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Blue Advantage Overview

Blue Advantage® Plus Includes:

Blue Advantage® Capital Includes:

Blue Advantage® Magnolia Includes:

  • Comprehensive Medical Coverage >
  • Prescription Drug Coverage >
  • Comprehensive Dental >
  • Vision Exams & Eyewear >
  • Hearing Exams & Hearing Aids >
  • $0 premium
  • $0 primary care physician copay
  • $0 annual wellness visit
  • $0 copay for hearing exam
  • $0 copay for most preventive services, most immunizations and lab services
  • $375 allowance for preventive dental services per calendar year$375 allowance for preventive dental services per calendar year$1000 allowance for preventive and comprehensive dental services per calendar year
  • $100$75$50 diagnostic radiology
  • Built-in prescription drug coverage
  • No referral required for network specialists, doctors or hospitals
  • In network and out of network covered services
  • Significant discounts on hearing aids through TruHearing®*
  • Air medical transportation**
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Comprehensive Medical Coverage

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Comprehensive Medical Coverage

 

NO referrals required to see specialists.

NO COST for many health screenings, immunizations and other Medicare-recommended preventive services.

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Prescription Drug Coverage

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Prescription Drug Coverage

 

With Blue Advantage you'll have access to a large network of pharmacies that make it convenient for you to save money.

Your drug cost savings are avaliable at retail pharmacies as well as through Mail-Order. Our Extensive retail pharmacy networks include Costco, CVS, Kroger, Walmart, Walgreens, Publix, Sam’s Club and many neighborhood pharmacies!

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Comprehensive & Preventive Dental

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Comprehensive & Preventive Dental

 

Our Dental plan is designed to deliver care at an affordable price with no waiting period for Comprehensive and Preventive Services.

$375$375$1000 allowance per calendar year for comprehensive and preventive dental.

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Hearing Exams & Hearing Aids

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TruHearing® Services*

 

A comprehensive hearing care solution — $0 copay for an annual routine hearing exam, plus you can get state-of-the-art hearing aids as low as $499, $699 or $999 (one per ear, per year) which can save you thousands of dollars.

*All content ©2025 TruHearing, Inc. All Rights Reserved. TruHearing® is a registered trademark of TruHearing, Inc.

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Health and Wellness Benefits

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Blue Advantage Rewards & Wellness Program

 

Living a healthier lifestyle has never been more rewarding! Blue Advantage members can enroll in the Blue Advantage Rewards & Wellness Program, where we can help guide you on your path to better health. You’ll get personalized information about the screenings you need and access to online wellness resources to help you stay healthy and active. Plus you can get rewards for completing eligible activities!

Blue Advantage makes it easy to stay healthy and save money

  • $0 premium
  • $0 primary care physician copay
  • $0 annual wellness visit
  • $0 copay for hearing exam
  • $0 copay for most preventive services, most immunizations and lab services
  • $375 allowance for preventive dental services per calendar year$375 allowance for preventive dental services per calendar year$1000 allowance for preventive and comprehensive dental services per calendar year
  • $100$75$50 diagnostic radiology
  • Built-in prescription drug coverage
  • No referral required for network specialists, doctors or hospitals
  • In network and out of network covered services
  • Significant discounts on hearing aids through TruHearing®*
  • Air medical transportation**
$0 image
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Blue Advantage

Plus (PPO)

$0 per month

Enroll NowView Extra Help Pricing >

Based on your income, you may qualify for financial help from Medicare to lower your monthly premium.* If you qualify, you will also have no drug coverage gap and lower out-of-pocket costs. If you aren't receiving extra help, the Mississippi State Health Insurance Assistance Program (SHIP) provides education and counseling on low-income assistance programs for Medicare.

Mississippi Department of Human Services Division of Aging and Adult Services 1-601-359-4929

Medicare beneficiaries can qualify for Extra Help paying for their monthly premiums, annual deductibles, and co-payments related to Medicare prescription drug coverage. https://www.ssa.gov/benefits/medicare/prescriptionhelp

Plan Name No LIS 100%
Blue Advantage Plus (PPO)
0.00
0.00

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.

https://www.ssa.gov/medicare/part-d-extra-help

*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

Blue Advantage

Capital (PPO)

$0 per month

Enroll NowView Extra Help Pricing >

Based on your income, you may qualify for financial help from Medicare to lower your monthly premium.* If you qualify, you will also have no drug coverage gap and lower out-of-pocket costs. If you aren't receiving extra help, the Mississippi State Health Insurance Assistance Program (SHIP) provides education and counseling on low-income assistance programs for Medicare.

