Blue advantage common questions blue cross and blue shield ledderhose disease surgery of alabama

A Medicare Advantage Plan is a Medicare approved program that ledderhose disease surgery allows you to have all the rights and protections of ledderhose disease surgery Original Medicare. Your Medicare benefits, however, will be provided by a private insurance company such as ledderhose disease surgery Blue Cross and Blue Shield of Alabama. This plan enhances your Original Medicare Benefits by adding Part ledderhose disease surgery D drug coverage and offering lower copayments. This plan does not require a supplemental plan.

If you have more than one address, you will need to provide your permanent physical address on ledderhose disease surgery your application. This address must match your primary address as listed with ledderhose disease surgery Social Security and Medicare. Your address will be used to determine your product eligibility ledderhose disease surgery and plan premiums. Failure to report your correct address can delay the processing ledderhose disease surgery of your application or result in the loss of coverage. If necessary, you may also provide an alternate address (such as a Post Office Box) where you prefer to receive mailings.

Each year, Medicare Advantage and Part D plans renew their contracts with ledderhose disease surgery Medicare. Changes can be made to premiums, benefits, deductibles, copayments, coinsurance, formularies and other services once annually. Any other changes throughout the year must be approved by ledderhose disease surgery Medicare. It is VERY important to review your plan every year ledderhose disease surgery to determine whether it will continue to meet your needs ledderhose disease surgery for the upcoming year.

The Annual Election Period allows you to make changes to ledderhose disease surgery your plan anytime between October 15 and December 7. Elections made during this time will be effective on January ledderhose disease surgery 1 of the following year. When Medicare has been notified of your election change, your membership with your previous MAPD and/or Part D plan will be cancelled effective December 31. To cancel coverage other than Medicare Advantage or Part D ledderhose disease surgery Plans, please contact your insurance carrier.

A current Medicare Advantage plan enrollee is allowed to make ledderhose disease surgery a one-time change during the Medicare Advantage Open Enrollment Period (MOEDP), which takes place from January 1 to March 31 or ledderhose disease surgery the last day of the 3rd month after their Part ledderhose disease surgery A and B entitlement date. This period allows you to disenroll from a Medicare Advantage ledderhose disease surgery plan and return to your Original Medicare- change from one Medicare Advantage plan to another Medicare Advantage ledderhose disease surgery plan or from one Part D plan to another Part ledderhose disease surgery D Plan.

Outside of Alabama, medical emergencies and visits to an Urgent Care Facility will ledderhose disease surgery process at an in-network benefit level, regardless of whether the provider is in the Blue Advantage ledderhose disease surgery network. For all other services outside of the coverage area, facility and provider participation may vary. To find out if an out-of-state facility or provider participates in the Blue Advantage network, contact Member Services.

Once the amount of drugs you have purchased for the ledderhose disease surgery year reaches $3,820 you will enter the coverage gap. Blue Advantage does not provide any coverage during the gap. However, you will receive a 75% discount on brand drugs if the manufacturer is contracted with ledderhose disease surgery CMS. For generic drugs, you will be discounted up to 63% of the plan allowable cost. After your total out-of-pocket cost reaches $5,100 you will enter the Catastrophic Coverage Phase. During this final phase, you will pay the greater of 5% coinsurance or a $3.40 copay for generic drugs/$8.50 copay for brand drugs. If you need additional assistance during the coverage gap, please contact your pharmacy for manufacturer discount programs, or call Social Security at 1-800-772-1213 to see if you qualify for extra help with ledderhose disease surgery your prescription drugs.

Yes; we offer a 24-hour Nurse Line to our members. This line is available 24 hours, 7 days a week for members who have general questions ledderhose disease surgery concerning their health. You can reach the Nurse Line at 1-800-896-2724 (TTY 711). Although this service is available, please remember to always consult your doctor or pharmacist concerning ledderhose disease surgery any new services or upon taking any new medications.

Blue Cross has several programs in place, such as our health management and disease management programs, to help reduce the cost of health care. Blue Cross nurses actively work with members to provide support ledderhose disease surgery for chronic conditions, such as diabetes and heart disease, so our members can improve their overall health and wellness. In addition, wellness programs like SilverSneakers ®, myBlueWellness and WalkingWorks ® are available to all of our members, and they are free services.

CMS created the Five-Star Quality Rating System to help consumers compare plans more ledderhose disease surgery easily. They rate plan performances in different areas such as: customer service, member satisfaction, drug pricing, patient safety, etc. CMS requires Medicare Advantage and Part D Plans to include ledderhose disease surgery their star ratings in pre-enrollment packets. Medicare monitors all healthcare and prescription drug plans. The number of stars a plan receives gives you an ledderhose disease surgery overall rating for the plan as a whole, and Medicare hopes this rating will help you choose a ledderhose disease surgery plan that is right for you. View our plan star rating.

If you move outside of Alabama, Medicare will allow you 60 days from the day you ledderhose disease surgery move to enroll into another MAPD or Part D plan ledderhose disease surgery that is located in your new state. If you are temporarily moving out of the coverage area, you are allowed to have a temporary address for up ledderhose disease surgery to 6 months. You are responsible for notifying us if your living status ledderhose disease surgery changes from a temporary to permanent residence or of any ledderhose disease surgery permanent changes to your physical address.

