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2022 Blue Total Health Package

Get the benefit of our exclusive Blue Total Health package. We provide you with the additional benefits and preventive services you want and need to live a healthy lifestyle. This exclusive benefits package includes coverage for dental, hearing, vision, over-the-counter drugs and supplies, and more.

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Routine Chiropractor Visits

Get coverage for routine chiropractic visits through a participating provider.

  Basic Standard Premium
Copay $20 $20 $20
Number of Visits 3 per year 6 per year 12 per year
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Acupuncture and Massage

Receive an annual combined allowance toward reimbursement for acupuncture massage therapy visits.

  Basic Standard Premium
Annual allowance $100 $250 $500

Free Preventive Dental

All of our Medicare Advantage plans include preventive dental coverage at no additional monthly cost. We’re here to help you maintain a healthy smile.

  Basic Standard Premium
Routine/periodontal cleaning

$23 copay per service

one per year 

$10 copay per service

two per year

$10 copay per service

two per year

Oral exam

$23 copay per service

one per year

$10 copay per service

two per year

$10 copay per service

two per year

X-rays:

four bitewings or one

full-mouth X-ray

per year 

$23 copay per service

$10 copay per service

$10 copay per service

If you need additional dental coverage, we have two optional supplemental dental plans available at an additional premium to meet your unique needs.

Over-the-counter (OTC) drugs and supplies

Members receive quarterly allowance for OTC drugs and supplies with convenient home delivery.*

  Basic Standard Premium
Quarterly OTC allowance Not Covered $25 per quarter $35 per quarter

Hearing

We give you hearing benefits and savings on hearing devices through TruHearing®, one of the leading providers of hearing services.

  Basic Standard Premium
Hearing Aids Not covered $699 or $999 per unit $599 or $899 per unit
Routine hearing exam Not Covered $45 $45

Vision and eyewear benefits

We offer a network of vision providers and vision benefits to make sure you’re seeing and looking your best.*

  Basic Standard Premium

Allowance on frames,

lenses, and contacts

Not covered $100 annual allowance $200 annual allowance
Routine eye exam $25 $25 $25

SilverSneakers® fitness benefit

We're here to help you lead a healthy lifestyle. That’s why we partner with SilverSneakers to give you access to the nation’s leading fitness benefit for seniors. It’s available at no additional cost so you can stay active on your own terms.

Wellness rewards program

Preventive health is important to your overall well-being. That’s why you’ll receive a $20 Prepaid Card* with our rewards program after receiving your annual wellness visit, colorectal cancer screening, or breast cancer screening.

Low- or no-cost vaccines

It’s safer, easier, and more cost-effective to prevent health issues than to treat them. That’s why we offer low or no-cost preventive vaccines*.
 

  • $0 copay for preventive vaccines including flu**, pneumonia, and hepatitis
  • Coverage for shingles vaccine with Tier 1 copay (copays vary by plan; not covered on Freedom HMO)

Affordable diabetes management

All Medicare Advantage plans cover the same diabetic supplies and medications that Original Medicare covers, such as glucose monitors, insulin, insulin pumps, and test strips. Your Highmark Blue Cross Blue Shield Medicare Advantage plan goes beyond this coverage to give you more opportunities to save and better manage your diabetes.

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CMS Part D Senior Savings Model

Usual copays for a broad range of insulins covered by your Part D benefit: 30-day supply of select insulin for $30 at a preferred pharmacy or $35 at a standard pharmacy

Additional help

We offer programs and one-on-one phone counseling to help you better manage your diabetes. Our nationally accredited care management team of registered nurses, health coaches, nutritionists, dieticians, social workers, health educators, and exercise physiologists can work with you and your doctor — all at no cost.

Learn more about the Blue Total Health Package

Unless otherwise noted, costs shown are for services received in-network.

Medicare Questions?

We're here to help.

1-833-735-4511 (TTY 711)

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

Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. Highmark BCBSWNY is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. TruHearing® is aregistered trademark of TruHearing, Inc. TruHearing is an independent company that administers theroutine hearing exam and hearing-aid benefit. Davis Vision, an independent company, administers vision benefits on behalf of Highmark BCBSWNY. SilverSneakers® is a registered trademark of Tivity Health,Inc. Tivity Health is an independent company that administers the SilverSneakers gym benefit. Other pharmacies, physicians, and providers are available in our network. Highmark 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 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).

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Content last updated: October 1, 2021