||XJM (Individual) / XJS (Group)|
||Hospital - participating in Advantage 65/Medicare Select|
Inpatient/Outpatient – physician must have admitting privileges at an Advantage 65/Medicare Select Hospital
Office Visits – Any physician
||Hospital inpatient/outpatient services are only covered in cases of emergency or accident.|
||This product covers the member based on the hospital network for inpatient/outpatient. Member can choose any physician, but for the physician to treat a member in a hospital setting, the provider must have admitting privileges to an Advantage 65/Medicare Select participating hospital.|
Hospitals participating with Medicare and BCBSF have agreed to waive the Part A deductible and accept Medicare’s payment as payment in full for covered services.
Has a 20 percent gap coverage to complement Medicare payment after satisfaction of Part B deductible.