Costs & Benefits

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$107.88

Per Month ¹

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Medex^®' Core covers your after you pay your annual Medicare Part B for:

Doctor visits
Home visits
Ambulatory care

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

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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

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.

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