Blue Shield Insurance (Medicare HMO)

The Blue Cross Blue Shield Association is a consumer health advocate with the public interest as its driving force. Their Blue plans have been providing families with the highest quality of health insurance services for 70 years. The Blue Shield Association only offers its members the highest quality, most innovative & customer focused, health insurance plans available. As we step further into the 21st century, medical breakthroughs are going to require changes in policies and coverage, and Blue Cross Blue Shield will be there for its customers, every step of the way.

Blue Shield offers one group of Medicare plans, the Blue Shield 65 Plus Medicare + Choice HMO plans. These Medicare plans have no deductibles. They cover all patient care provided by the original Medicare plan, but also cover additional services such as prescription drugs, vision care and physical examinations. Similar to Aetna’s prerequisites, in order to qualify for the Blue Shield 65 Plus Medicare + Choice HMO plans, you must be a Medicare beneficiary who is entitled to both Part A and Part B, and you must live within the designated area.

For more information regarding the Blue Shield 65 Plus Medicare + Choice HMO plans, consult the chart below.

Blue Shield 65 Plus
Doctor and Hospital Choice
You must go to network doctors, specialists and hospitals. You need a referral to go to network hospitals and certain doctors, including specialists, for certain services.
Monthly Premium
Inpatient Hospital Care
$50/day for days 1-40 and $0/day for days 41-90 for a Medicare-covered stay in a network hospital, covered for unlimited days each benefit period
Skilled Nursing Facility
$0/day for days 1-20 and $50/day for days 21-100, covered for 100 days each benefit period
No copayment for: Medicare-covered home health visits and respite care
Doctor Office Visits
$10 for each primary care doctor office visit, $20 for each specialist visit
Prescription Drugs
For each prescription or refill, $10 for formulary generic drugs up to a 30-day supply; $25 for formulary brand drugs up to a 30-day supply; $20 for mail order formulary generic drugs up to a 90-day supply; $50 for mail order formulary drugs up to a 90-day supply
Routine Physical Exams
After a $5/$10 copay, pays 100% of expenses

For more information regarding Blue Shield, visit their website at