What is the coverage provided with BlueMedicare Regional PPO?


Quick Answer

Hospital care; doctors' office visits; diagnostic tests, including lab work, radiology services and X-rays; and emergency care and ambulance services are covered under BlueMedicare Regional PPO, states U.S. News & World Report. Urgent care, medical equipment and outpatient surgery are also covered. Most services require a co-pay.

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Full Answer

BlueMedicare Regional PPO covers diabetes supplies and services, chiropractic care, outpatient mental health care and foot care, according to U.S. News & World Report. Outpatient substance abuse, outpatient rehabilitation services, prosthetic devices, preventive care and renal dialysis are also covered. Additional benefits may include dental services, hearing services, vision services, home health care and hospice care. Preventive services, including breast cancer screening and vaccines, health home care and hospice care have no co-pay for in-network care. Diabetes monitoring supplies are also completely covered by BlueMedicare Regional PPO.

An inpatient hospital stay is covered for an unlimited amount of days. As of 2015, there is a $295 co-pay for the first five days for in-network hospital stays and no co-pay for any subsequent days. BlueMedicare Regional PPO also covers the first 190 days of inpatient mental health care in the lifetime of a person. For most out-of-network services, a person is required to pay 50 percent of the costs, explains U.S. News & World Report. A patient is required to pay a $15 co-pay for visits to a primary care physician if the physician is in-network and $50 for an out-of-network physician.

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