Blue Cross Blue Shield of Minnesota
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2012 Senior Gold (SM) (Medicare supplement) — Minnesota’s leading Medicare supplement plan
Original Medicare covers some of your health care expenses, but there are still deductibles, copayments and coinsurance that you must pay. Senior Gold, a Medicare Select plan from Blue Cross and Blue Shield of Minnesota, can help. Senior Gold provides first-dollar coverage, so you won’t have deductibles, copayments or coinsurance for Medicare-eligible services and supplies.
| Member pays: | |
|---|---|
| Monthly plan premium | Tobacco-free: $207 Standard: $273 Optional coverage for preventive screenings and services: $2.65 (see below) |
| Deductible | $0 |
| Doctor office visits (primary care, specialists, chiropractic and podiatry services) | $0 |
| Inpatient hospital care | $0 |
| Emergency care | $0 in the United States 20% coinsurance worldwide |
| Preventive screenings and services (optional) | $0 for services not covered by Medicare (up to $120 maximum per calendar year) |
| Travel coverage (outside the service area within the U.S.) | Receive plan benefits from any provider that accepts Medicare |
| Annual out-of-pocket maximum | Not applicable; minimal to no cost-sharing for eligible services and supplies |
This chart provides a snapshot of some of the benefits of Senior Gold. For information about Original Medicare benefits and additional details, refer to the benefits overview (PDF) or the Summary of Coverage and Disclosure of Information (PDF).
What else do I need to know before choosing this plan?
- Is your doctor in the network?
Live or travel anywhere in the United States and receive plan benefits. In Minnesota and bordering counties, see any provider in our Aware® network. Anywhere else in the country, see any provider that accepts Medicare. No referrals needed. - Prescription drug coverage
Visit MedicareBlue(SM) Rx (PDP)
to learn about prescription drug coverage options. - Does this plan offer additional benefits, discounts or services?
Yes, learn about other features of this plan. - Will my benefits change? What if I move?
As long as you pay your premium and follow the terms of the contract, Senior Gold benefits automatically renew each year. The plan is also portable, which means once you’re a member you can live anywhere in the U.S. and keep your coverage. - What about dental coverage?
An optional dental plan is available separately for Medicare supplement plan members at special rates.
