Medicare Supplement Plans
Blue Cross offers a choice of seven Medicare Supplement insurance plans.
Basic Benefit Options | Comprehensive Plan Options | Budget-Conscious Plan Options | |||||
---|---|---|---|---|---|---|---|
Click on each plan to view details** |
Plan A | Plan F | Plan G | High Deductible Plan F |
Plan K | Plan L | Plan N |
Reduced Premium Medicare Select Option Available*‡ (eligibility based on ZIP code) | |||||||
Basic Benefits | 100% | 100% | 100% | 100% | 100% /50% |
100% /75% |
copay applies |
Skilled Nursing Coinsurance | 50% | 75% | |||||
Part A Deductible | 50% | 75% | |||||
Part B Deductible | |||||||
Part B Excess | 100% | 100% | |||||
Foreign Travel Emergency Care† | |||||||
Annual Out of Pocket Limit†† | $4,800 | $2,400 |
* Network restrictions apply.
** Policy forms UWMSP(A)-2010, UWMSP(F)-2010, UWMSP(F-HD)-2010, UWMSP(G)-2010, UWMSP(K)-2010, UWMSP(L)-2010, UWMSP(N)-2010, UWMSP-SEL(F)-2010, UWMSP-SEL(G)-2010, UWMSP-SEL(K)-2010, UWMSP-SEL(L)-2010, UWMSP-SEL(N)-2010.
† Plans cover medically necessary emergency care services needed immediately because of an injury or illness of sudden and unexpected onset, beginning during the first 60 days of each trip outside the USA.
†† The out of pocket annual limit may increase each year for inflation (2013 limits shown).
‡ You must live within 30 miles of a participating Medicare Select hospital to be eligible.
BCBSTX is not connected with or endorsed by the United States Government, the Federal Medicare Program or any other governmental agency.
TXMEDWEB02-REV 08/12