Medicare Supplement Plans

Medicare Supplement Insurance Plan*G offers the most comprehensive protection available to Texas seniors looking to enhance Original Medicare. This plan from Blue Cross and Blue Shield of Texas, A Division of Health Care Service Corporation can offer deserving seniors the peace of mind they deserve with a plan they can depend on from a trusted provider.

Benefits

This Plan offers 100 percent coverage for your Part A deductible ($1,736) as well as total coverage for the remaining charge for days 61-90 in the hospital after Medicare pays ($434 a day). For days 91 and beyond, this plan pays for 100 percent of Medicare-eligible expenses and 365 extra days of coverage after Lifetime Reserve is used up. This plan also pays for all costs of receiving skilled nursing care until day 101, 100 percent of the costs of the first three pints of blood and your Medicare copayment/coinsurance for hospice care.

Medical expenses that you incur in or out of the hospital and outpatient hospital treatment can be costly. With this plan, you can count on coverage for the remainder of any Medicare-approved amount (after your Part B deductible is paid in full), 100 percent of Part B excess charges.

Summary of Benefits

Part A coinsurance for hospitalization services plus coverage for an additional 365 days hospitalization after Medicare benefits end

Part B coinsurance for medical expenses or copayments for hospital outpatient services

First three pints of blood each year

Part A coinsurance for hospice care

Skilled nursing facility coinsurance

Part A deductible

100 percent of Part B excess charges

Foreign travel emergency care

What You Can Expect to Pay 

With comprehensive coverage from Medicare Supplement Insurance Plan G, you can expect to pay your Part B deductible, all hospitalization costs after an additional 365 days after the lifetime Reserve are used, all costs of skilled nursing facility care after 101 days and a foreign travel deductible of $250 annually plus 20 percent of costs within the first $50,000. This plan is also eligible for the Medicare Select option. However, if you are enrolled in a Medicare Select plan and If you agree to use a hospital in the Medicare Select Network for non-emergency services, you will be eligible for a reduced premium.

Blue Cross and Blue Shield of Texas will never terminate or refuse to renew your policy because of the condition of your health. As long as you continue to pay your premium.

Compare plans online, or call (855) 760-2227 today, so we can help you maximize your Medicare benefits. Our friendly agents are waiting to answer your questions.

Medicare Supplement Plan F and High Deductible Plan F are only available to those individuals who turned 65 before January 1, 2020.

* Network restrictions apply.
** Policy forms UWMSP(A)-2010, UWMSP(F)-2010, UWMSP(F-HD)-2010, UWMSP(G)-2010, UWMSP(K)-2010, UWMSP(L)-2010, UWMSP(N)-2010, UWMSP-SEL(F)-2010, UWMSP-SEL(G)-2010, UWMSP-SEL(K)-2010, UWMSP-SEL(L)-2010, UWMSP-SEL(N)-2010.

† Plans cover medically necessary emergency care services needed immediately because of an injury or illness of sudden and unexpected onset, beginning during the first 60 days of each trip outside the USA.

†† The out-of-pocket annual limit may increase each year for inflation (2024 limits shown).

‡ You must live within 30 miles of a participating Medicare Select hospital to be eligible.

BCBSTX is not connected with or endorsed by the United States Government, the Federal Medicare Program, or any other governmental agency.
TXMEDWEB02-REV 08/12

What is a Medicare Supplement?

A private health insurance policy designed to help pay some or all of the costs that are not covered by Medicare Parts A and B.

Who is eligible?

Anyone who is covered under both Medicare Parts A and B is eligible for coverage. This includes disabled individuals who are under 65.

Be Turned down?

No, Blue Cross and Blue Shield of Illinois are guaranteed to issue policies, meaning they will accept you regardless of your health history and cover any pre-existing conditions.

When to Apply?

You can apply during open enrollment. This includes a six-month period from the date you enrolled in Part B if age 65 or older, or up to six months after you turn 65 if you were eligible for Part B benefits before age 65. If you become eligible for benefits before age 65 due to disability or ESRD (permanent kidney failure), you are guaranteed the plan of your choice during the first six months you are age 65 and enrolled in Part B.

Change Mind?

If you apply today, Blue Cross and Blue Shield of Illinois will send you an ID card and a plan to review for 30 days. Pay your first premium only after you are convinced the protection is right for you. Even after you send your first payment and your coverage is in effect, you can still change your mind. Simply return your policy and ID card within 30 days of the effective date. As long as you have not filed any claims, you are under no obligation, and any premiums paid will be refunded.

Prescription Coverage?

No, for prescription coverage, you can select a separate Medicare Part D Prescription Drug Plan.

Medicare Parts A and B?

No, you must be entitled to Part A and/or enrolled in Part B to be eligible for prescription coverage.

To learn how to get Part A and/or Part B, please call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours a day/7 days a week. For the hearing or speech impaired, please call 1-877-486-2048.

You may also contact your State Medicaid Office or the Social Security Administration at 1-800-772-1213, Monday – Friday, 7 a.m. – 7 p.m. CST. For the hearing or speech impaired, please call 1-800-325-0778.

Everyone Need?

If you have certain other types of coverage, the gaps in your Medicare coverage may already be covered.

May not Need if:

Belong to a Medicare Part C Medicaid or the Qualified Medicare Beneficiary (QMB) Program pays your Medicare premiums and other out-of-pocket costs; You are covered under an employer group health plan.

What if I (or my spouse) plan to work after age 65?

Check with your group plan administrator. You may be able to choose either your group plan or Medicare plus Medicare Supplement coverage. If you stay with your group plan, a Special Enrollment Period lets you delay purchasing Part B.

Any Hospital or Doctor?

You are free to go to any doctor or hospital you choose for care. Your coverage will be recognized across the country. If you are a Med Select member you must go to a participating hospital for all non-emergency admittance.

Med-Select Plan different from the Standard Plan?

A Med-Select Plan works just like a standard plan with one difference. With Med-Select, all scheduled inpatient hospital stays must be at a participating hospital</a > in order to have coverage for the Medicare Part A deductible.

If you do not go to a participating hospital for a scheduled non-emergency hospital stay, you must pay the Medicare Part A deductible. However, for emergency admission, you are covered at any hospital, regardless of whether it is a participating hospital.

You must live within 30 miles of one of our Med-Select hospitals.

Cover Prescription Drugs?

No. For your prescription drug coverage needs, Blue Cross and Blue Shield of Illinois offer BlueCross MedicareRx^SM

Need to switch Doctors?

No. You may continue to see your doctor.

See a Specialist whenever?

Yes. Just remember that your out-of-pocket costs will be less if you choose a physician who accepts Medicare.