The Open Access Plan offers a SINGLE, simple ONE CARD plan solution that includes:
- $0 Copays, $0 Coinsurance, and $0 Maximum out-of-pocket (MOOP)
- No Underwriting
- Freedom of access to ANY nationwide provider who accepts Medicare
- Plus, a comprehensive drug card (not a discount card)
- Plus, the Flexibility of a Medicare supplement with MAPD extras
2022 Market Highlights:
- New Open-Access PPO Plan
- Expanded $0 PPO offerings
- NEW low-cost PDP option
- New and Enhanced EXTRA BENEFITS –
- Dental, OTC, Vision, and Hearing
- Lower copays for specialists
- $0 copay at preferred pharmacies for select prescription drugs
- Vision coverage with $0 copay on routine eye exams
- TeleHealth by MDLive
- Rewards in up to $100 of gift cards for taking healthy actions
| State/Market | Open Access IL Flex Plan |
| * | Blue Cross Medicare Advantage Flex (PPO) H8634-014 |
| Plan Premium | $189.20 |
| Doctors Office VisitsPrimary Care Provider Specialist | 0% Coinsurance 0% Coinsurance |
| Maximum Out-of-Pocket | $0 |
| Inpatient Hospital Copay | 0% coinsurance |
| Retail Preferred Pharmacy | $0/$5/$44/32%/25% |
| Prescription Drug Deductible | $480 (Tiers 3-5) |
Extra Health & Wellness Benefits
| Optional Supplemental Benefits Premium | N/A |
|---|---|
| DentalPreventive Comprehensive | Not Covered |
| VisionEye Wear Eye Exam | Not Covered |
| Hearing Aids | Not Covered |
| Over-the-Counter (OTC) Purchase Allowance | Not Covered |
| SilverSneakers Fitness Program | Yes |
| 24/7 Nurseline | Yes |
| Transportation | Not Covered |
| Rewards | Yes |
| Telehealth | $0 copay Urgent Care Only |
Service Areas:
Adams, Boone, Christian, Cook, De Witt, DeKalb, DuPage, Kane, Kankakee, Kendall, La Salle, Lake, Lee, Logan, Macon, Macoupin, Madison, Mason, McHenry, McLean, Menard, Monroe, Montgomery, Morgan, Moultrie, Ogle, Peoria, Piatt, Rock Island, Sangamon, Shelby, St. Clair, Tazewell, Will, Williamson, and Winnebago.