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Agents must complete a specialized training program prior to selling these plans. Please contact your marketing representative for more information.
Would your clients like a Medicare plan with lower cost-sharing and built-in drug benefits? With Medicare BlueSM Plus, a Preferred Provider Organization (PPO) plan, Medicare beneficiaries can enjoy all of the benefits that the original Medicare plan offers and more!
Medicare Blue Plus is open to all individuals who have Medicare Part A and Part B, and who live in one of the following South Carolina counties: Aiken, Anderson, Fairfield, Florence, Greenville, Laurens, Lexington, Newberry, Richland, Spartanburg and Union.
Comparing Options
You and your clients can compare Medicare Blue Plus and the original Medicare plan using our Summary of Benefits. The charts in these booklets list some important health benefits. For each benefit, you can see what our plan covers and what the original Medicare plan covers. Please note the Summary of Benefits doesn't list every service that we cover or list every limitation or exclusion. To get a complete list of our benefits, please review the Evidence of Coverage.
For Upstate Residents (Anderson, Fairfield, Greenville, Laurens, Newberry, Spartanburg and Union)
For Midlands Residents (Aiken, Lexington and Richland)
For Coastal Residents (Florence)
Premiums
The monthly premium for Medicare Blue Plus is $37 for Upstate residents, $65 for Midlands residents and $136 for Coastal residents.
Choosing Doctors
BlueCross has formed a network of doctors, specialists and hospitals. To receive full benefits, members must use a doctor or hospital that is part of our network. You can find an up-to-date list of the doctors and hospitals in our network in the Provider Directory.
Pharmacy Network
BlueCross has formed a network of pharmacies that members must use to receive Medicare Blue Plus prescription drug plan benefits. Medicare Blue Plus prescription drug coverage may not pay for members' prescriptions if they use an out-of-network pharmacy, except in certain cases outlined in the Evidence of Coverage. For an up-to-date list of the pharmacies in our network, see our Pharmacy Directory, or search by pharmacy name, state or ZIP code using the Pharmacy Locator.
Prescription Drug Formulary
The Medicare Blue Plus prescription drug plan uses a formulary (list of covered prescription drugs). We may occasionally make changes to the formulary. For the most current information, see our Comprehensive Formulary. To search for a specific drug on this formulary, simply open the formulary and select the Search button in the task bar at the top of the page. Then type the name of the drug in the indicated field and select Search.
Formulary Change Notice - February
Formulary Change Notice - March
Formulary Change Notice - April
Formulary Change Notice - June
Some prescriptions require prior authorization. For a list of these drugs and their authorization forms, please visit our Prior Authorization Drug List.
Transferring To Another Medicare Advantage Plan
Members can switch plans during the open enrollment period every year from November 15 to December 31. Medicare may also allow members to change plans under special circumstances, such as if they permanently move out of their plan’s service area; if they get help from their state Medicaid program paying Medicare premiums and/or cost sharing; if they qualify for extra help paying for prescription drugs; or if they enter, live in, or leave a nursing home. To compare Medicare Advantage plans offered in a specific area, visit the Medicare Personal Plan Finder.
Want to Know More?
Contact Us
If you are interested in selling this product, please contact your marketing representative or call Amelia Guess at 1-800-288-2227, ext. 49482.
For customer service, our current members can contact us at the following numbers:
Toll free at 1-800-605-3256 (TTY 1-888-300-7215) -- 8:00 a.m. - 8:00 p.m., Monday through Friday
During our annual open enrollment period from November 15, 2007 to March 1, 2008, our hours will be from 8:00 a.m. to 8:00 p.m., seven days a week.
BlueCross BlueShield of South Carolina, Medicare Advantage, P.O. Box 100191, Columbia, SC 29202-3191
For more information about Medicare, please have your clients call 1-800-MEDICARE (1-800-633-4227) or visit www.medicare.gov. They can call this national Medicare helpline 24 hours a day, seven days a week. The TTY/TDD number is 1-877-486-2048 (you need special telephone equipment to use this number). Calls to these numbers are free.
Members can send premium payments to:
Attn: CASHIERS, BlueCross BlueShield of South Carolina, Mail Code: AA-G31, P.O. Box 6000, Columbia, SC 29260-6000
BlueCross BlueShield of South Carolina contracts with the federal government.
Last updated: 8/18/08