Senior Blue 601 (HMO)
Our Senior Blue 601 (HMO) Medicare Advantage Plan is designed to make Medicare easy for you. With a $0 monthly premium and coverage that's recognized nationwide, you can rest easy knowing you're covered and your claims will be paid with no work on your part.
standard
Senior Blue 601 (HMO)
standard
Get lower out-of-pocket costs and coverage recognized nationwide.
PRIMARY/SPECIALTY
$5/$45
DRUG DEDUCTIBLES
N/A
INPATIENT HOSPITAL
$290 per day for days 1-7, $2,030 OOP Max per year
Senior Blue 601 (HMO) Plan Details
Primary Care Doctor/Specialist
| Primary Care Doctor | Specialist |
|---|---|
| $5 | $45 |
Use our 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.
Part D Prescription Drugs
| Drug Deductibles | Not Covered |
| Part D Prescriptions: | Preferred Pharmacy | Standard Pharmacy |
|---|---|---|
| Tier 1 | N/A | N/A |
| Tier 2 | N/A | N/A |
| Tier 3 | N/A | N/A |
| Tier 4 | N/A | N/A |
| Tier 5 | N/A | N/A |
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.
Prescription Drug Information
The 2022 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 | $325 |
| Ambulatory surgery | $225 |
| X-rays | $45 |
| Advanced radiology | $150 |
| Lab | $0 |
Preventive Dental
All our plans 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 | $12 | 50% coinsurance | $500 |
| Enhanced | $25 | 50% coinsurance | $1,000 |
Plan Highlights
| World wide 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 | $188/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).
This past January, the Centers for Medicare & Medicaid Services (CMS) added acupuncture as a covered benefit for Medicare patients with chronic low back pain. According to CMS, coverage will include "up to 12 sessions in 90 days with an additional 8 sessions for those patients with chronic low back pain who demonstrate improvement." Treatment must also be recommended and supervised by a doctor.
Explore Plan Details
Medicare Questions?
We're here to help.
Oct. 1 - Mar. 31, 8 a.m. - 8 p.m., 7 days a week
Apr. 1 - Sept. 30, 8 a.m. to 8 p.m., Monday - Friday
Frequently Asked Questions
Explore Medicare
*If you need a different format, please view our Multi-Language Interpreter Services.
Highmark Blue Cross Blue Shield of Western New York (BCBSWNY) is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. BCBSWNY 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 linguistica, 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)
Y0086_MRK2925
Content Last Updated: March 6, 2021