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Medicare Frequently Asked Questions (FAQs)

2018 Plans in the CNY Region


Image: Discounts and Savings
Estimate Your Out-of-Pocket Costs including Prescriptions
2018 Plans Monthly Premium* Prescription Drugs Primary Care Doctor/ Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
Medicare BlueBasic (PPO)
View Plan
$75 Not Covered $5/$40 Days 1-5: $325 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare BlueClassic (PPO)
View Plan
$35 (view LIS Premium Summary Chart)** Covered $5/$40 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare BlueSecure (PPO)
View Plan
$109 (view LIS Premium Summary Chart)** Covered $5/$40 Days 1-5: $325 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare BlueEnhanced (PPO)
View Plan
$155 (view LIS Premium Summary Chart)** Covered $5/$35 Days 1-5: $260 per day
Days 6+: Covered in Full
$5,000 Enroll
Medicare BlueEssential (PPO)
View Plan
$0 (view LIS Premium Summary Chart)** Covered $10/$45 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll

Medicare Supplement - We also offer 6 different Medicare Supplement Plans.

* You must continue to pay your Medicare Part B premium.

** Low-Income Subsidy for people who get Extra Help to help pay for their prescription drug costs

2018 Plans in East Region


Image: Discounts and Savings
Estimate Your Out-of-Pocket Costs including Prescriptions
2018 Plans Monthly Premium* Prescription Drugs Primary Care Doctor / Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
Medicare BlueBasic (PPO)
View Plan
$93 Not Covered $5/$40 Days 1-5: $325 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare BluePlus (PPO)
View Plan
$158 (view LIS Premium Summary Chart)** Covered $5/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Bassett (HMO-POS)
View Plan (Delaware and Otsego Counties only)
$104 (view LIS Premium Summary Chart)** Covered $5/$40 Days 1-5: $300 per day
Days 6+: Covered in Full
$6,700 Enroll

Medicare Supplement - We also offer 6 different Medicare Supplement Plans.

* You must continue to pay your Medicare Part B premium.

** Low-Income Subsidy for people who get Extra Help to help pay for their prescription drug costs

2018 Plans in the Rochester Region


Image: Discounts and Savings
Estimate Your Out-of-Pocket Costs including Prescriptions
2018 Plans Monthly Premium* Prescription Drugs Primary Care Doctor/ Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
Medicare Blue Choice Value (HMO)
View Plan
$74 (view LIS Premium Summary Chart)** Covered $10/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Blue Choice Value Plus (HMO)
View Plan
$152 (view LIS Premium Summary Chart)** Covered $10/$45 Days 1-5: $310 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Blue Choice Optimum (HMO-POS)
View Plan
$251 (view LIS Premium Summary Chart)** Covered $10/$40 Days 1-5: $285 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Blue Choice Platinum (HMO-POS)
View Plan
$190 Not Covered $15/$40 Days 1-5: $260 per day
Days 6+: Covered in Full
$5,500 Enroll
Medicare Blue Choice Select (HMO-POS)
View Plan
$0 (view LIS Premium Summary Chart)** Covered $15/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll

Medicare Supplement - We also offer 6 different Medicare Supplement Plans.

* You must continue to pay your Medicare Part B premium.

** Low-Income Subsidy for people who get Extra Help to help pay for their prescription drug costs

2018 Plans in the Utica Rome Region


Image: Discounts and Savings
Estimate Your Out-of-Pocket Costs including Prescriptions
2018 Plans Monthly Premium* Prescription Drugs Primary Care Doctor/ Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
Medicare BlueBasic (PPO)
View Plan
$52 Not Covered $5/$40 Days 1-5: $325 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare BlueClassic (PPO)
View Plan
$40 (view LIS Premium Summary Chart)** Covered $5/$40 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare BlueSecure (PPO)
View Plan
$89 (view LIS Premium Summary Chart)** Covered $5/$40 Days 1-5: $325 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare BlueEnhanced (PPO)
View Plan
$125 (view LIS Premium Summary Chart)** Covered $5/$35 Days 1-5: $260 per day
Days 6+: Covered in Full
$5,000 Enroll
Medicare BlueEssential (PPO)
View Plan
$0 (view LIS Premium Summary Chart)** Covered $10/$45 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Bassett (HMO-POS)
View Plan (Herkimer County only)
$104 (view LIS Premium Summary Chart)** Covered $5/$40 Days 1-5: $300 per day
Days 6+: Covered in Full
$6,700 Enroll

Medicare Supplement - We also offer 6 different Medicare Supplement Plans.

* You must continue to pay your Medicare Part B premium.

