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Regence Medicare Plans

Regence BlueCross BlueShield of Oregon is proud to offer:

Regence BlueAdvantage (HMO) Plan - New for 2014!

Key Dates

  • Enrollment October 15–December 7
  • Plans effective January 1

Regence BlueAdvantage (HMO) offers:

  • Our lowest-premium Medicare Advantage plan with prescription drug (Part D) coverage included
  • No medical deductible
  • Predictable copays
  • Low annual out-of-pocket maximum amount (once you reach the maximum amount, you are 100% covered for Medicare-covered medical benefits for the rest of the calendar year)
  • Preventive coverage including an annual physical above what Original Medicare offers, and routine vision care
  • Convenient mail-order service that saves you time and money on a three-month supply of medication
  • Worldwide coverage for urgent or emergency care
  • Programs like SilverSneakers® and Regence Advantages to help you get fit and stay well
Regence BlueAdvantage (HMO) Description
Scope of Appointment Form (PDF) Required authorization form completed by the Medicare beneficiary prior to any face-to-face personal/individual marketing appointment. Agents and brokers can document the scope of appointment in writing via a scope of appointment form or by recording a phone call in advance of the appointment.
Plan Ratings (PDF) The Medicare program rates how well plans perform in different categories.
Overview Booklet (PDF) High-level overview of benefits and premiums.
Summary of Benefits (PDF) This brochure contains detailed information about this plan, including applicable conditions and limitations, premiums, cost-sharing (e.g., copays, coinsurance and deductibles), and any conditions associated with receipt or use of benefits.
Evidence of Coverage Brochure (PDF) The EOC contains a detailed explanation of coverage; sent to all new members.
Provider Directory (PDF) A listing of providers in the state. The directory is current as of the date at the bottom of each provider listing page.
Comprehensive Formulary (PDF) Search prescription medications to determine copay/coinsurance amounts.
Pharmacy Directory (PDF) We have contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your customers' areas.
Silver Sneakers flyer (PDF) Fitness Program with access to more than 11,000 participating fitness facility locations across the country.
Agent Counter card (PDF) These pamphlets provide a high-level overview of our Medicare Advantage HMO plan and provide space for your contact information.
Counter card (PDF) These pamphlets provide a high-level overview of our Medicare Advantage HMO plan.
Application Form (PDF) Use this form to apply for coverage. Download, complete and mail to the address on the form.
Automatic Bank Deduction Authorization (PDF) Give this form to the member to set up automatic payment of premium from the member's personal account.
Extra Assistance Information (PDF) Flyer that provides information about plan premiums for clients who are eligible for Extra Help from Medicare.
FAQs

Answers to frequently asked questions.

 

Regence MedAdvantage PPO Plans

Key Dates

  • Enrollment October 15 – December 7
  • Plans effective January 1

2014 MedAdvantage (PPO) Highlights

  • Low out-of-pocket expenses.
  • Large national provider network through the Blue Medicare Advantage PPO Network Sharing Program. Receive in-network benefits and the freedom from filing claims when you use a participating provider.
  • No referrals needed to see a provider of your choice.*
  • Freedom to see any provider across the United States.* Choose from thousands of providers in our network to save money.
  • Benefits beyond Original Medicare, with coverage for routine vision care and preventive dental care included in all plans.
  • Healthways SilverSneakers® Fitness Program with access to more than 11,000 participating fitness facility locations across the country.
  • Programs to help you get and stay well. Regence Advantages is a members-only discount program that offers savings on a wide range of health-related goods and services, including hearing aids, eye wear, LASIK surgery and alternative medicine.

* Your out-of-pocket costs may be higher if you see an out-of-network provider.

