In addition to covering Original Medicare, our group retiree Medicare Advantage plans can also include these medical benefits.
Retiree Coverage
Opciones de Medicare como prestación laboral
Whether you’re moving retirees from a commercial plan to a Medicare solution, or seek a retiree-only health plan, the Benefit of Blue® translates to superior service for you and your retirees.
Clients across all sectors value our approach
Financial Savings Through Product Innovation
Our product suite includes Medicare Advantage with and without Part D prescription drug, and Part D-only solutions.
Fully insured plans are tailored to meet employer needs. Expert consultation around plan design and a robust clinical model improve retiree health and wellness.
Strong Provider Relationships and Clinical Expertise
Robust national provider and pharmacy networks ensure access.
Clinical expertise and long-standing provider relationships reduce retiree disruption and create avenues for best-in-class, value-based care. It's our mission to provide health care that treats the whole person.
Exceptional Retiree Experience
Retiree communications are key so we invest in member outreach and education initiatives.
Our dedicated customer service and account teams focus on group retiree needs, address questions and concerns thoroughly, and ensure a smooth transition.
Retirees participating in Blue Cross Group Medicare Advantage Open Access (PPO)℠ enjoy the flexibility to see any provider in the United States that accepts Medicare and will submit claims to the plan.
Coberturas Medicare como prestación laboral (grupal) para jubilados
Group Retiree Medicare Solutions are employer and other group-sponsored Medicare plans that can be customized for retirees. Plans often provide benefits like vision, dental and hearing that are not included with Original Medicare (Medicare Part A and B).
Retirees may enjoy lower out-of-pocket costs and coverage that's comparable or better than the coverage they had while working. Muchos empleadores ayudan a sus jubilados cubriendo parte de los costos de las primas, de los copagos o del coaseguro. Pueden ofrecerse tanto a los jubilados como a sus beneficiarios que sean elegibles para Medicare.
Coberturas Medicare como prestación laboral (grupal) para jubilados
| Nombre de la cobertura | Cobertura Blue Cross Group Medicare Advantage Open Access (PPO)℠ | Blue Cross Group Medicare Advantage (PPO)℠ Plan | Blue Cross Group Medicare Advantage (HMO)℠ Plan |
| Network Flexibility | Nationwide, no in-network or out-of-network restrictions | Nationwide, but in-network and out-of-network costs are different | Must use in-network providers. In and out-of-network is covered for emergencies |
| Selección de PCP | Not required | Not required | Obligatorio |
| Specialist Referral | Not required | Not required | Obligatorio |
| Part D Prescription Benefits | Usually included. MA only plans are available | Included | Included |
| Benefits (Beneficios) | Ofrece la mayor cantidad de beneficios agrupados | PPO tradicional que agrupa beneficios | Provider selection is limited but retiree costs may be lower |
Part D Prescription Drug and Supplemental Plans for Groups
| Nombre de la cobertura | Cobertura Blue Cross Group MedicareRx (PDP)℠ | BlueSecure℠ Supplemental Medical |
| Cobertura de medicamentos | Coverage for outpatient medications not covered by Original Medicare | Not covered. Often paired with a PDP Plan |
| Tipo de red | Broad pharmacy network with multiple configuration options available | Can visit any provider that accepts Medicare |
| Deductible (Deducible) | Zero-deductible buy-up options available | N/C |
| Supplemental Drug Options | Buy-up options available | N/C |
| Opciones de facturación | Account, direct, or split-billing available | Member cannot be billed directly. El empleador cobra los pagos de las primas de los asegurados. If paired with a PDP plan, an employer is billed for each product separately. |
Beneficios de Medicare Advantage
Medical Wellness Benefits
Cobertura dental
Preventive and comprehensive plan options are available.
Cobertura para el cuidado de la vista
Options include annual routine exam, glaucoma screening and eyewear allowances.
Cobertura de servicios para la audición
Plans can provide coverage for routine hearing exams and may include an allowance on hearing aids.
Consultas virtuales
Doctors are available 24/7 via phone, mobile app or online for non-emergency medical and mental health care.
Lifestyle Wellness & Prevention Benefits
Programa de acondicionamiento físico SilverSneakers®
Benefits include instructor-certified classes in thousands of locations nationwide. Virtual classes available.
Comidas posteriores al alta
After hospital stays, members receive nutritious meals to aid in recovery.
Member Rewards Program
Members earn up to $100 gift cards from national and local retailers for going to annual check-ups or getting a flu shot.
Programa de Descuento Blue365®
Discounts include contacts, dental care, fitness devices, glasses, healthy meals, hearing aids and more.
Over-the-Counter Medications Allowance
Drugstore medications and product* allowances include antacids, first aid supplies, pain relievers, and more.
Transporte para casos que no sean de emergencia
One-way transportation to covered medical service visits are available.
White Glove Service
Delivering an Exceptional Retiree Experience
The expert support retirees receive allows them to feel confident about transitioning to their new group retiree Medicare plan. We understand that retiree communications are key, so we invest in member outreach and education initiatives. Our dedicated customer service team focuses on group retiree needs and addresses questions and concerns thoroughly.
Convenient Digital Tools
Retirees can maximize their benefits with their member account online or via our mobile app to get plan documents, check coverages and costs, view claims, order an ID card and more.
Call Center Support
Our dedicated Medicare customer service advocates are available before, during and after enrollment to help retirees understand their plan and answer questions.
Generous Supplemental Benefits
Members have access to free wellness and fitness programs, virtual visits, nurse advice hotline, worldwide emergency travel, plus member rewards and discounts.