** Low-Income Subsidy for people who get Extra Help to help pay for their prescription drug costs

2017 Plans in the CNY Region


Image: Discounts and Savings
Estimate Your Out-of-Pocket Costs including Prescriptions
2017 Plans Monthly Premium* Prescription Drugs Primary Care Doctor/ Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
Medicare BlueBasic (PPO)
View Plan
$80 Not Covered $10/$45 Days 1-5: $310 per day
Days 6+: Covered in Full
$6,000 Enroll
Medicare BlueClassic (PPO)
View Plan
$35 or less (view LIS Premium Summary Chart) Covered $10/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,400 Enroll
Medicare BlueSecure (PPO)
View Plan
$110 or less (view LIS Premium Summary Chart) Covered $10/$45 Days 1-5: $310 per day
Days 6+: Covered in Full
$6,000 Enroll
Medicare BlueEnhanced (PPO)
View Plan
$150 or less (view LIS Premium Summary Chart) Covered $10/$40 Days 1-5: $260 per day
Days 6+: Covered in Full
$5,000 Enroll
Medicare BlueEssential (PPO)
View Plan
$0 (view LIS Premium Summary Chart) Covered $15/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll

Medicare Supplement - We also offer 6 different Medicare Supplement Plans.

* You must continue to pay your Medicare Part B premium.

2017 Plans in East Region


Image: Discounts and Savings
Estimate Your Out-of-Pocket Costs including Prescriptions
2017 Plans Monthly Premium* Prescription Drugs Primary Care Doctor / Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
Medicare BlueBasic (PPO)
View Plan
$93 Not Covered $10/$45 Days 1-5: $310 per day
Days 6+: Covered in Full
$6,000 Enroll
Medicare BluePlus (PPO)
View Plan
$160 or less (view LIS Premium Summary Chart) Covered $10/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,400 Enroll
Medicare Bassett (HMO-POS)
View Plan (Delaware and Otsego Counties only)
$106 or less (view LIS Premium Summary Chart) Covered $10/$40 Days 1-5: $300 per day
Days 6+: Covered in Full
$6,700 Enroll

Medicare Supplement - We also offer 6 different Medicare Supplement Plans.

* You must continue to pay your Medicare Part B premium.

2017 Plans in the Rochester Region


Image: Discounts and Savings
Estimate Your Out-of-Pocket Costs including Prescriptions
2017 Plans Monthly Premium* Prescription Drugs Primary Care Doctor/ Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
Medicare Blue Choice Value (HMO)
View Plan
$60 or less (view LIS Premium Summary Chart) Covered $10/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Blue Choice Value Plus (HMO)
View Plan
$128 or less (view LIS Premium Summary Chart) Covered $10/$45 Days 1-5: $310 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Blue Choice Optimum (HMO-POS)
View Plan
$230 or less (view LIS Premium Summary Chart) Covered $10/$40 Days 1-5: $285 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Blue Choice Platinum (HMO-POS)
View Plan
$190 Not Covered $15/$40 Days 1-5: $260 per day
Days 6+: Covered in Full
$5,500 Enroll
Medicare Blue Choice Select (HMO-POS)
View Plan
$0 (view LIS Premium Summary Chart) Covered $15/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll

Medicare Supplement - We also offer 6 different Medicare Supplement Plans.

* You must continue to pay your Medicare Part B premium.

2017 Plans in the Utica Rome Region


Image: Discounts and Savings
Estimate Your Out-of-Pocket Costs including Prescriptions
2017 Plans Monthly Premium* Prescription Drugs Primary Care Doctor/ Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
Medicare BlueBasic (PPO)
View Plan
$57 Not Covered $10/$45 Days 1-5: $310 per day
Days 6+: Covered in Full
$6,000 Enroll
Medicare BlueClassic (PPO)
View Plan
$40 or less (view LIS Premium Summary Chart) Covered $10/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,400 Enroll
Medicare BlueSecure (PPO)
View Plan
$90 or less (view LIS Premium Summary Chart) Covered $10/$45 Days 1-5: $310 per day
Days 6+: Covered in Full
$6,000 Enroll
Medicare BlueEnhanced (PPO)
View Plan
$120 or less (view LIS Premium Summary Chart) Covered $10/$40 Days 1-5: $260 per day
Days 6+: Covered in Full
$5,000 Enroll
Medicare BlueEssential (PPO)
View Plan
$0 (view LIS Premium Summary Chart) Covered $15/$50 Days 1-5: $360 per day
Days 6+: Covered in Full
$6,700 Enroll
Medicare Bassett (HMO-POS)
View Plan (Herkimer County only)
$106 or less (view LIS Premium Summary Chart) Covered $10/$40 Days 1-5: $300 per day
Days 6+: Covered in Full
$6,700 Enroll

Medicare Supplement - We also offer 6 different Medicare Supplement Plans.

* You must continue to pay your Medicare Part B premium.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. To the extent of any discrepancy between this website and the Evidence of Coverage, the Evidence of Coverage terms take priority.

Excellus BlueCross BlueShield contracts with the Federal Government and is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. .
This page last updated .