Izicwangciso eziluncedo zeBlue Cross Medicare ngo-2021

Umxholo

• Zithini izicwangciso eziluncedo zeBlue Cross Medicare?
• Izicwangciso zeHMO zeBlue Cross Medicare
• Izicwangciso ze-Blue Cross Medicare eziluncedo ze-PPO
• Izicwangciso zeziyobisi zeBlue Cross Medicare
• Izicwangciso ze-Blue Cross Medicare eziluncedo ze-PFFS
• IBlue Cross Medicare SNPs
• Ixabisa malini izicwangciso eziluncedo zeBlue Cross Medicare?
• Yintoni i-Medicare Advantage (Medicare Part C)?
• Ukuthatha

• I-Blue Cross ibonelela ngeendlela ezahlukeneyo ze-Medicare Advantage plans kunye neentlobo kwiindawo ezininzi e-United States.
• Izicwangciso ezininzi zibandakanya ukugubungela iziyobisi, okanye ungathenga isicwangciso esahlukileyo seCandelo D.
• Uninzi lwezicwangciso zeBlue Cross Medicare Advantage zibonelela nge- $ 0 yanyanga zonke kunye nezahlulo zamayeza.

Uncedo lweMedicare lolunye uhlobo kwiMedicare yoqobo apho inkampani yeinshurensi yabucala ibonelela ngezibonelelo zakho zeMedicare, kunye nezinye izibonelelo zokuqala zeMedare ezinganikeli ngokwesiko. Imizekelo ibandakanya umbono, amazinyo kunye neenkonzo zempilo zokuthintela. IBlue Cross Blue Shield yenye yezi nkampani.

Eli nqaku likunika ukujonga izicwangciso ezikhoyo zeBlue Cross Medicare Advantage eUnited States.

Zithini izicwangciso eziluncedo zeBlue Cross Medicare?

I-Blue Cross ibonelela ngeendlela ezahlukeneyo ze-Medicare Advantage plans. Ubukho bazo bunokwahluka ngokwengingqi nakwilizwe.

Makhe siqwalasele iintlobo ezahlukeneyo zezicwangciso zeMedicare Advantage zeBlue Cross.

Izicwangciso zeHMO zeBlue Cross Medicare

IBlue Cross ibonelela ngezicwangciso zoMbutho wezeMpilo (HMO) kwizizwe ezininzi, kubandakanya iArizona, California, Florida, Florida, Massachusetts, nezinye ezininzi. Kolu hlobo lwesicwangciso, uya kuba nomboneleli okhathalelayo ophambili wenethiwekhi (PCP).

Ukuba ubuya kudinga ukhathalelo olukhethekileyo, uya kuqala ukubona iPCP yakho, emva koko baya kukunika ukuthunyelwa ukuze ubone ingcali. Isicwangciso sakho seinshurensi kuya kufuneka kuqala sivume ukuthunyelwa kugqirha okhethekileyo.

Ngaphandle kweBlue Cross kukuba uninzi lwabasetyhini alunakufuna ukuthunyelwa ukuze babone in-network OB / GYN kukhathalelo oluqhelekileyo lwabasetyhini, njengePap smear.

Izicwangciso ze-Blue Cross Medicare eziluncedo ze-PPO

I-Blue Cross ibonelela ngezicwangciso zoMboneleli oKhethiweyo (PPO) kwizicwangciso ezibandakanya iAlabama, eFlorida, eHawaii, naseMontana (ukubiza nje ezimbalwa). Njengomgaqo ngokubanzi, iPPO iya kuba nepremiyamu ephezulu kancinci kune-HMO. Kungenxa yokuba awufane ufumane ukuthunyelwa ukuze ubone ingcali xa une-PPO.

Nangona kunjalo, ungagcina imali ngokukhetha ababoneleli nge-intanethi kuluhlu lwababoneleli benkampani yeinshurensi. Unokuhlawula ngaphezulu xa ukhetha umboneleli ongaphandle kwenethiwekhi.

