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Medicare Plans and Paths

One of the trickier parts to Medicare is understanding what parts can be combined to create your ideal coverage. Generally, there are two main paths you can choose. From there, you can fine-tune your choices to fit your budget and your lifestyle.

Path 1

Original Medicare (Parts A & B) + Supplemental Coverage

  • Part A

    Provided by the federal government.

    • Inpatient care in hospitals
    • Skilled nursing facility care
    • Hospice care
    • Home health care
  • Part B

    Provided by the federal government with a premium based on monthly income.

    • Physician services
    • Ambulance services
    • Mental health
    • Durable medical equipment
    • Some preventive service
  • Supplemental Coverage

    Provided by private insurance companies, like Blue Cross NC.

    Medicare Supplement Plan

    Helps cover the costs not fully covered by Medicare Parts A and B.

    Part D (Medicare PDP)

    Helps cover your prescription drug costs.

Path 1 Perks

Nationwide Coverage

Your coverage is good coast-to-coast at any Medicare-accepting provider.

Flexibility

You have the freedom to travel and see any doctor or hospital that accepts Medicare.

International Travel Benefits

Some plans offer coverage for emergency care while traveling outside the country.

Path 2

Medicare Advantage (Part C)

What is Medicare Advantage?

Medicare Advantage plans are PPO or HMO plans offered by private insurance companies like Blue Cross NC.

 

Medicare Advantage (Part C) plans include:
 

Medicare Parts A and B

Coverage for all the same services as Medicare Parts A and B, but with lower out-of-pocket costs when you use doctors and hospitals in the plan’s network. (Your Part B premium is still required.)

Part D (Medicare Rx)

Most Medicare Advantage plans include Part D prescription drug coverage.

 

Some Medicare Advantage plans also include:
  • Vision benefits

  • Hearing benefits

  • Dental benefits

  • Wellness benefits and discounts such as no-cost fitness memberships

Path 2 Perks

All-in-One Coverage

You can choose a plan that includes prescription drug coverage, as well as other benefits such as dental and hearing.

Limits on Out-of-Pocket Costs

Unlike Original Medicare, Medicare Advantage plans put a cap on your out-of-pocket costs. Once you hit the cap, the plan pays 100% of your covered costs.

Affordability

Many plans offer more comprehensive coverage for a lower cost than Path 1.

MEDICARE Plain & Simple

Get a Copy of Our
Medicare Guide


Download Medicare Guide (PDF)

Find a Plan

Explore plans near you, or get a personalized recommendation.

  • Find a Plan

    Explore Plans

    See Medicare plans available in your area.

  • Medicare Plan Finder

    Get a Recommendation

    Our Medicare Plan Finder can help you find a plan based on your individual needs. If you’re a current Blue Cross NC member, log in to Blue Connect to get started. Not yet a member? No problem. Simply answer a few short questions to find the Blue Medicare plan that’s right for you.

  • Blue Medicare HMO & PPO

    1-800-665-8037
    TTY users dial 711

    Hours

    7 days a week: 8 a.m.– 8 p.m.

     

    To enroll

    Monday – Friday: 8 a.m. – 5 p.m.

  • Blue Medicare Rx (PDP)

    1-800-661-5518
    TTY users dial 711

    Hours

    7 days a week: 8 a.m.– 8 p.m.

     

    To enroll

    Monday – Friday: 8 a.m. – 5 p.m.

  • Blue Medicare Supplement

    1-800-478-0583
    TTY users dial 711

    Hours

    7 days a week: 8 a.m.– 8 p.m.

     

    To enroll

    Monday – Friday: 8 a.m. – 5 p.m.

  • Healthy Blue + MedicareSM

    1-800-400-8745
    TTY users dial 711

    Hours

    7 days a week: 8 a.m.– 8 p.m.

     

    To enroll

    Monday – Friday: 8 a.m. – 5 p.m.