Benefits Available

BlueCross65 helps fill the gaps left by Original Medicare.

Medicare Part A pays:

• Inpatient hospital care
• Skilled nursing facility care
• Hospice care
• Some home health benefits

Medicare Part B pays:

• Doctors’ fees
• Outpatient hospital care
• Some other Medicare services that Part A does not cover, such as some home health care services

Basic benefits included in all BlueCross65 plans:

• Payment of Medicare Part A coinsurance.
• The cost of 365 extra days of hospital coverage during your lifetime after Medicare hospital benefits end
• Medicare Part Medicare-allowed amount B coinsurance based on the .
• Your first 3 pints of blood each year

BlueCross BlueShield of Tennessee offers plans A-G, K and L

Benefits	A	B	C	D	E	F	G	K	L
Basic Benefits								50%	75%
Skilled Nursing Coinsurance								50%	75%
Medicare Part A Deductible								50%	75%
Medicare Part B Deductible
Medicare Part B Excess Charge						100%	80%
Foreign Travel Emergency
At-Home Recovery
Preventive Care
Annual out-of-pocket maximums								$4,620	$2,310

For more details on the benefits available, please see the Outline of Coverage.