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why senior gold? - Minnesota Health Insurance Network

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FREEDOM TO BE HEALTHY.<br />

CHOOSE SENIOR GOLD TODAY.<br />

2013<br />

Senior Gold sm (Medicare supplement) Enrollment Kit<br />

S5743_082912_K05_MN CMS Accepted 09/03/2012


MEDICAL BENEFITS<br />

YOU CAN DEPEND ON.<br />

Senior Gold, a Medicare supplement plan from Blue Cross and Blue Shield<br />

of <strong>Minnesota</strong>, helps you pay for expenses Original Medicare doesn’t<br />

cover. With Senior Gold, you have choices. When you select all the<br />

coverage options, you’ll have the most comprehensive plan that begins<br />

right away and covers all deductibles, copayments or coinsurance for<br />

Medicare-eligible services and supplies. Senior Gold has key features to<br />

help you lead your healthiest life.<br />

➜➜<br />

Have peace of mind. Rest assured knowing your benefits will never<br />

change from year to year.<br />

➜➜<br />

Catch the travel bug. Travel or live anywhere in the United States and<br />

receive coverage from any provider who accepts Medicare. Senior Gold<br />

is also portable, so take it with you if you spend significant time in<br />

another state, or move out of <strong>Minnesota</strong> entirely.<br />

➜➜<br />

Get easy access to care. Our extensive provider network means you<br />

can see providers who accept Medicare in <strong>Minnesota</strong> and anywhere in<br />

the United States, with no referrals needed. You also receive worldwide<br />

emergency coverage.<br />

WHY SENIOR GOLD?<br />

➜➜<br />

Portable — take Senior Gold<br />

with you when you move<br />

➜➜<br />

Dependable — your benefits<br />

never change<br />

➜➜<br />

Reputable — <strong>Minnesota</strong>’s<br />

most popular Medicare<br />

supplement plan<br />

CHOOSE THE AMOUNT OF COVERAGE YOU WANT<br />

Senior Gold provides a basic level of health care coverage, and you<br />

can add optional coverage to get the most comprehensive plan.<br />

OPTION 1<br />

OPTION 2<br />

OPTION 3<br />

PREVENTIVE<br />

Covers Medicare<br />

Part A inpatient<br />

hospital deductible<br />

Covers Medicare<br />

Part B annual<br />

deductible<br />

Covers 100 percent of<br />

eligible medical expenses<br />

and supplies not covered by<br />

Medicare Part B that exceed<br />

Medicare-approved charges<br />

Covers hearing and<br />

vision screenings<br />

not covered by<br />

Original Medicare<br />

1


SAVE TODAY<br />

FOR A<br />

HEALTHIER<br />

TOMORROW.<br />

We want our members to make the most of their health plan. With<br />

Senior Gold, you can keep your health and wellness a priority by taking<br />

advantage of additional services and discounts available to you.<br />

These include:<br />

➜➜A fitness discount with a $20 credit toward your monthly health<br />

club fees when you exercise at a participating fitness center at<br />

least 12 times per month<br />

➜➜<br />

Weight management program discount<br />

➜➜<br />

Eyewear and hearing aid discounts<br />

➜➜<br />

<strong>Health</strong> Guides to answer benefit questions, help you find a<br />

