Knowing about your Medicare plan's network will help you get the most coverage from your plan.
When it's time to visit a doctor or hospital, it's important to choose one that is part of your Blue Cross Medicare plan network.
A provider network is made up of all the doctors and hospitals that participate in your plan. Plans with prescription drug benefits have a pharmacy network.
Understanding your network
Plans with combined medical and prescription drug coverage
| Plan | Provider networks (includes doctors and hospitals) | Pharmacy networks (includes pharmacies) | Sample in-network pharmacies |
| Blue Cross Medicare Advantage (PPO) Metro and West regions | Medicare High Value Network: 99% of hospitals, 97% of doctors and specialists in Minnesota, and in-network coverage when you travel within the U.S. for up to 12 months consecutively | Thousands of in-network pharmacies | CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Walgreens Mail Service, Amazon mail order, Express Scripts mail order |
| Blue Cross Medicare Advantage (PPO) South region | The Medicare Southern MN Network has more than 23,000 in-network providers in Minnesota | Thousands of in-network pharmacies | CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Walgreens Mail Service, Amazon mail order, Express Scripts mail order |
| Platinum BlueSM with Rx (Cost) | Platinum Blue Network: 100% of hospitals, 97% of doctors and specialists in Minnesota, and in-network coverage when you travel within the U.S. for up to 9 months consecutively | Thousands of in-network pharmacies | CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Walgreens Mail Service, Amazon mail order, Express Scripts mail order |
Plans with medical only coverage
| Plan | Provider networks (includes doctors and hospitals) |
| Freedom BlueSM (PPO) | Medicare High Value Network: 99% of hospitals, 97% of doctors and specialists in Minnesota, and in-network coverage when you travel within the U.S. for up to 12 months consecutively. |
| Platinum Blue℠ (Cost) | Platinum Blue Network: 100% of hospitals, 97% of doctors and specialists in Minnesota, and in-network coverage when you travel within the U.S. for up to 9 months consecutively |
| Basic Medicare Blue | Medicare approved providers: See any provider that accepts Medicare assignment nationwide |
| Senior Gold℠ | Aware Network: 100% of hospitals, 97% of doctors and specialists in Minnesota, and coverage nationwide |
Medicare Supplement Plan with Copayments (Plan N) Medicare Supplement Plan with High Deductible Coverage (High Deductible) | Medicare approved providers: See any provider that accepts Medicare assignment nationwide |
Plans with prescription drug only coverage
| Plan | Pharmacy networks | Sample pharmacies |
| MedicareBlue℠ Rx (PDP) | Standard and Premier have thousands of in-network pharmacies | CVS, Hy-Vee, Walmart, Express Scripts mail order, Amazon mail order |
Finding in-network providers
Is your doctor or hospital in your network? Find out here:
You will need to enter the first three characters of your member ID, which can be found on the back of your Blue Cross member ID card, or select a network from the drop-down to see providers in your network.
Is a pharmacy in your network? Find out here
Travel benefits
A plan that has a travel benefit helps you get the best coverage when you travel throughout the United States. This benefit allows you to remain enrolled in your plan when you are outside Minnesota. You will pay plan copayments or coinsurance as applicable.
For international travel, you have coverage for emergency services, usually with some cost sharing.
- Blue Cross Medicare Advantage (PPO): Travel coverage for twelve months consecutively. Covered for emergency services worldwide.
- Platinum Blue with or without Rx: Travel coverage for nine months each year. Covered for emergency services worldwide.
- Blue Cross Medicare Supplement: Travel coverage unlimited each year. Covered for emergency services worldwide.
More about Medicare coverage
Blue Cross offers PPO, Cost and PDP plans with Medicare contracts. Enrollment in these Blue Cross plans depends on contract renewal. Plans are available to residents of the service area. You may only be able to enroll in a plan at certain times of the year.
MedicareBlueSM Rx (PDP) is a prescription drug plan with a Medicare contract. Enrollment in MedicareBlue Rx depends on contract renewal.
Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa*; Blue Cross and Blue Shield of Minnesota*; Blue Cross and Blue Shield of Montana*, a division of Health Care Service Corporation, a Mutual Legal Reserve Company; Blue Cross and Blue Shield of Nebraska*; Blue Cross Blue Shield of North Dakota*; Wellmark Blue Cross and Blue Shield of South Dakota*; and Blue Cross Blue Shield of Wyoming*.
*Independent licensees of the Blue Cross and Blue Shield Association.
Last updated October 1, 2024
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