Need help? Call the Medicare Sales team at 1-800-505-2583 (TTY:711).
2026
BlueCHiP for Medicare
Enhanced

Monthly premium

$35.00

For people who need a moderate amount of medical care and want lower copays for specialists, increased coverage amounts for dental and vision, and an over-the-counter benefit to help pay for everyday health items

Not sure what plan you need? Use the plan recommendation tool.

Medical 

  • $0 Part B deductible
  • $0 PCP visits
  • $0-$40 specialist visits
  • $0 labs
  • $25 X-rays
  • $0-$40 physical/speech/occupational therapy
  • Out-of-network coverage

Prescription Drugs

  • $500 pharmacy deductible (Tiers 3-5)
  • $0 Tier 1 and Tier 2 prescription copays

Dental/Vision/Hearing

  • $2,000/year dental benefit maximum
  • $0 cost preventive and comprehensive dental
  • No coverage for crowns
  • $0 cost annual vision exam
  • $200/year eyewear allowance
  • $0 cost annual hearing exam
  • Hearing aid coverage starting at $300 per ear

Extras

  • $0-$20 fitness center membership
  • Get $25/quarter over-the-counter (OTC) benefit for everyday health items

What's covered

See if your doctor and pharmacy are in the network

Search providers

Coverage
Copays & Details
Outpatient Care and Services1,2

Ambulance

$200 copay per trip

Dental Services

Medicare-covered:
In-network: 20% of the cost
Out-of-network: 30% of the cost

Preventive: $0
Comprehensive: $0

$2,000 limit on all covered dental services for preventive and comprehensive dental services. All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

Diabetes Supplies and Services

In-network
$0

You must use Abbott plan-designated monitors and test strips.

Diagnostic Tests, Lab and Radiology Services, and X-rays

In-network
$0 for Lab services
$25 for X-Rays
$50 for Diagnostic tests
$0-$200 for High tech radiology services (Ex. MRIs)

Out-of-network
30% of the cost

Emergency Care

$130 copay per visit

If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for emergency care.

Hearing Services

Routine hearing
In-network: $0
Out-of-network: 30% of the cost

Non-routine hearing
In-network: $40 copay per visit
Out-of-network: 30% of the cost

Hearing aids: 
$300-$1,775 copay per hearing aid (2 aids every year)

Outpatient Hospital/Surgery

In-network:
Up to $350 copay per visit for ambulatory surgical center based services.  
Up to $450 copay per visit for hospital based services.
                                                                                                        
Out-of-network:
30% of the cost

Primary Care Provider Visit

In-network: 
$0 PCP copay per visit

Out-of-network: 
30% of the cost

Specialist Visit

In-network: $0-$40 copay per visit
Out-of-network: 30% of the cost
Referral is required for specialist visits.

Vision Visit

Routine vision
In-network: $0
Out-of-network: 30% of the cost

Non-routine vision
In-network: 
$40 copay per visit
Out-of-network: 30% of the cost

Vision hardware:
Our plan offers a  $200/year allowance for vision Hardware.

Preventive Care

In-network: $0

Out-of-network: 30% of the cost

Inpatient Care1,2

Inpatient Hospital Care

In-network
$400 copay per day for days 1-6
$0 Days 7+
Out-of-network: 30% of the cost

Our plan covers an unlimited number of days for an in-network inpatient hospital stay.

Skilled Nursing Facility (SNF)

In-network:
$10 copay per day for days 1-20
$218 copay per day for days 21-45
$0 copay per day for days 46-100

Out-of-network:
30% of the cost

Our plan covers up to 100 days in a SNF.

 
Standard
Preferred Mail Order (100-day Supply)

Prescription Deductible

$500 (tiers 3-5)

Initial Coverage (up to 30-day supply)3

Tier 1 (Preferred Generic)

$0 copay

$0 copay

Tier 2 (Non-preferred Generic)

$0 copay

$0 copay

Tier 3 (Preferred Brand)

25% coinsurance

25% coinsurance

Tier 4 (Non-preferred Drug)

30% coinsurance

30% coinsurance

Tier 5 (Specialty Tier)

27% of the cost

N/A

Insulins (30-day Supply)

$35 copay

1The out-of-pocket maximum includes only Medicare-covered services. This is the most a member would pay for these services during a calendar year. You must receive all routine care from plan providers unless you select the BlueCHiP for Medicare Essential (HMO-POS), BlueCHiP for Medicare Enhanced (HMO-POS) BlueCHiP for Medicare Extra (HMO-POS), or the BlueCHiP for Medicare Access (HMO-POS) plan. If you select the BlueCHiP for Medicare Essential (HMO-POS), BlueCHiP for Medicare Enhanced (HMO-POS), BlueCHiP for Medicare Extra (HMO-POS), or the BlueCHiP for Medicare Access (HMO-POS) plan, with the exception of emergency or urgent care, ambulance, or dialysis services, it may cost more to get care from out-of-network providers.

2A preauthorization may be required. Review may include but is not limited to pre-authorization and/or continued treatment by the plan and/or plan designee. Contact Plan for details.

3You must use network pharmacies to access your prescription drug benefit, except under non-routine circumstances, quantity limitations and restrictions may apply. Please refer to the Summary of Benefits or the Evidence of Coverage for prescription drug cost share information in a long-term care setting, mail order and extended day retail supplies as well as detailed benefit information concerning the Initial Coverage stage and the Catastrophic level stage.