BlueMedicare PPO - Florida Blue

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What types of drugs may be covered under MedicarePart B?Some outpatient prescription drugs may be covered under Medicare Part B.These may include, but are not limited to, the following types of drugs.Contact BlueMedicare PPO for more details.• Some Antigens: If they are prepared by a doctor and administeredby a properly instructed person (who could be the patient) underdoctor supervision.• Osteoporosis Drugs: Injectable drugs for osteoporosis for certainwomen with Medicare.• Erythropoietin (Epoetin alpha or Epogen ® ): By injection if youhave End-Stage Renal Disease (permanent kidney failure requiringeither dialysis or transplantation) and need this drug to treat anemia.• Hemophilia Clotting Factors: Self-administered clotting factors ifyou have hemophilia.• Injectable Drugs: Most injectable drugs administered incident to aphysician’s service.• Immunosuppressive Drugs: Immunosuppressive drug therapy fortransplant patients if the transplant was paid for by Medicare, orpaid by a private insurance that paid as a primary payer to yourMedicare Part A coverage, in a Medicare-certified facility.• Some Oral Cancer Drugs: If the same drug is available in injectableform.• Oral Anti-Nausea Drugs: If you are part of an anti-cancerchemotherapeutic regimen.• Inhalation and infusion drugs provided through DME.Please call Blue Cross and Blue Shield ofFlorida, Inc. for more information aboutBlueMedicare PPO.Visit us at www.bcbsfl.com or, call us:Member Services Hours:Sunday, Monday, Tuesday, Wednesday, Thursday, Friday,Saturday, 8:00 a.m. - 9:00 p.m. Eastern- Current members should call toll-free 1-800-926-6565for questions related to the Medicare Advantageprogram. (TTY/TDD: 711)- Prospective members should call toll-free 1-800-876-2227 for questions related to the Medicare Advantageprogram. (TTY/TDD: 711)- Current members should call toll-free 1-800-926-6565for questions related to the Medicare Part D PrescriptionDrug program. (TTY/TDD: 711)- Prospective members should call toll-free 1-800-876-2227 for questions related to the Medicare Part Dprescription drug program. (TTY/TDD: 711)For more information about Medicare, please call Medicareat 1-800-MEDICARE (1-800-633-4227); TTY usersshould call 1-877-486-2048. You can call 24 hours a day, 7days a week. Or, visit www.medicare.gov on the Web.If you have special needs, this document may be availablein other formats.3
Section 2 - Summary of BenefitsIf you have any questions about this plan’s benefits or costs, please contact us at 1-800-926-6565 (for current members) or1-800-876-2227 (for prospective members). If you are hearing or speech impaired, please call the Florida TTY Relay Service at 711.Benefit Original Medicare BlueMedicare PPOImportant Information1. Premium and OtherImportant Information2. Doctor and Hospital Choice(For more information, seeEmergency - #15 and UrgentlyNeeded Care - #16.)• In 2008 the monthly Part B Premium was$96.40 and will change for 2009 and theyearly Part B deductible amount was $135and will change for 2009.• If a doctor or supplier does not acceptassignment, their costs are often higher, whichmeans you pay more.• You may go to any doctor, specialist orhospital that accepts Medicare.General• $46.00 monthly plan premium in addition toyour monthly Medicare Part B premium.In-Network• $3,300 in-network out-of-pocket limit.• All plan services covered under the out-ofpocketlimit.Out-of-Network• $6,000 out-of-network out-of-pocket limit.• All plan services covered under the out-ofpocketlimit.In-Network• No referral required for network doctors,specialists and hospitals.• You may have to pay a separate copay forcertain doctor office visits.4
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BlueMedicare PPO - Florida Blue

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