Costs & Benefits

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$215.45

Per Month ¹

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Medex^®' Bronze covers your and :

Doctor visits
Home visits
Ambulatory care
Hospitalization

Medex Bronze also provides full coverage for care received outside the United States.

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For detailed Medex Bronze benefit information, see:

Medex Freedom of Choice brochure

Outline of Medicare Supplement Coverage

Plan Information

Coverage for 60 days, after the $1,408 deductible²

Hospital Services	Original Medicare	Medex Bronze
1-60 Days	Coverage for 60 days, after the $1,484 deductible²	Full coverage of Medicare deductible and co-insurance
61-90 Days	Coverage for 61-90 days, after $371 daily co-insurance²	Full coverage of Medicare deductible and co-insurance
Lifetime Reserve	Coverage for an additional 60 lifetime reserve days, after $742 daily co-insurance	Full coverage for lifetime reserve co-insurance, then an additional 365 days per lifetime when Medicare benefits end

Skilled Nursing Facility	Original Medicare	Medex Bronze
1-20 Days	Full coverage for 20 days in a Medicare-participating facility	Covered by Medicare
21-100 Days	Coverage for days 21-100, after $185.50 daily co-insurance	Full coverage for Medicare daily co-insurance for days 21-100
101+ Days	No coverage after 100 days	$10 a day for days 101-365³

Doctor and Other Provider Services	Original Medicare	Medex Bronze
Care in the Hospital	80% coverage of approved services, after the $203 annual Part B deductible	Full coverage of Medicare deductible and co-insurance
Outpatient Department Visits, Office Visits, and Patient Home Visits	80% coverage of approved services, after the $203 annual Part B deductible	Full coverage of Medicare deductible and co-insurance

Other Part B Services	Original Medicare	Medex Bronze
Ambulance Trips, Durable Medical Equipment, etc.	80% coverage of approved services, after the $203 annual Part B deductible	Full coverage of Medicare deductible and co-insurance

Foreign Travel Coverage	Original Medicare	Medex Bronze
Travel Outside the U.S.	No coverage	Full Coverage for Medicare covered services (same as in U.S.)

Wellness Benefits	Original Medicare	Medex Bronze
Fitness Benefit	No coverage	Medex members may receive up to $150 per calendar year in qualified health club membership fees and exercise classes
Weight Loss Benefit	No coverage	Medex members may receive up to $150 per calendar year when enrolled in a qualified weight-loss program

Coverage for Your Hearing

Our members get significant savings and superior service on hearing health care. Blue Cross is partnering with TruHearing to provide you with access to premium hearing aids at 30 to 60% below retail and a network of more than 100 providers across Massachusetts.

Learn more about TruHearing^®´

Notes

Although the $203 calendar-year Medicare medical insurance (Part B) deductible appears more than once in this benefit chart, only one $203 deductible is applicable in a calendar year.
The Medex policy defines the terms and conditions of all the Medex plans in greater detail.
Should any questions arise concerning benefits, the Medex policy will govern.

Compare 2021 Medicare Plans

You must continue to pay your Medicare Part B premium.
A benefit period begins on the first day you receive services as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 consecutive days.
Bronze coverage also includes $8 a day for days 1-365 at a non-Medicare-participating facility.

The Medicare costs and dollar values represented in this table are the 2021 rates