provider and more<br />

➜➜<br />

Complementary care discounts for acupuncture, massage and<br />

health and wellness products<br />

LOOKING FOR PRESCRIPTION<br />

DRUG COVERAGE?<br />

Consider MedicareBlue SM Rx (PDP),<br />

a stand-alone prescription drug<br />

plan with a Medicare contract.<br />

You can pair Senior Gold with<br />

any stand-alone Medicare<br />

prescription drug plan.<br />

HEALTH KNOWLEDGE AT YOUR FINGERTIPS<br />

All Senior Gold members have access to a personalized online<br />

member center at myBlueCrossmn.com. Once logged in<br />

you can:<br />

➜➜<br />

Track claim status<br />

➜➜<br />

Search for a provider in your network<br />

➜➜<br />

Compare provider cost and quality information<br />

➜➜Access online health and wellness resources<br />

2


NAVIGATING MEDICARE<br />

WHAT IS A MEDICARE SUPPLEMENT PLAN?<br />

A Medicare supplement plan, sometimes called a<br />

Medigap or Medicare Select plan, is offered by a<br />

private health plan to supplement Original Medicare.<br />

Medicare supplement plans help pay the copayments,<br />

coinsurance and deductibles not covered by Original<br />

Medicare. You choose how much coverage you want.<br />

With Senior Gold, Medicare will approve and pay for<br />

Medicare-covered health care services and then your<br />

plan will help pay the remaining costs. Many Medicare<br />

supplement plans also offer additional benefits and<br />

features to help you lead your healthiest life.<br />

WHAT IS ORIGINAL MEDICARE?<br />

Original Medicare is a health insurance program<br />

for people age 65 and older and those with certain<br />

disabilities, including permanent kidney failure.<br />

Established in 1965, Medicare is administered by<br />

Centers for Medicare & Medicaid Services (CMS), an<br />

agency of the U.S. federal government.<br />

Medicare Part A is hospital insurance that helps pay for<br />

inpatient care in hospitals and skilled nursing facilities.<br />

Medicare Part B is medical insurance that helps pay<br />

for doctor visits, certain preventive screenings and<br />

services, physicians’ services, lab tests, durable medical<br />

equipment and outpatient hospital treatment.<br />

AM I ELIGIBLE FOR SENIOR GOLD?<br />

You must be a resident of <strong>Minnesota</strong> to apply for Senior<br />

Gold. You must also be entitled to Medicare Part A<br />

and enrolled in Medicare Part B. If you apply during<br />

your Medicare supplement open enrollment period,<br />

you do not need to answer health questions on your<br />

application. This open enrollment period begins on<br />

the day your Part B coverage starts and continues for<br />

six months.<br />

You can apply for Senior Gold at any time throughout<br />

the year. You may also be eligible to apply after your<br />

open enrollment period has expired, without providing<br />

a health history in certain circumstances. Contact<br />

your local licensed agent or a Blue Cross Medicare sales<br />

consultant for more details.<br />

3


READY TO<br />

ENROLL?<br />

➜➜<br />

Review the enclosed Choosing a Medigap Policy and<br />

Summary of Coverage and Disclosure of Information to<br />

make sure Senior Gold is the right plan for you.<br />

➜➜<br />

Complete the enclosed <strong>Insurance</strong> Suitability,<br />

Medicare Supplement/Medicare Select Plan Application<br />

for Coverage and automatic payment (optional) forms.<br />

Or visit bluecrossmn.com/medicare for electronic forms<br />

or to enroll online.<br />

➜➜<br />

Return your completed forms and automatic payment<br />

form using the postage-paid envelope. If you choose<br />

not to enroll in automatic payment, do not include this<br />

form in the envelope.<br />

➜➜You can also enroll over the telephone at 1-877-662-2583<br />

(TTY users call 711) and ask to speak with a sales<br />

consultant, 8 a.m. to 8 p.m. Central Time, daily.<br />

4


QUESTIONS? NEED MORE<br />

INFORMATION?<br />

Contact a Blue Cross Medicare<br />

consultant or your local<br />

licensed agent.<br />

1-877-662-2583<br />

TTY 711<br />

8 a.m. to 8 p.m. Central Time, daily<br />

bluecrossmn.com/medicare<br />

1-800-MEDICARE (1-800-633-4227)<br />

TTY 1-877-486-2048<br />

24 hours a day/7 days a week<br />

medicare.gov


luecrossmn.com/medicare<br />

SM<br />

FOR THE HEALTH OF ALL.<br />

We’re a health company that stands for the health of all. That means<br />

going beyond providing health coverage to deeply investing in<br />

programs and initiatives that build healthy cultures at home, at work<br />

and in the community — not just for our members but for everyone.<br />

Blue Cross® and Blue Shield® of <strong>Minnesota</strong> and Blue Plus® are nonprofit independent licensees<br />

of the Blue Cross and Blue Shield Association.<br />

F4916R31 (9/12)<br />

K0019

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