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Senior Blue Select (HMO)

Our Senior Blue Select (HMO) Medicare Advantage Plan is designed to make Medicare easy for you. With a low monthly premium and coverage that's recognized nationwide, you can rest easy knowing that you're covered and your claims will be paid with no work on your part. New for 2019, this plan includes preventive dental coverage.


Want to learn more about this plan?

Call us, visit one of our Medicare Centers, or chat online. 

Senior Blue Select (HMO)

Get a low monthly premium, prescription drugs, and coverage recognized nationwide.

Your Estimated Monthly Premium $54.00

Plan Information


Primary Care Doctor Specialist
$10 $30
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Use our new Find a Doctor tool to discover if your doctor, specialist, or facility are in-network.

If they are not in-network, you can search to find one that is in our network of providers. 

Prescription Drugs

Drug Deductibles  $0 (tiers 1-2) / $195 (tiers 3-5)
Part D Prescriptions: Preferred Pharmacy Standard Pharmacy
Tier 1 $2 $7
Tier 2 $10 $15
Tier 3 $42 $47
Tier 4 $94 $100
Tier 5 29% 29%

The Medicare Part D Coverage Gap
The 'coverage gap' or 'donut hole' is a Part D drug coverage stage the changes what you pay for prescriptions. You may not end up in the coverage gap each year, but you should be aware of how it works, just in case. 

The 2019 Medicare Formulary includes a list of prescription care drugs covered by a prescription drug plan.

Surgery & Treatment

Inpatient hospital $290/day, days 1-7 / $2,030 max per year
Outpatient hospital $375
Ambulatory surgery $300
X-rays $50
Advanced radiology $200
Lab $10

Dental Coverage

NEW Preventive Dental:

All of our plans now include preventive dental coverage:

  • Routine cleanings/oral exams - twice per year ($10 copay per service).
  • X-rays - four bitewing or one full-month X-ray per year ($10 copay per service).


Optional Supplemental Dental is also available:

You may add dental care with the following optional supplemental benefits (no network - see any dentist):

Premium Diagnostic and Restorative Service Cost Annual Max Allowance
Basic $9 50% coinsurance $500
Enhanced $24 50% coinsurance $1,000

Note: Preventive Services do not count toward the annual max allowance for dental.

Plan Highlights

World coverage for emergency and urgent care $90/$65
Part B diabetes supplies and monitors $0
Skilled nursing facility days 1-20 $0
Skilled nursing facility days 21-100 $172.00/day
Hearing aid (specific models)* $699 or $999/unit
In-network out-of-pocket maximum $6,700

*Our plans cover one routine hearing exam per year with a TruHearing® provider. Please call TruHearing to verify your benefit and schedule a hearing exam. Hearing aid $699 or $999/unit (one per ear, per year, specific models).

Plan Perks

What's Included: 

New! Up to $60 in Rewards: 

Members get a $20 reward card (up to $60) each after receiving certain preventive services, including their annual wellness visit, colorectal cancer screening, and breast cancer screening (subject to medical necessity).

Free Preventive Services: 

More than 20 services are included at no cost* when you use providers in our network. These services include annual wellness visit, bone density test, cardiovascular screenings, cancer screenings, diabetes self-management training, vaccines, and more. 

Free Gym Membership:

Stay active with access to more than 14,000 fitness locations nationwide with SilverSneakers®. Enjoy amenities including weight machines, cardio equipment, swimming pools, saunas, exercise classes for all fitness levels, and more. 

New! Telemedicine

Medicare Advantage members now have access to Telemedicine, hosted by Doctor On Demand. Connect with a doctor 24/7 from your mobile device, tablet, or computer for only $5 more than your primary doctor cost-share.

$0 Care Management: 

Our nationally accredited care management team works with you and your doctor to help manage your health and meet your unique goals.

Care at Home:

We've partnered with Landmark Health to create Care at Home -- care and support available 24/7, provided in the comfort of your home. 

Contracts & Additional Resources

Looking for another plan?

Medicare Questions?

We're here to help.

1-833-735-4511 (TTY 711)
Oct. 1 - Dec. 31, 8 a.m. - 8 p.m., 7 days a week
Jan. 1 - Sept. 30, 8 a.m. to 8 p.m., Monday - Friday

*If you need a different format, please view our Multi-Language Interpreter Services.

A division of HealthNow New York Inc., an independent licensee of the Blue Cross and  Blue Shield Association. BlueCross BlueShield of Western New York is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. This information is not a complete description of benefits. Call 1-800-329-2792 (TTY 711) for more information. BlueCross BlueShield of Western New York complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-735-4515 (TTY: 711).注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY: 711).

Content Last Updated December 5, 2019.