Blue Cross Group Medicare Options℠
Many companies provide employer-sponsored Medicare coverage options to their retirees. These retiree options can include Medicare Advantage and prescription drug plans.
Richer Benefits, Lower Costs
Employer-sponsored plans are often custom designed with rich benefits and lower retiree expenses than individual Medicare plans, and they are usually offered to both retirees and their Medicare-eligible spouses. Many employers help their retirees with subsidies to reduce premiums and cost-sharing.
Employer-Sponsored Medicare Plan Options
Retirees may be offered these plans:
Blue Cross Group Medicare Advantage Open Access (PPO)SM Plan
Choose providers that accept Medicare nationwide without network restrictions at the same benefit levels for in and out of network providers. Providers must 1) accept Medicare; 2) agree to see you as a patient; and 3) agree to bill Blue Cross and Blue Shield of New Mexico (BCBSNM). You must continue to pay your Part B premium.
Blue Cross Group Medicare Advantage (PPO)SM Plan
See providers both in and out of network. Care provided by a network provider will likely cost less than if you see an out-of-network provider. You do not have to choose a primary care provider (PCP) and can get care from a specialist without a referral. You must continue to pay your Part B premium.
Blue Cross Group Medicare Advantage (HMO)SM Plan
Members are only covered when they seek care in-network, except for emergencies. A PCP must refer them to a specialist. You must continue to pay your Part B premium.
Blue Cross Group MedicareRx (PDP)SM Plan
Get coverage for your prescription drugs. Part D plans enhance Original Medicare and provide members with access to over 64,000 pharmacies. The drug list has the most commonly prescribed medications and low copays for generics. Members are only covered when they seek care in-network, except for emergencies. A PCP must refer them to a specialist. You must continue to pay your Part B premium.
BCBSNM members can easily move from their employee plan to their group retiree Medicare plan. If you are retiring soon or becoming eligible for your retiree group Medicare plan, please contact your Human Resources department or benefit administrator to learn about your plan options and how to enroll.
Learn more about Medicare Basics.