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        • Eligibility and Enrollment
        • Frequently Asked Questions
        • Your Coverage Choices
        • Original Medicare
        • Medicare Advantage
        • Prescription Drug Coverage
        • Plan that’s Right for you
        • Sign-Up for a Guide Book and Email
        • Medicare Basics Video Series
      • Are You Eligible For Medicare?
      • Are Your Drugs Covered?
      • Attend a Seminar
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        • Important Dates
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        • 24-Hour Nurse Line
        • Care Management
        • ER Alternatives
        • Find a Doctor
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          • In-home Care from Landmark Health
          • In-home Health Assessments with Signify Health®´
          • Personalized Support for Disease Management
          • Quality Optimizer
          • Additional Programs
        • Mental Health
        • Supporting Caregivers
      • Manage Your Health
        • Managing Diabetes
        • Preventive Care
        • Flu Prevention
        • Chronic Care
        • Fall Prevention
        • Urinary Incontinence
        • Meals and Nutrition
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        • Quality Assurance
        • National Coverage Determination
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        • Drug Benefits
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 1-800-678-2265      TTY: 711

8:00 a.m. to 8:00 p.m. ET, Seven Days a Week.

Extra Help (2023)

Your Monthly Plan Premium for People who get Extra Help from Medicare to Help Pay for their Prescription Drug Costs

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium may be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan.

These tables show you what your monthly plan premium will be if you get extra help.

If you live in: Barnstable, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, or Suffolk counties

Your level of extra help

Monthly Premium for Medicare HMO Blue SaverRx*

Monthly Premium for Medicare HMO Blue ValueRx*

Monthly Premium for Medicare HMO Blue FlexRx*

Monthly Premium for Medicare HMO Blue PlusRx*

Monthly Premium for Medicare PPO Blue SaverRx*

Monthly Premium for Medicare PPO Blue ValueRx*

Monthly Premium for Medicare PPO Blue PlusRx*

100%

$0.00

$24.20

$91.40

$230.80

$0.00

$58.70

$218.40

75%

$0.00

$26.90

$92.30

$237.60

$0.00

$62.80

$227.30

50%

$0.00

$29.60

$93.20

$244.40

$0.00

$66.80

$236.20

25%

$0.00

$32.30

$94.10

$251.20

$0.00

$70.90

$245.10

*This does not include any Medicare Part B premium you may have to pay.

If you live in: Worcester county

Your level of extra help

Monthly Premium for Medicare HMO Blue SaverRx*

Monthly Premium for Medicare HMO Blue ValueRx*

Monthly Premium for Medicare HMO Blue FlexRx*

Monthly Premium for Medicare HMO Blue PlusRx*

Monthly Premium for Medicare PPO Blue SaverRx*

Monthly Premium for Medicare PPO Blue ValueRx*

Monthly Premium for Medicare PPO Blue PlusRx*

100%

$0.00

$44.20

$101.40

$230.80

$0.00

$68.70

$218.40

75%

$0.00

$46.90

$102.30

$237.60

$0.00

$72.80

$227.30

50%

$0.00

$49.60

$103.20

$244.40

$0.00

$76.80

$236.20

25%

$0.00

$52.30

$104.10

$251.20

$0.00

$80.90

$245.10

*This does not include any Medicare Part B premium you may have to pay.

These premiums include coverage for both medical services and prescription drug coverage.

If you aren't getting extra help, you can see if you qualify by calling:

  • 1-800-Medicare TTY/TDD users call 1-877-486-2048 (24 hours a day/7 days a week),
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213. TTY/TDD users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.

If you have any questions, please call Member Service at 1-800-200-4255, TTY 711, from 8:00 a.m. to 8:00 p.m. ET, 7 days a week from October 1 through March 31, and 8:00 a.m. to 8:00 p.m. ET, Monday through Friday, from April 1 through September 30.

Best Available Evidence Policy

If you believe you qualified for extra help and that you are paying an incorrect copayment amount when you get your prescription at a pharmacy, Blue Cross Blue Shield of Massachusetts has established a process that will allow you to either request assistance in obtaining evidence of your proper copayment level, or, if you already have the evidence, to provide this evidence to us. This is known as the Best Available Evidence Policy. Please contact Member Services for a complete list of acceptable forms of evidence or view the CMS Best Available Evidence Policy.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Premium may change on January 1 of each year.

Blue Cross Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. Enrollment in Blue Cross Blue Shield of Massachusetts depends on contract renewal. Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities that have contracted as a joint enterprise with the Centers for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue MedicareRx (PDP) plans. The joint enterprise is a Medicare-approved Part D Sponsor. Enrollment in Blue MedicareRx (PDP) depends on contract renewal.

You can file a complaint if you feel that you received inaccurate, misleading or inappropriate information. Please call Member Service at 1-800-200-4255 (TTY users call: 711). If your complaint involves a broker or agent, be sure to include the name of the broker/agent when filing your complaint.

Y0014_22146
S2893_2244
Last Updated: 01/01/2023

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