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Medicare Advantage (also called Medicare Part C)

Medicare Advantage plans are part of the Medicare program and represent an additional coverage option. A Medicare Advantage plan replaces Original Medicare. With a Medicare Advantage plan, you will receive coverage for all Part A and Part B-covered services. And most Medicare Advantage plans include Part D drug coverage. Private organizations like insurance companies contract with Medicare on a yearly basis in order to offer Medicare Advantage plans.

Medicare Advantage HMO (Health Maintenance Organization)

With a Health Maintenance Organization (HMO) plan, you have one doctor to coordinate your care with specialists and other health care providers. With this type of plan, you must choose a primary care provider (PCP) to coordinate your care and refer you to specialists. With most Medicare HMOs you must use doctors, specialists, and hospitals in the plan’s network in order to receive coverage, except in a few cases, like medical emergencies.

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If your employer offers group health coverage for employees when they retire, be sure to consider your options carefully.

 

© 2019 Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association serving businesses and residents of Alaska and Washington state, excluding Clark County. Premera Blue Cross is an HMO plan with a Medicare contract. Enrollment in Premera Blue Cross depends on contract renewal. ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 888-850-8526 (TTY: 711), April 1 - September 30, Monday - Friday, 8 a.m. - 8 p.m.; October 1 - March 31, 7 days a week, 8 a.m. to 8 p.m.To join a Premera Blue Cross Medicare Advantage Plan, you must have Medicare Part A and Part B and live in the Premera Blue Cross Medicare Advantage service area (Island, King, Pierce, Lewis, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla, and Whatcom counties in Washington). Members must select a Primary Care Provider (PCP) from the Premera Blue Cross Medicare Advantage Plans provider network. For accommodation of persons with special needs at sales meetings, call 888-868-7767 (TTY/TDD: 711), April 1 - September 30, Monday - Friday, 8 a.m. - 8 p.m.; October 1 - March 31, 7 days a week, 8 a.m. to 8 p.m.

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Last Updated 2020-02-28

Plan A 021190 (06-2010); 021194 (06-2010); Plan N 021191 (06-2010); 021195 (06-2010); Plan F 021192 (06-2010); 021196 (06-2010); High Deductible Plan F 021193 (06-2010); 021197 (06-2010); Plan G 042193 (01-2018); 042194 (01-2018); High Deductible Plan G 049578 (01-2020); 049579 (01-2020).