2022 BlueCross Blue Basic (PPO)

BlueCross Blue Basic (PPO) H8003-007 is a 2022 Medicare Advantage Plan or Part-C by Blue Cross Blue Shield of South Carolina available to residents in South Carolina. This plan does not provide additional prescription drug (Part-D) coverage. The BlueCross Blue Basic (PPO) has a monthly premium of $0 and has an in-network maximum out-of-pocket limit of $4,900 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $4,900 out-of-pocket. This can be a extremely nice safety net.

BlueCross Blue Basic (PPO) is a Local PPO *. A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.

Blue Cross Blue Shield of South Carolina works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for BlueCross Blue Basic (PPO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Blue Cross Blue Shield of South Carolina and not Original Medicare. With Medicare Advantage you are always covered for urgently needed and emergency care. Plus you receive all the benefits of Original Medicare from Blue Cross Blue Shield of South Carolina except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.

2022 Blue Cross Blue Shield of South Carolina Medicare Advantage Plan Costs

CMS Star Ratings for BlueCross Blue Basic (PPO) H8003

Staying Healthy, Screening, Testing, & Vaccines

Managing Chronic And Long Term Care for Older Adults

Member Experience with Health Plan

Member Complaints and Changes in BlueCross Blue Basic (PPO) Plans Performance

Health Plan Customer Service Rating for BlueCross Blue Basic (PPO)

BlueCross Blue Basic (PPO) Drug Plan Customer Service Ratings

Ratings For Member Complaints and Changes in the Drug Plans Performance

Member Experience with the Drug Plan

Drug Safety and Accuracy of Drug Pricing

Coverage Area for BlueCross Blue Basic (PPO)

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Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit. Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.