Regence MedAdvantage
+ Rx Enhanced (PPO) &
Regence MedAdvantage
+ Rx Classic (PPO)
Regence MedAdvantage Basic (PPO) Description
Scope of Appointment Form (PDF) Scope of Appointment Form (PDF) Required authorization form completed by the Medicare beneficiary prior to any face-to-face personal/individual marketing appointment.
Plan Ratings (PDF) Plan Ratings (PDF) The Medicare program rates how well plans perform in different categories.
Overview Booklet
2014 (PDF)
Overview Booklet
2014 (PDF)
High-level overview of benefits and premiums.
Summary of Benefits
2014 (PDF)
Summary of Benefits
2014 (PDF)
This brochure contains detailed information about this plan, including applicable conditions and limitations, premiums, cost-sharing (e.g., copays, coinsurance and deductibles), and any conditions associated with receipt or use of benefits.
Evidence of Coverage Brochure
2014 (PDF)
Evidence of Coverage Brochure
2014 (PDF)
The EOC contains a detailed explanation of coverage; sent to all new members.
Provider Directory
2014 (PDF)
Provider Directory
2014 (PDF)
A listing of providers in the state. The directory is current as of the date at the bottom of each provider listing page.
Pharmacy Directory
2014 (PDF)
N/A We have contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your customers' areas.
Comprehensive Formulary
2014 (PDF)
N/A Search prescription medications to determine copay/coinsurance amounts.
Regence Advantages
2014 (PDF)
Regence Advantages
2014 (PDF)
Discount services available to members such as vision care services and hearing-care services.  The products and services described are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the Regence grievance process.
Agent Counter card
2014 (PDF)
Agent Counter card
2014 (PDF)
These pamphlets provide a high-level overview of our Medicare Advantage plans and provide space for your contact information.
Counter card
2014 (PDF)
Counter card
2014 (PDF)
These pamphlets provide a high-level overview of our Medicare Advantage plans.
Application Form
2014 (PDF)
Application Form
2014 (PDF)
Use this form to apply for coverage. Download, complete and mail to the address on the form.
Automatic Bank Deduction Authorization (PDF) Automatic Bank Deduction Authorization (PDF) Give this form to the member to set up automatic payment of premium from the member's personal account.
Short Enrollment Form
2014 (PDF)
Short Enrollment Form
2014 (PDF)
Change between MedAdvantage Basic, Classic or Enhanced
Extra Assistance Information
2014 (PDF)
N/A Flyer that provides information about plan premiums for clients who are eligible for Extra Help from Medicare.
FAQs   FAQs  

Answers to frequently asked questions.

Customer Service is available by calling 1 (800) 541-8981. Hours are 8:00 a.m. to 8:00 p.m., Monday through Friday.  From October 1 through February 14, Customer Service is available from 8:00 a.m. to 8:00 p.m., seven days a week.  TTY users should call 711.

Agent Desk 1 (800) 452-7278 ext. 4960

Regence BlueCross BlueShield of Oregon is a Health plan with a Medicare contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. You must continue to pay your Medicare Part B premium. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year.

Agents/brokers are required to take annual training to sell Regence MedAdvantage (PPO) and must be certified to receive commission. For further information, please contact your sales representative.

Key Dates

  • Enrollment October 15 – December 7
  • Plans effective January 1

Training and Certification Required
To be eligible to sell these drug plans, you must take an annual training session. To schedule, please contact your sales representative.

Medicare Script Resource Description
Scope of Appointment Form (PDF) Required authorization form completed by the Medicare beneficiary prior to any face-to-face personal/individual marketing appointment. Agents and brokers can document the scope of appointment in writing via a scope of appointment form or by recording a phone call in advance of the appointment.
Plan Ratings (PDF) The Medicare program rates how well plans perform in different categories.
Overview Booklet
2014 (PDF)
High-level overview of benefits and premiums.
Summary of Benefits
2014 (PDF)
This brochure contains detailed information about this plan, including applicable conditions and limitations, premiums, cost-sharing (e.g., copays, coinsurance and deductibles), and any conditions associated with receipt or use of benefits.
Evidence of Coverage (EOC)
2014 (PDF)
The EOC is a detailed explanation of coverage sent to all new members.
Pharmacy Directory
2014 (PDF)
We have contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your customer's area.
Comprehensive Formulary
2014 (PDF)
Search a list of prescription medications to determine your copay/coinsurance amounts.
Advantages
2014 (PDF)
Discount services for members on vision and hearing care services. The products and services described are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the plan grievance process.
Application Form
2014 (PDF)
Use this form to apply for coverage. Download, complete and mail to the address on the form.
Automatic Bank Deduction Authorization (PDF) Give this form to member to set up automatic payment of premium from the member's personal account.
Short Enrollment Form
2014 (PDF)
Change between Medicare Script Basic or Enhanced.
Extra Assistance Information
2014 (PDF)
Flyer that provides information about plan premiums for clients who are eligible for Extra Help from Medicare

Customer Service is available by calling 1 (800) 541-8981. Hours are 8:00 a.m. to 8:00 p.m., Monday through Friday.  From October 1 through February 14, Customer Service is available from 8:00 a.m. to 8:00 p.m., seven days a week.  TTY users should call 711.

Agent Desk 1 (800) 452-7278 ext. 4960

A Medicare-approved Part D sponsor. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. You must continue to pay your Medicare Part B premium. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year.


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