BlueCHiP for Medicare

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2019

Compare all plans

HMO-POS Network

BlueCHiP for Medicare

Value

Monthly premium

$13.00 - $23.00

Max Out-of-Pocket

$5,000

PCP Copay

$0/$35

Prescriptions

Tier 1-$2

HMO Network

BlueCHiP for Medicare

Advance

Monthly premium

$0.00

Max Out-of-Pocket

$5,500

PCP Copay

$10

Prescriptions

Tier 1-$2

HMO-POS Network

BlueCHiP for Medicare

Extra

Monthly premium

$99.00

Max Out-of-Pocket

$3,500

PCP Copay

$0/$10

Prescriptions

Tier 1-$0

HMO Network

BlueCHiP for Medicare

Standard with Drugs

Monthly premium

$65.00

Max Out-of-Pocket

$4,500

PCP Copay

$0/$20

Prescriptions

Tier 1-$1

HMO Network

BlueCHiP for Medicare

Plus

Monthly premium

$165.00

Max Out-of-Pocket

$2,800

PCP Copay

$0/$5

Prescriptions

Tier 1-$3

HMO-POS Network

BlueCHiP for Medicare

Preferred

Monthly premium

$255.00

Max Out-of-Pocket

$2,250

PCP Copay

$0/$5

Prescriptions

Tier 1-$3

HMO Network

BlueCHiP for Medicare

Core

Monthly premium

$0.00

Max Out-of-Pocket

$3,950

PCP Copay

$0/$10

Prescriptions

Not Covered