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Coverage and care you can count on

  • Monthly premiums and no annual deductibles
  • The Blue Medicare Sapphire card is an annual debit card to help reduce out-of-pocket covered dental, vision or hearing expenses
  • Primary care visits
  • Medicare-covered preventive screenings
  • SilverSneakers® fitness program membership
  • Telehealth and 24-hour Nurse Hotline

Plans that deliver savings, complete coverage and valuable extras

FeaturesCoverage
Health Advantage
Blue Classic (HMO)
(H9699-004-001)
Health Advantage
Blue Classic (HMO)
(H9699-004-002)
Health Advantage
Blue Classic (HMO)
(H9699-004-003)
Health Advantage
Blue Premier (HMO)
(H9699-006)
Premium$0$0$0$0
Maximum Out-of-Pocket$5,000$6,000$5,800$6,200
PCP Copay$0$0$0$0
Specialist Copay$40$40$40$40
Prescription DrugsYesYesYesYes
Dental & Hearing CoverageYesYesYesYes
VisionYesNoNoYes
Fitness ProgramYesYesYesYes
TelehealthYesYesYesYes
  • Prescription drugs
  • Dental
  • Vision
  • Hearing
  • Fitness
    program
  • Meals
  • Telehealth
  • Flex card

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Y0083_2023AEP_Webpages_ABM_HA_M CMS Approved

Last updated 10/01/2022