BCBSIL Open Access IL Flex PPO Plan

The Open Access Plan offers a SINGLE, simple ONE CARD plan solution that includes:

  • $0 Copays, $0 Coinsurance, and $0 Maximum out-of-pocket (MOOP)
  • No Underwriting
  • Freedom of access to ANY nationwide provider who accepts Medicare
  • Plus, a comprehensive drug card (not a discount card)
  • Plus, the Flexibility of a Medicare supplement with MAPD extras

2022 Market Highlights:

  • New Open-Access PPO Plan
  • Expanded $0 PPO offerings
  • NEW low-cost PDP option
  • New and Enhanced EXTRA BENEFITS –
  • Dental, OTC, Vision, and Hearing
  • Lower copays for specialists
  • $0 copay at preferred pharmacies for select prescription drugs
  • Vision coverage with $0 copay on routine eye exams
  • TeleHealth by MDLive
  • Rewards in up to $100 of gift cards for taking healthy actions
State/MarketOpen Access IL Flex Plan
Blue Cross Medicare Advantage Flex (PPO) H8634-014
Plan Premium$189.20
Doctors Office Visits Primary Care Provider Specialist0% Coinsurance 0% Coinsurance
Maximum Out-of-Pocket$0
Inpatient Hospital Copay0% coinsurance
Retail Preferred Pharmacy$0/$5/$44/32%/25%
Prescription Drug Deductible$480 (Tiers 3-5)

Extra Health & Wellness Benefits

Optional Supplemental Benefits PremiumN/A
Dental Preventive ComprehensiveNot Covered
Vision Eye Wear Eye ExamNot Covered
Hearing Aids Not Covered
Over-the-Counter (OTC) Purchase Allowance Not Covered
SilverSneakers Fitness ProgramYes
24/7 NurselineYes
TransportationNot Covered
Rewards Yes
Telehealth$0 copay Urgent Care Only

Service Areas:

Adams, Boone, Christian, Cook, De Witt, DeKalb, DuPage, Kane, Kankakee, Kendall, La Salle, Lake, Lee, Logan, Macon, Macoupin, Madison, Mason, McHenry, McLean, Menard, Monroe, Montgomery, Morgan, Moultrie, Ogle, Peoria, Piatt, Rock Island, Sangamon, Shelby, St. Clair, Tazewell, Will, Williamson, and Winnebago.

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