Arkansas BlueCross Blue Shield Medi-Pak Choice

Our Medi-Pak Plans

Review our plans for:
ZIP code , County

  I want to:

Your plan benefits coverage for what Medicare does not pay

    With Plan A,
You Pay
With Plan F,
You Pay
With Plan G,
You Pay
 With Plan N,
 You Pay
  Monthly Premium $91.50 $122.80 $111.30 $92.00
 
  Inpatient hospital deductible each benefit period Inpatient hospital deductible $0 $0 $0
  Copayment for days 61-90 in hospital $0 $0 $0 $0
  Copayment for days 91-150 in hospital $0 $0 $0 $0
  Additional 365 days after Medicare hospital benefits end $0 $0 $0 $0
  Calendar year blood deductible $0 $0 $0 $0
  Hospice care $0 $0 $0 $0
  Days 21-100 in a skilled nursing facility Copayments $0 $0 $0
 
  Part B Deductible Part B
Deductible
$0 Part B
Deductible
Part B
Deductible
  Part B
coinsurance for:
     Health care provider visits $0 $0 $0 Lesser of a
$20 copayment
or the Part B coinsurance
     Emergency room visits $0 $0 $0 Lesser of a
$50 copayment
or the Part B coinsurance
     All other Part B services $0 $0 $0 $0
  Excess charges 100% $0 $0 100%
 
  Emergency care in a foreign country* 100%  $250 deductible
then 20%
coinsurance
 $250 deductible
then 20%
coinsurance
$250 deductible
then 20%
coinsurance
  SilverSneakers® $0 $0 $0 $0
   

More Information
Use our Plan Finder to find a plan
SilverSneakers®
When Should I Apply (Enrollment Guidelines)?
Call a Benefits Specialist
Disclaimers
Send me a free information packet.
You Pay Nothing

*$50,000 lifetime maximum applies.

Prescription drug plans are not covered under Medi-Pak®. If you would like to learn more about our Medicare Part D prescription drug plan, view Medi-Pak Rx (PDP)® options.

Medicare enrollees with Medi-Pak® coverage may receive services from any provider that participates with Medicare.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. This is an advertisement; for more information, contact a benefits specialist.

Web Page Last Updated: 8/30/2011