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Updated February 10, 2020

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Medicare 101

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BlueJourney PPO is offered by Capital Advantage Insurance Company^®, a Medicare Advantage organization with a Medicare contract. BlueJourney HMO is offered by Keystone Health Plan^® Central, a Medicare Advantage organization with a Medicare contract. BlueJourney PPO and BlueJourney HMO are available in a 21 county service area. Enrollment in BlueJourney PPO and BlueJourney HMO depends on contract renewal.

BlueJourney Alliance (HMO SNP) is offered by Keystone Health Plan^® Central, a Medicare Advantage organization with a Medicare contract. Enrollment in BlueJourney Alliance (HMO SNP) depends on contract renewal. These plans are available to people meeting certain eligibility requirements, including verification that you have a qualifying specific severe or disabling chronic condition, or for 90 days or longer, have had or are expected to need the level of services provided in a long-term care (LTC) skilled nursing facility (SNF), a LTC nursing facility (NF), a SNF/NF, an intermediate care facility for individuals with intellectual disabilities (ICF/IDD), or an inpatient psychiatric facility, or that that your condition makes it likely that either the length of stay or the need for an institutional level of care would be at least 90 days.

You must be enrolled in Medicare Part B (Medical Insurance) and be entitled to Medicare Part A (Hospital Insurance) to enroll in this plan.

Members may enroll in the plan only during specific times of the year. Contact the plan for more information. The benefit information provided is a brief summary, not a complete description of benefits. Call member services for more information. You must continue to pay your Medicare Part B premium. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium, and/or copayments/coinsurance may change on January 1 of each year.

Healthcare benefit programs issued or administered by Capital BlueCross and/or its subsidiaries, Capital Advantage Insurance Company^®, Capital Advantage Assurance Company^®, and Keystone Health Plan^® Central. Independent licensees of the BlueCross BlueShield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital BlueCross in its capacity as administrator of programs and provider relations for all companies.

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