Izicwangciso zeziyobisi zeBlue Cross Medicare

Amacandelo e-Medicare Icandelo D agubungela amayeza akho amiselweyo. Ezinye izicwangciso ze-Medicare Advantage ngokusebenzisa iBlue Cross zibonelela ngogonyo lweziyobisi. Nangona kunjalo, ukuba isicwangciso asiboneleli ngesigqubuthelo, unokukhetha isicwangciso esizimeleyo sonyango lweziyobisi.

IBlue Cross ibonelela ngezicwangciso "ezisisiseko" kunye "neziphuculweyo" kudidi lwamayeza amiselweyo kunye ne-Standard, Plus, Enhanced, Preferred, Premium, Select, and more prescription drug drug. Ngamnye uya kuba nefomula, okanye uluhlu lwamayeza olucwangcisiweyo kunye noluhlu lweendleko. Ungalujonga olu luhlu okanye iifomula ukuze uqiniseke ukuba nasiphi na isicwangciso osithathayo siquka amayeza owathathayo.

Izicwangciso ze-Blue Cross Medicare eziluncedo ze-PFFS

Isicwangciso soMrhumo woBucala weNkonzo (PFFS) sisicwangciso seMedicare Advantage esibonelelwa yiBlue Cross eArkansas kuphela. Olu hlobo lwesicwangciso aludingi ukuba usebenzise iPCP ethile, ababoneleli benethiwekhi, okanye ufumane ukuhanjiswa. Endaweni yoko, icebo liseta ukuba lingabuyisa malini na ugqirha kwaye unoxanduva lokuhlawula intsalela yembuyekezo yomboneleli.

Ngamanye amaxesha, ababoneleli baya kuthi benze isivumelwano kunye nesicwangciso se-PFFS sokubonelela ngeenkonzo. Ngokungafaniyo nezinye izicwangciso zeMedicare, umboneleli wesicwangciso se-PFFS akanyanzelekanga ukuba akunike iinkonzo kuba eyamkela iMedicare. Banokukhetha ukuba baya kubonelela ngenkonzo kwinqanaba lembuyekezo yeMedare okanye hayi.

IBlue Cross Medicare SNPs

Isicwangciso seZidingo eziZodwa (i-SNP) sisicwangciso seMedicare seNzuzo esinikezelwe kwabo banemeko ethile okanye uphawu. Ngokufanelekileyo, icebo libonelela ngemiba yokugubungela umntu anokuyidinga. I-Medicare ifuna ukuba zonke ii-SNP zibonelele ngogonyo lweziyobisi.

Imizekelo yeBlue Cross SNPs ibandakanya:

• Ixabisa malini izicwangciso eziluncedo zeBlue Cross Medicare?

  Indawo yentengiso ye-Medicare Advantage yinto ekhulayo ngakumbi. Ukuba uhlala kwindawo yedolophu, kunokubakho uninzi lwezicwangciso onokukhetha kuzo.

  Oku kulandelayo yimizekelo yezicwangciso zeBlue Cross Medicare Advantage kwiindawo ezahlukeneyo ngeepremiyamu zabo zenyanga kunye nezinye iindleko. Ezi zicwangciso azibandakanyi iindleko zepremiyamu yakho yenyanga yeNxalenye B.

  Isixeko / isicwangciso	Ukulinganiswa kweenkwenkwezi	Intlawulo yenyanga	Ukutsalwa kwempilo, iziyobisi kutsalwa	In-network ngaphandle kwe-pocket max	I-PCP ipayipi ngokutyelela	Ingcali yekopi ngokundwendwela
  Los Angeles, CA: Umhobe phakathi kweBlue StartSmart Plus (HMO)	3.5	$0	$0, $0	$3,000	$5	$0–$20
  IPhoenix, AZ: Isicwangciso seBluePathway 1 (HMO)	Ayifumaneki	$0	$0, $0	$2,900	$0	$20
  I-Cleveland, OH: I-Anthem MediBlue yokuFikelela kwiCore (kwi-Regional PPO)	3.5	$0 (ayibandakanyi ukugubungela iziyobisi)	$ 0, ayifakwanga	$4,900	$0	$30
  IHouston, TX: IBlue Cross Medicare Inzuzo eyiSiseko (HMO)	3	$0	$0, $0	$3,400	$0	$30
  I-Trenton, NJ: I-Horizon Medicare Blue Advantage (HMO)	4	$31	$0, $250	$6,700	$10	$25

