Medicare Products
Due to the highly regulated nature of these plans, we can only provide general information on our website. If you are interested in learning more about these plans and our portfolio of other Medicare products, please call our team of licensed agents.
Medicare Advantage Plans (known as MA or Medicare Part C plans)
A type of Medicare plan offered by a private company that has a contract with Medicare to provide you with all of your Medicare Part A (hospital) and Part B (health) benefits. Your services are covered through the plan and are not paid for under Original Medicare. Most plans offer extra benefits and lower co-payments than Original Medicare. Many plans include prescription drug coverage and are sometimes referred to as MA-PD plans. To join a plan, you must be entitled to Medicare Part A and Part B. You must also live in the service area serviced by the plan. Some plans also require a monthly premium. Following are the most common types of MA and MA-PD plans:
- Medicare Health Maintenance Organization (HMO)
These plans are available in only specified areas. In most HMO’s, you can only go to providers in the approved network – except for emergencies. - Preferred Provider Organizations (PPO)
These plans are available in a local or regional areas in which you pay less if you use a network provider. You can use providers outside the network for an additional cost. - Private Fee-For-Service (PFFS)
You may go to any Medicare approved provider that is willing to provide care and accepts the plans payment terms. You should check to make sure each of your providers accepts the plans payments prior to enrolling. You may pay more or less than Medicare approved benefits because the insurance plan, not Medicare, determines payment amounts.
MA and MA-PD plans have been around for several years. In order for a plan to be approved by Centers for Medicare and Medicaid (CMS), they must agree to provide coverage for a full year. If a plan leaves the area, you will be given a 90-day notice and a list of other options in your area.
Enrollment
There are specific guidelines set forth by the Centers for Medicare and Medicaid (CMS) regarding enrollment and disenrollment in a Medicare Advantage plan. Some of the major guidelines are outlined below. There may be other times and situations when an individual can enroll in a Medicare Advantage plan. Please call us for more information.
- Initial Coverage Election Period (ICEP)– Individuals can enroll in a MA or MA-PD plan when they first become eligible for both Medicare Part A and Part B. An individual can sign up anytime during the 3 months before their effective date with Medicare and up to 3 months after their effective date.
- Annual Election Period (AEP) – November 15 through December 31 of each year. You can change to a different MA, MA-PD or go back to Original Medicare with a Part D stand alone plan.
- Open Enrollment Period (OEP) – January 1 through March 31 of each year. If you have a MA-PD plan, you can change to another MA-PD plan or return to Original Medicare with a stand-alone Part D plan. You cannot switch from a MA only plan that does not provide Part D benefits to a MA plan that does offer Part D benefits. If you have Original Medicare and a Part D plan, you can enroll in a MA-PD plan.
Blue Medicare SupplementSM;
For North Carolina beneficiaries enrolled in Medicare Part B
Choose the plan that’s right for you
Control of your care
Savings and peace of mind
Medicare only covers some of your medical costs. That’s why Blue Cross and Blue Shield of North Carolina (BCBSNC) offers dependable Medicare supplement plans for Medicare beneficiaries, to help lessen the worries over costs that Medicare doesn’t cover. Choose from our 111 Blue Medicare SupplementSM plans to find the plan that best fits your needs and your budget.
- Wide selection of plans
- Protection against unexpected events
A local company you can trust
We provide Medicare supplement coverage to more North Carolinians than any other insurer in the state.2. BCBSNC serves more than 125,0003 North Carolina Medicare beneficiaries with over 77 years of experience in the health care industry.
- We provide Medicare supplement coverage to more North Carolinians than any other insurer in the state.2
- One of the most trusted Medicare supplement plans in the state
No matter which Blue Medicare SupplementSM; plan you choose, you’re free to select your own Medicareparticipating doctor or visit any Medicare-participating hospital. And in most cases, your Part A and Part B Medicare claims and supplement claims are handled automatically by BCBSNC.
- Choice of Medicare-participating doctors
- Easy to use, virtually no claims to file
You’ll also have access to Blue ValuesSM, our value-added discount programs and Silver Sneakers®1 Fitness Program4 available to you at no extra cost.5 You’ll be eligible for discounts on health-related products and services, such as eyeglasses, hearing aids and more.
- Discounts on eyeglasses, hearing aids and more!
- Discount programs exclusive to BCBSNC members
No waiting periods
If you enroll early, you may be eligible for this plan without waiting periods for pre-existing conditions. Pre-existing conditions are conditions for which medical advice was given or treatment was recommended by or received from a physician within six months before the effective date of coverage. If you wait until after the deadline to enroll, you may have a waiting period for pre-existing conditions.
- No waiting periods for pre-existing conditions
Guaranteed acceptance by enrolling early
You cannot be turned down for Blue Medicare SupplementSM and may not have to complete a medical questionnaire if you meet the following:
- You are age 65 or older, or under age 65 and are eligible for Medicare by reason of disability (Plans A and C6)
- You enroll within 6 months of enrolling in Medicare Part B
- You are not covered by certain Medicaid programs
- You are a resident of North Carolina
BCBSNC Blue Medicare Supplement Information
For more information about Blue Medicare SupplementSM plans, including a free rate quote, call Authorized Agency IBD Insurance Services at 800-615-5980, or e-mail IBD Insurance Services by completing the information form at the top of this page.
For costs and further details of the coverage, including exclusions, any reductions or limitations and terms under which the policy may be continued in force, contact your agent or the company.
1 Plan A: BMS A, 02/11, Plan B: BMS B, 02/11, Plan C: BMS C, 02/11, Plan D: BMS D, 02/11, Plan F: BMS F, 02/11, HI DED Plan F: BMS HDF, 02/11, Plan G: BMS G, 02/11, Plan K: BMS K, 02/11, Plan L: BMS L, 02/11, Plan M: BMS M, 02/11, Plan N: BMS N, 02/11
2Based on “2009 Medicare Supplement Insurance Exhibits,” published in 2010 by the National Association
of Insurance Commissioners (NAIC), as supplied by Mark Farrah Associates.
3 Based on Blue Cross and Blue Shield of North Carolina (BCBSNC) enrollment data, 2010.
4 The SilverSneakers program is provided by Healthways, Inc., a third-party vendor independent of BCBSNC. The program is a value-added program and not part of member policy or benefit. It may change or be discontinued at any time. BCBSNC does not profit from this program and is not liable in any way for the goods or services received.
5 Blue Values programs may change or be discontinued at any time. Blue Cross and Blue Shield of North Carolina (BCBSNC) provides these programs for member convenience and is not liable in any way for the goods and services received. These programs are not part of a member’s policy or benefits, but are value-added discounts available for their use. BCBSNC does not profit from the Blue Values programs.
6 Guaranteed acceptance is limited to (Plans A and C) for those under age 65 who have Medicare due to disability.
An independent licensee of the Blue Cross and Blue Shield Association.
U4093, 3/11
NC Residents Only
If you are interested in our insurance options, please complete and submit this form.
IBD Insurance Services, Inc.
3733 National Drive, Suite 225, Raleigh, NC 27612
Phone: 800 615-5980
FAX: 919 510-8876
http://www.ibdinsurance.com
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Copyright IBD Insurance sevices. Raleigh, NC. Providing BCBSNC options for North Carolina residents.