All About Blue Cross Medicare Networks

When it's time to visit a doctor or hospital, it's important to choose one that is part of your Blue Cross Medicare plan network. A provider network is made up of all the doctors and hospitals that participate in your plan. Plans with prescription drug benefits have a pharmacy network.

Plans with combined medical and prescription drug coverage

Plan	Provider networks (includes doctors and hospitals)	Pharmacy networks (includes pharmacies)	Sample in-network pharmacies
Blue Cross Medicare Advantage (PPO) Metro and West regions	Medicare High Value Network: 99% of hospitals, 98% of doctors and specialists in Minnesota, and in-network coverage when you travel within the U.S. for up to 12 months consecutively	More than 63,000 in-network pharmacies	CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Alliance Rx Walgreens mail order, Amazon mail order, Express Scripts mail order
Blue Cross Medicare Advantage (PPO) South region	The Medicare Southern MN Network has more than 23,000 in-network providers in Minnesota	More than 63,000 in-network pharmacies	CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Alliance Rx Walgreens mail order, Amazon mail order, Express Scripts mail order
Platinum Blue with Rx (Cost)	Platinum Blue Network: 100% of hospitals, 98% of doctors and specialists in Minnesota, and in-network coverage when you travel within the U.S. for up to 9 months consecutively	More than 63,000 in-network pharmacies	CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Alliance Rx Walgreens mail order, Amazon mail order, Express Scripts mail order

Plans with medical only coverage

Plan	Provider networks (includes doctors and hospitals)
Freedom Blue	Medicare High Value Network: 99% of hospitals, 98% of doctors and specialists in Minnesota, and in-network coverage when you travel within the U.S. for up to 12 months consecutively.
Platinum Blue℠ (Cost)	Platinum Blue Network: 100% of hospitals, 98% of doctors and specialists in Minnesota, and in-network coverage when you travel within the U.S. for up to 9 months consecutively
Basic Medicare Blue	Medicare approved providers: See any provider that accepts Medicare assignment nationwide
Senior Gold℠	Aware Network: 100% of hospitals, 98% of doctors and specialists in Minnesota, and coverage nationwide
Medicare Supplement Plan with Copayments (Plan N) Medicare Supplement Plan with High Deductible Coverage (High Deductible)	Medicare approved providers: See any provider that accepts Medicare assignment nationwide

Plans with prescription drug only coverage

Plan	Pharmacy networks	Sample pharmacies
MedicareBlue℠ Rx	Select has over 62,000 in-network pharmacies with more than 30,000 preferred Standard and Premier have over 63,000 in-network pharmacies with more than 30,000 preferred	Walgreens, Hy-Vee, Walmart, Express Scripts mail order, Amazon mail order CVS, Hy-Vee, Walmart, Express Scripts mail order, Amazon mail order

Finding in-network providers

Is your doctor or hospital in your network? Find out here:

Find a Doctor

You will need to enter the first three characters of your member ID, which can be found on the back of your Blue Cross member ID card, or select a network from the drop-down to see providers in your network.

Is a pharmacy in your network? Find out here:

Travel benefits

A plan that has a travel benefit helps you get the best coverage when you travel throughout the United States. This benefit allows you to remain enrolled in your plan when you are outside Minnesota. You will pay plan copayments or coinsurance as applicable.

For international travel, you have coverage for emergency services, usually with some cost sharing.

Blue Cross Medicare Advantage (PPO): Travel coverage for twelve months consecutively. Covered for emergency services worldwide.
Platinum Blue with or without Rx: Travel coverage for nine months each year. Covered for emergency services worldwide.
Blue Cross Medicare Supplement: Travel coverage unlimited each year. Covered for emergency services worldwide.

More about Medicare coverage

Blue Cross offers PPO, Cost and PDP plans with Medicare contracts. Enrollment in these Blue Cross plans depends on contract renewal. Plans are available to residents of the service area. You may only be able to enroll in a plan at certain times of the year.

MedicareBlue^SM Rx (PDP) is a prescription drug plan with a Medicare contract. Enrollment in MedicareBlue Rx depends on contract renewal.

Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa*; Blue Cross and Blue Shield of Minnesota*; Blue Cross and Blue Shield of Montana*, a division of Health Care Service Corporation, a Mutual Legal Reserve Company; Blue Cross and Blue Shield of Nebraska*; Blue Cross Blue Shield of North Dakota*; Wellmark Blue Cross and Blue Shield of South Dakota*; and Blue Cross Blue Shield of Wyoming*.

*Independent licensees of the Blue Cross and Blue Shield Association.

Last updated October 1, 2023

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