  Le yimizekelo nje embalwa yezicwangciso ezikhoyo zeBlue Cross Advantage ezivela kwiwebhusayithi ekuthiwa yiMedicare.gov. Zininzi ezinye iindlela onokukhetha kuzo kwindawo yekhowudi ye-ZIP.

  Yintoni i-Medicare Advantage (Medicare Part C)?

  Ukuba ne-Medicare Advantage (Icandelo C) kuthetha ukuba inkampani ye-inshurensi ebonelela ngesicwangciso sakho iya kubonelela nge-Medicare Part A (isibhedlele), i-Medicare Icandelo B (ukhuseleko). Ezinye izicwangciso zikwabonelela ngogonyo lweziyobisi. Izicwangciso ze-Medicare ze-Advantage ziyahluka kwiindleko zazo ezingaphandle kweepokotho kunye nokugubungela, kubandakanya ukukhutshwa kunye nokuhlawulwa kwemali.

  Imihla ebekiweyo yokubhalisa okanye yokutshintsha isicwangciso sakho seNzuzo yokuNyanga

  Oku kulandelayo yimihla ephambili yokubhalisa okanye yokutshintsha isicwangciso sakho se-Medicare Advantage:

  • Ixesha lokubhalisa lokuqala. Iinyanga ezi-3 zokuqala ngaphambi kokuzalwa kwakho kwama-65, inyanga yokuzalwa kwakho, kunye neenyanga ezi-3 emva kosuku lwakho lokuzalwa lwama-65.
  • Ixesha lokubhalisa elivulekileyo. Nge-15 ku-Okthobha ukuya kuDisemba 7 lithuba lokubhalisa elivulekileyo kwi-Medicare Advantage. Izicwangciso ezintsha ziqala ukusebenza ngoJanuwari 1.
  • Uncedo lweMedicare lubhaliso oluvulekileyo. Ngeli xesha lexesha, umntu unokutshintshela kwesinye isicwangciso seMedarement Advantage ukuba sele benayo i-Medicare Advantage.
  • Ixesha lokubhaliswa kwe-Medicare. Ixesha lexesha apho unokutshintsha khona isicwangciso sakho seNzuzo ngenxa yeemeko ezikhethekileyo njengokuhamba okanye isicwangciso esichithwe kwindawo yakho.

  Ukuthatha

  I-Blue Cross yenye yeenkampani ezininzi zeinshurensi ezibonelela ngezicwangciso zeMedicare Advantage. Unokufumana izicwangciso ezikhoyo ngokukhangela indawo yentengiso ye-Medicare.gov okanye ngewebhusayithi yeBlue Cross. Gcina imihla ephambili engqondweni xa usenza isigqibo sokuba ubhalise nini kwisicwangciso seMedicare.

  Eli nqaku lahlaziywa ngo-Novemba 19, 2020, ukubonisa ulwazi ngo-2021 lonyango.

  

  Ulwazi olukule webhusayithi lunokukunceda ekwenzeni izigqibo malunga neinshurensi, kodwa ayenzelwanga ukunika iingcebiso malunga nokuthengwa okanye ukusetyenziswa kwayo nayiphi na i-inshurensi okanye iimveliso zeinshurensi. I-Healthline Media ayihambelani neshishini leinshurensi nangayiphi na indlela kwaye ayinayo ilayisensi njengenkampani yeinshurensi okanye umvelisi kulo naliphi na igunya laseMelika. I-Healthline Media ayikhuthazi okanye ixhase nabani na onokuthi enze ishishini leinshurensi.