Medicare Advantage Plans: Managed Blue for Seniors

This plan is offered only through an employer. If you have Managed Blue for Seniors, you'll choose a primary care physician (PCP) to coordinate your care and refer you to specialists if you need them.

The following is standard for most plans, but with Managed Blue for Seniors, your benefits may vary. Please check with your plan sponsor (usually your company or former employer) for your specific coverage details.

Routine Office Visits	$10 per visit
X-rays and lab tests	No charge
Inpatient care in a general hospital	No charge
Emergency room services	$50 per visit

With Managed Blue for Seniors, you'll also get a pharmacy program that provides coverage for over 4,000 generic, preferred brand-name, and non-preferred prescription medications. It's also important to note that with Managed Blue for Seniors, your prescription coverage is considered creditable. This simply means that the prescription coverage you receive under your Managed Blue for Seniors meets the standards set by the Centers for Medicare and Medicaid Services (CMS). Coverage is considered creditable if it pays out at least as much as the Medicare prescription benefit will pay out in 2006. This is an important consideration if, at some point, you decide to end your coverage under Managed Blue for Seniors anytime after May 15, 2006, and enroll in another Medicare plan, you will not incur a penalty.

For additional information about other health plans for seniors available in Massachusetts, you can call the Massachusetts Executive Office of Elder Affairs at 1-800-243-4636. You can also visit the Massachusetts Division of Insurance on the web at:

http://www.state.ma.us/doi/Consumer/CSS_health.html

You can also contact The SHINE Program, Massachusetts' state health insurance program that provides free, one-on-one health insurance information, counseling and assistance to Medicare beneficiaries of all ages. Call SHINE, toll-free, at 1-800-AGE-INFO (1-800-243-4636), and press "2". TTY: 1-800-872-1066. You can visit their website at www.medicareoutreach.org

The federal government has a Medicare information telephone line and website. Call 1-800-MEDICARE (1-800-633-4227), or TTY: 1-877-486-2048 24 hours a day, 7 days a week. You can visit the Medicare website at www.medicare.gov

You can also call the Social Security Administration for help with questions about eligibility and enrolling Medicare, and for questions about eligibility and help with the costs of a Medicare Part D prescription plan. 1-800-772-1213. TTY: 1-800-325-0778.

To help you learn more about your health plan coverage options under Medicare, use these helpful tools. To learn more, just click on the links below.