BlueCHiP for Medicare Access
Access provides low-cost prescription drugs and a $0 monthly premium for those who receive a Low-Income Subsidy (Extra Help). Eligible members may also qualify for a grocery benefit and additional savings on their out-of-pocket costs.*
The Low-Income Subsidy program (Extra Help)
Medicare's Extra Help program helps people with limited income and resources pay Part D premiums, deductibles, and copays. If you qualify for Extra Help, your monthly premium for the Access plan drops to $0. You'll also have a $0 prescription deductible and $0-$14.40 copays on prescription drugs.
What's included
$700 drug deductible, 25% coinsurance for prescription drugs
An allowance for groceries* and over-the-counter (OTC) everyday health items
$0 preventive and comprehensive dental (up to $1,500/year); does not include coverage for crowns
$0 annual routine vision and hearing exams, plus a $200/year eyewear allowance and coverage for hearing aids
$0 rides to appointments – 12 one-way rides per year
$0-$20/month fitness center membership
Medical benefits at a glance
Visits to in-network primary care provider
Up to $35 copay per visit in-network
In-network preventive screenings and exams
Emergency coverage available worldwide
Copay may be lower at in-network ambulatory surgery center
Copay is per day for days 1-6 at in-network hospitals
Prescription drug coverage
Plan documents
*The grocery and High-Value Provider benefits are Special Supplemental Benefits for the Chronically Ill (SSBCI). You may be eligible for SSBCI if you are enrolled in BlueCHiP for Medicare Access (HMO-POS) and live with one or more qualifying chronic condition(s), as defined by CMS, including but not limited to chronic heart failure, chronic lung diseases, dementia, diabetes mellitus, and frailty & fall risk. BlueCHiP for Medicare Access members must also receive a Low-Income Subsidy (also called Extra Help). Receiving these benefits is not solely determined by your condition(s); all relevant eligibility criteria must be satisfied before benefits are available for use. Please see your Evidence of Coverage for full details.