Palm Beach County Benefits at a Glance

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Benefits at-a-Glance BlueMedicare Classic (HMO)

BlueMedicare Premier (HMO)

H1035-018

H1035-022

Service Area

Palm Beach

Palm Beach

How much is the monthly premium?

$0 You must continue to pay your Medicare Part B premium.

$0 You must continue to pay your Medicare Part B premium.

How much is the deductible?

This plan does not have a deductible.

This plan does not have a deductible.

Is there any limit on how much I will pay for my covered services?

$4,500 for services you receive from In-Network providers.

$3,400 for services you receive from In-Network providers.

Plan Costs & Details

Medical & Hospital Benefits Doctor’s Office Visits

$0 copay Primary Care Physician

$0 copay Primary Care Physician

$35 copay Specialist

$15 copay Specialist

Preventive Care

$0 copay

$0 copay

Inpatient Hospital Care

Days 1-8: $225 copay per day.

Days 1-8: $75 copay per day.

After the 8th day the plan pays 100% of covered expenses.

After the 8th day the plan pays 100% of covered expenses.

Outpatient Hospital

$175 copay except for Observation Services

$75 copay except for Observation Services

$90 copay for Observation Services

$100 copay for Observation Services

$150 copay in an Ambulatory Surgical Center

$40 copay in an Ambulatory Surgical Center

$175 copay in an Outpatient Hospital Facility

$75 copay for in an Outpatient Hospital Facility

$50 copay at a Convenient Care Center

$10 copay at a Convenient Care Center

$50 copay at an Urgent Care Center

$10 copay at an Urgent Care Center

Emergency Room

$90 copay

$100 copay

Ambulance

$295 copay

$300 copay

Outpatient Surgery

Urgently Needed Services

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