Plan Options

• MedicareBlue PPO (Regional PPO)
• MedicareBlue Rx (PDP)
• Medicare Supplement Plans & Other Options
• Group Plans

Group Plans (for Employers) for 2010

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Blue Cross and Blue Shield has been helping organizations with Medicare solutions for decades.

Group MedicareBlue PPO (Regional PPO) and Group MedicareBlue Rx (PDP) plans provide specially designed options for your Medicare-eligible retirees throughout the country.

Group MedicareBlue PPO (Regional PPO) — combines medical and prescription drug coverage in one plan. You have four medical options and five Part D prescription drug options to choose from:

• Basic Plan — offers essential medical benefits
• Classic Plan — offers lower copayments for many medical services and no copays on many preventive services
• Preferred Plan — offers more comprehensive medical benefits
• Premier Plan — offers the most comprehensive medical benefits

Learn more
If you’d like to become more familiar with Group MedicareBlue PPO (Regional PPO), download our 2010 brochure (PDF).

Group MedicareBlue Rx (PDP)

Group MedicareBlue Rx (PDP) is Medicare Part D prescription drug coverage. Five options can be offered independently or paired with your current group medical plan to create a complete solution.

• No annual deductibles
• Each plan option name describes the copays or coinsurance for the levels of drugs covered
• $10/$25/$40/25% plan covers Level 1 drugs with a $10 copay, Level 2 drugs with a $25 copay, Level 3 drugs with a $40 copay and Specialty drugs with 25% coinsurance
• $5/$15/$35/$60 plan covers Level 1 drugs with a $5 copay, Level 2 drugs with a $15 copay, Level 3 drugs with a $35 copay and Specialty drugs with $60 coinsurance
• $10/$25/$60/25% plan covers Level 1 drugs with a $10 copay, Level 2 drugs with a $25 copay, Level 3 drugs with a $60 copay and Specialty drugs with 25% coinsurance
• $0/$20/$40/$60 plan covers Level 1 drugs with a $0 copay, Level 2 drugs with a $20 copay, Level 3 drugs with a $40 copay and Specialty drugs with a $60 copay
• $10/$30/$50/$50 (GEN) plan covers Level 1 drugs with a $10 copay, Level 2 drugs with a $30 copay, Level 3 drugs with a $50 copay and Specialty drugs with a $50 copay. This plan has Level 1 drugs coverage in the gap. The coverage gap, also called the “donut hole,” occurs after a members total yearly covered drug costs reach $2,830. Then members have coverage for only Level 1: Covered Generic drugs until their total out-of-pocket costs reach $4,550. Members will need to pay 100% for all other covered drug costs through this coverage gap.
• Each plan option also includes supplemental drugs with a 25% coinsurance (supplemental drug costs do not count toward the out-of-pocket maximum)
• After members yearly out-of-pocket costs (the amount members pay for a 31-day supply in drug copays or coinsurance) reach $4,550, catastrophic coverage begins and members pay the greater of: $2.50 copay for generic or multi-sourced preferred brand drugs, and $6.30 copay for all other covered drugs or 5% of the cost of covered drugs.

Learn more
If you’d like to become more familiar with Group MedicareBlue Rx (PDP), download our 2010 brochure (PDF).

Contact us for information

To find out more about Group MedicareBlue PPO (Regional PPO) and Group MedicareBlue Rx (PDP) for employer and union groups talk with your authorized independent agent/broker or the licensed Blue Cross and Blue Shield sales representative in your state: