Medicare

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2017

2017 BlueCHiP for Medicare

Select a plan below to learn more.

HMO-POS Network

BlueCHiP for Medicare

Value

Monthly Premium

$17.00

PCP Copay

$0/$35

Prescriptions

Tier 1-$3

HMO Network

BlueCHiP for Medicare

Advance

Monthly Premium

$0.00

PCP Copay

$5

Prescriptions

Tier 1-$2

HMO-POS Network

BlueCHiP for Medicare

Extra

Monthly Premium

$89.00

PCP Copay

$0/$10

Prescriptions

Tier 1-$4

HMO Network

BlueCHiP for Medicare

Standard with Drugs

Monthly Premium

$58.00

PCP Copay

$0/$20

Prescriptions

Tier 1-$4

HMO Network

BlueCHiP for Medicare

Plus

Monthly Premium

$158.00

PCP Copay

$0/$5

Prescriptions

Tier 1-$3

HMO-POS Network

BlueCHiP for Medicare

Preferred

Monthly Premium

$245.00

PCP Copay

$0/$5

Prescriptions

Tier 1-$3

HMO Network

BlueCHiP for Medicare

Core

Monthly Premium

$0.00

PCP Copay

$0/$10

Prescriptions

Not Covered