Medicare Advantage with drug coverage · HMO-POS · Plan ID H4152-022
BlueCHiP for Medicare Access (HMO-POS)
Offered by Blue Cross & Blue Shield of Rhode Island · available in 5 counties in RI
Monthly premium$31.30health + drug coverage
Yearly out-of-pocket max$6,000in network
Drug deductible$700Defined Standard
Star Rating★★★½ 3.5 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids |
| Over-the-counter items | $25 per quarter allowance |
| Fitness | Fitness benefit (gym membership or program) |
| Transportation | Rides to health-related locations |
Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Are my prescriptions covered? (plan's drug list)
- Is my pharmacy in the network?
- Plan website
- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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