Please contact the Social Security Administration to see if you ledderhose disease surgery are required to reapply for Low Income Subsidy each year. There is no guarantee that you will automatically qualify each ledderhose disease surgery year, as the income criteria is subject to change. The Social Security Administration can be reached at 1-800-772-1213. If eligible for LIS, Social Security will send you a letter advising of your ledderhose disease surgery level of eligibility. Blue Cross and Blue Shield of Alabama will also be ledderhose disease surgery notified of any changes to your LIS eligibility.

If your modified adjusted gross income, as reported on your IRS tax return, is above a certain amount ($85,000 for individual, $170,000 for married couples), you will pay an extra amount in addition to your ledderhose disease surgery monthly plan premium. You may also hear this referred to as a surcharge, and can get more information on it here.If you have to pay an extra amount, the Social Security Administration (SSA) will send you a letter to advise what the extra ledderhose disease surgery amount is and how to pay it.

To request coverage for a medication not on the formulary, contact your physician and ask that a formulary exception request ledderhose disease surgery form be submitted on your behalf. This process can take up to 72 hours for a ledderhose disease surgery standard request. If your life, health or ability to regain maximum function may be at ledderhose disease surgery risk by waiting for a standard request decision, we will let you know our decision within 24 hours. This is considered an expedited request. If a non-formulary medication is approved to be added to your formulary, the copay will process as a Tier 4 for non-preferred drugs or Tier 2 for generic drugs.

Blue Cross and Blue Shield of Alabama offers a number ledderhose disease surgery of standard Drug Utilization Management (DUM) services such as formulary management, prior authorization, quantity limits and step-therapy. These programs encourage safe, appropriate and cost-effective use of drugs. The goal of DUM is to monitor and prevent over- and under-utilization of prescription drugs while respecting the physician’s prescribing authority. Using DUM, we also track and trend utilization, identify opportunities for improvement, and document and implement corrective actions when necessary. All policies are reviewed quarterly by an independent committee of ledderhose disease surgery pharmacists and physicians.

You are about to leave Blue Cross and Blue Shield ledderhose disease surgery of Alabama’s website and enter a website operated by Prime Therapeutics, LLC. Prime is our business associate and is an independent company ledderhose disease surgery that provides pharmacy benefit management services to Blue Cross health ledderhose disease surgery plans. Prime has agreed to follow Blue Cross’ privacy and security policies regarding the confidentiality and protection of ledderhose disease surgery your personal health information.

This link takes you to another web site. Some areas of our site may provide links to other ledderhose disease surgery external sites that we don’t own, control or influence. We reference sites that we think might be useful or ledderhose disease surgery of interest to you, but we are not responsible for the content or privacy ledderhose disease surgery practices used by other site owners. Information contained in the external sites is not endorsed by ledderhose disease surgery BCBSAL.

You are about to leave the Blue Cross and Blue ledderhose disease surgery Shield of Alabama Medicare products website to learn more about ledderhose disease surgery our Dental Plans. The site is operated by Blue Cross and Blue Shield ledderhose disease surgery of Alabama and all Blue Cross’ privacy and security policies regarding the confidentiality and protection of ledderhose disease surgery your personal health information apply here as well.

This link takes you to another web site. Some areas of our site may provide links to other ledderhose disease surgery external sites that we don’t own, control or influence. We reference sites that we think might be useful or ledderhose disease surgery of interest to you, but we are not responsible for the content or privacy ledderhose disease surgery practices used by other site owners. Information contained in the external sites is not endorsed by ledderhose disease surgery BCBSAL.

You are about to leave the Blue Cross and Blue ledderhose disease surgery Shield of Alabama Medicare products website to visit one of ledderhose disease surgery our social media sites. Although content of our social media sites is maintained by ledderhose disease surgery Blue Cross, Blue Cross does not control the security and/or privacy practices of these external social media sites. Therefore, Blue Cross advises users of these sites against sharing any ledderhose disease surgery personal health information or any other information the user would ledderhose disease surgery otherwise not feel comfortable being made public. Blue Cross shall not be liable for privacy breaches, security incidents or similar events due to the use of ledderhose disease surgery social media sites.

This link takes you to another web site. Some areas of our site may provide links to other ledderhose disease surgery external sites that we don’t own, control or influence. We reference sites that we think might be useful or ledderhose disease surgery of interest to you, but we are not responsible of the content or privacy ledderhose disease surgery practices used by other site owners. Information contained in the external sites is not endorsed by ledderhose disease surgery BCBSAL.

You are leaving the Blue Cross and Blue Shield of ledderhose disease surgery Alabama Medicare products website to log into myBlueCross, Blue Cross and Blue Shield of Alabama’s member website. myBlueCross is operated by Blue Cross and all privacy and ledderhose disease surgery security policies regarding the confidentiality and protection of your personal ledderhose disease surgery health information apply here as well.

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