What Is Covered Under the Medicare Plus Blue PPO Plan?


Quick Answer

As of July 2015, the Medicare Plus Blue PPO plan provides insurance covering a wide range of health care procedures including prescriptions, eye exams, office visits, surgery and hospital stays, according to Blue Cross Blue Shield. Four levels of coverage are offered with varying premiums, copay amounts and deductibles.

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Full Answer

Medicare Plus Blue PPO insurance offers the same coverage available through Medicare plus many services and procedures that Medicare does not cover. Medicare Plus Blue PPO members can find coverage details in the Medicare Plus Blue PPO Plan Summary of Benefits, linked to BCBSM.com. The Summary of Benefits lists covered visits, products and procedures, along with the cost of premiums, copays, and deductibles for each of the four levels of coverage.

PPO, or "preferred provider organization," plans offer members the ability to choose doctors and other providers without referrals from a primary care physician. PPO plans cover health care that members receive from both in- and out-of-network providers, although in-network care is covered at higher rates. The Medicare Plus Blue PPO plan is offered by Blue Cross Blue Shield Blue Care Network of Michigan. Based on the small number of complaints filed by members and the speed with which the insurance company responds to those complaints, the insurance company rates an A+ rating, says the Better Business Bureau.

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