Florida Blue Medicare Supplement
BlueMedicare Supplement Plan K
Florida Blue Medicare Supplement
BlueMedicare Supplement Plan N
Florida Blue Medicare Supplement
BlueMedicare Supplement Select Plan D
Hospital Services (Medicare Part A)
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Is My Hospital In-Network? Is My Hospital In-Network? |
*See any hospital or facility that accepts Medicare - no network restrictions
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*See any hospital or facility that accepts Medicare - no network restrictions
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| Benefit: | After Medicare and the Plan have paid their part, you pay: | ||
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Hospitalization
Semiprivate room and board, general nursing and miscellaneous services and supplies. Items not covered by Medicare Part A, including personal comfort items, private duty nurse, non-emergency services in hospital that does not participate in Medicare, and charges exceeding Florida Blue allowance. |
Days 1-60 : You Pay : 50% of the Part A Deductible
Days 61-90 : You Pay : $0 Days 91-150 : You Pay : $0 |
Days 1-60 : You Pay : $0
Days 61-90 : You Pay : $0 Days 91-150 : You Pay : $0 |
Days 1-60 : You Pay : Participating Provider: $0 Non-Participating Provider: 100% of the Part A Deductible
Days 61-90 : You Pay : Participating Provider: $0 Non-Participating Provider: Up to 25% of your daily Part A deductible Days 91-150 : You Pay : Participating Provider: $0 Non-Participating Provider: Up to 50% of your daily Part A deductible |
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Skilled Nursing Facility Care
You must meet Medicare's requirements, including having been in a hospital for at least 3 days and entered a Medicare-approved facility within 30 days of leaving the hospital. |
Days 1-20 : You Pay : $0
Days 21-99 : You Pay : A daily copay that could equal up to 50% of your Part A deductible Days 100+ : You Pay : 100% |
Days 1-20 : You Pay : $0
Days 21-99 : You Pay : $0 Days 100+ : You Pay : 100% |
Days 1-20 : You Pay : $0
Days 21-99 : You Pay : $0 Days 100+ : You Pay : 100% |
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Hospice Care
Available as long as doctor certifies terminal illness and services are elected. |
50% of Medicare copayment or coinsurance | $0 | $0 |
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Home Health Care
Medicare-approved services - medically necessary skilled care services and medical supplies |
$0 | $0 | $0 |
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Blood (Part A and Part B)
Medicare Part A (Hospital Insurance) covers blood you get as a hospital inpatient. Medicare Part B (Medical Insurance) covers blood you get as a hospital outpatient. |
50% for the first 3 pints of blood and Up to 100% of the Part B deductible | Up to 100% of the Part B deductible | Up to 100% of the Part B deductible |
Medical Services (Medicare Part B)
| Benefit: | After Medicare and the Plan have paid their part, you pay: | ||
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Physician Services
Inpatient and outpatient medical services and supplies at a hospital, physical therapy, and ambulance, etc. Charges that exceed Medicare allowance are not covered. |
100% above Medicare approved amounts for preventive services, 100% of the Part B deductible and remaining 10% of Medicare allowance for routine services | Up to $20 copayment for office visits and $50 copayment for ER visits after the initial 100% of the Part B deductible has been met | 100% of the Part B deductible |
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Part B Excess charges
Above Medicare approved amounts. |
100%; not credited toward annual out-of-pocket expense limit | 100% | 100% |
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Durable Medical Equipment (DME)
Medically necessary medical equipment that your doctor prescribes for use in your home. Charges that exceed Medicare allowance are not covered |
10% of remaining Medicare allowance after initial 100% of the Part B deductible has been met | 100% of the Part B deductible | 100% of the Part B deductible |
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Foreign Travel (Not covered by medicare)
Medically necessary emergency services beginning during the first 60 days of each trip outside the U.S.A. First $250 each calendar year and remainder of charges |
100% | Initial $250 then 20% up to the $50,000 lifetime Maximum and any amount over that Maximum | Initial $250 then 20% up to the $50,000 lifetime Maximum and any amount over that Maximum |
Plan Documents
| Outline of Coverage "OOC" (pdf) | |||
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| Choosing a Medigap Policy |
Monthly APO Discount Price: You must choose the Monthly Bank Draft option during the application process to receive the APO discounted price. If you choose another method of payment, you will be billed at the regular price. The APO discount will not apply to the first month's payment. An email address is required for automatic payment option setup. Communications related to your payment will be sent electronically to this address.