day (days 1-14)
$50/day (days 15-20)
$100/day (days 21-100)
Vision
Hearing
Dental
SilverSneakers
PPO - Evidence of Coverage English - H8634_BEN_OK_PPOEOC2014 Accepted 09062013
Espanol - H8634_BEN_TMP_MAEOCCVR14 Approved 08192013
Summary of Benefits HMO and HMO-POS English - H3979_BEN_OK_MAPDSB14 Accepted 10012013
HMO and HMO_POS Español - H3979_BEN_OK_MAPDSB14 Accepted 10012013
PPO English - H8634_BEN_OK_MAPDSB14 Accepted 10012013
PPO Español - H8634_BEN_OK_MAPDSB14 Accepted 10012013


You must continue to pay your Medicare Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Limitations, co-payments, and restrictions may apply. If you would like to submit feedback directly to Medicare, please use the Medicare Complaint Form  or contact the Office of the Medicare Ombudsman .

® Registered Service Marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans

† SilverSneakers® is a registered mark of Healthways, Inc. Healthways SilverSneakers® Fitness Program is a wellness program owned and operated by Healthways, Inc, an independent company.