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2021 Medex Core

Costs & Benefits

Shop all plans available to you

Part A Eligible:
Coverage Year:
Zip Code:
Change Information

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What’s Part A?
part-a-date

Understand Plan Features

Doctors Network
Additional Coverage
Eligibility
Discounts & Programs
$107.88

Per Month 1

Enroll Online

See all Enrollment Options

Medex®' Core covers your co-insurance after you pay your annual Medicare Part B deductible for:

  • Doctor visits

  • Home visits

  • Ambulatory care

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

Learn More

For detailed Medex Core benefit information, see:

Medex Outline of Medicare Supplement Coverage

Medex Freedom of Choice

Plan Information

Hospital Services Original Medicare

Medex Core

1-60 Days

Coverage for 60 days, after the $1,484 deductible2

Coverage for Medicare daily co-insurance after you pay $1,484 deductible

61-90 Days

Coverage for 61-90 days, after $371 daily co-insurance

Coverage for Medicare daily co-insurance after you pay $1,484 deductible

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 Core

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

No coverage

101+ Days

No coverage after 100 days

No coverage

Doctor and Other Provider Services Original Medicare Medex Core

Care in the Hospital

80% coverage of approved services, after the $203 annual Part B deductible

Coverage of 20% co-insurance, after $203 annual Part B deductible

Outpatient Department Visits, Office Visits, and Patient Home Visits

80% coverage of approved services, after the $203 annual Part B deductible

Coverage of 20% co-insurance, after $203 annual Part B deductible

Other Part B Services

Original Medicare Medex Core

Ambulance Trips, Durable Medical Equipment, etc.

80% coverage of approved services, after the $203 annual Part B deductible

Coverage of 20% co-insurance, after $203 annual Part B deductible

Foreign Travel Coverage

Original Medicare Medex Core

Travel Outside the U.S.

No coverage

Full coverage for Medicare covered services (same as in U.S.)

Wellness Benefits Original Medicare Medex Core
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% - 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

 Medicare Advantage

 Medicare Supplement

 Prescriptions

 Dental

  1. You must continue to pay your Medicare Part B premium.
  2. 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.

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

 

No Plans Found

We could not find Medicare supplement plans available in your area. Please make sure the Massachusetts ZIP code you entered is correct.


Other Medicare Plans

 Medicare Advantage

 Prescription Drug Plan

 Dental

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.

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S2893_2057
Last Updated: 01/01/2021

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