Mississippi Department of Human Services Division of Aging and Adult Services 1-601-359-4929

Medicare beneficiaries can qualify for Extra Help paying for their monthly premiums, annual deductibles, and co-payments related to Medicare prescription drug coverage. https://www.ssa.gov/benefits/medicare/prescriptionhelp

Plan Name No LIS 100%
Blue Advantage Captial (PPO)
0.00
0.00

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.

https://www.ssa.gov/medicare/part-d-extra-help

*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

Blue Advantage

Magnolia (PPO)

$0 per month

Enroll NowView Extra Help Pricing >

Based on your income, you may qualify for financial help from Medicare to lower your monthly premium.* If you qualify, you will also have no drug coverage gap and lower out-of-pocket costs. If you aren't receiving extra help, the Mississippi State Health Insurance Assistance Program (SHIP) provides education and counseling on low-income assistance programs for Medicare.

Mississippi Department of Human Services Division of Aging and Adult Services 1-601-359-4929

Medicare beneficiaries can qualify for Extra Help paying for their monthly premiums, annual deductibles, and co-payments related to Medicare prescription drug coverage. https://www.ssa.gov/benefits/medicare/prescriptionhelp

Plan Name No LIS 100%
Blue Advantage Magnolia (PPO)
0.00
0.00

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid Office.

https://www.ssa.gov/medicare/part-d-extra-help

*You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.

Primary Care Doctor Visit $0 copay per visit $0 copay per visit $0 copay per visit
Specialist Visit $25 copay per visit $25 copay per visit $25 copay per visit
Inpatient Hospital $300 copay per day for days 1–7 per admission;
You pay nothing per day for days 8-90;
$0 copay for each additional hospital day
$300 copay per day for days 1–7 per admission;
You pay nothing per day for days 8-90;
$0 copay for each additional hospital day
$275 copay per day for days 1–7 per admission;
You pay nothing per day for days 8-90;
$0 copay for each additional hospital day
Outpatient Hospital Services $0-$280 copay $0-$225 copay $0-$250 copay
Ambulatory Surgical Center Services $0-$230 copay $0-$175 copay $0-$200 copay
Lab Services $0 copay $0 copay $0 copay
X-rays $10 copay $10 copay $10 copay
Emergency Room Visit $130 copay
Waived if admitted
$130 copay
Waived if admitted
$130 copay
Waived if admitted
Ambulance $365 copay per trip $395 copay per trip $275 copay per trip
Annual Wellness Visit $0 copay $0 copay $0 copay
Many Preventive Wellness Services $0 copay $0 copay $0 copay
Durable Medical Equipment 23% of cost 25% of cost 20% of cost
Telehealth Primary Care Physician $0 copay per visit $0 copay per visit $0 copay per visit
Telehealth Specialist $25 copay per visit $25 copay per visit $25 copay per visit
Diabetic Supplies* $0 copay $0 copay $0 copay
Eye Exams $25 copay for diagnostic exam $25 copay for diagnostic exam $25 copay for diagnostic exam
Preventive Dental Allowance Preventive Dental Allowance Preventive & Comprehensive Dental Allowance $375 max per calendar year $375 max per calendar year $1,000 max per calendar year
Hearing Exams $0 copay for annual routine exam with TruHearing provider
$10 copay for diagnostic exam
$0 copay for annual routine exam with TruHearing provider
$10 copay for diagnostic exam
$0 copay for annual routine exam with TruHearing provider
$10 copay for diagnostic exam
Hearing Aids $499/$699/$999 copay per hearing aid
(one per ear, per year)
$499/$699/$999 copay per hearing aid
(one per ear, per year)
$499/$699/$999 copay per hearing aid
(one per ear, per year)
Maximum Out-of-Pocket Amount
This is the most an individual will pay in a year for eligible health services. After paying this amount, your insurance policy will pay for all other covered services.
$6,750 (in-network) $6,400 (in-network) $5,250 (in-network)
Drug Deductible $320 (Tiers 3,4,5) $300 (Tiers 3,4,5) $325 (Tiers 3,4,5)
Retail and Mail-Order Cost-Sharing Pharmacy Copays
A set fee you pay for a healthcare service, such as a visit to a doctor or hospital, or for a prescribed medication.
/Coinsurance
The portion of the cost for healthcare that you will pay after you’ve met your deductible. For example, if you’ve met your deductible and your coinsurance is 20% and you receive a bill for $100, you’ll pay $20 and your insurance will pay the rest.
Tier 1 - Preferred Generic $0 $0 $0
Tier 2 - Generic $13 $13 $13
Tier 3 - Preferred Brand 19% 20% 19%
Tier 4 - Non-Preferred Brand 31% 30% 30%
Tier 5 - Specialty Tier 29% 29% 29%
Select Insulins (Tiers 3 & 4) $35 $35 $35
Catastrophic Coverage Phase Once YOUR out-of-pocket spending on prescriptions reaches $2,100, you pay $0 for the rest of the calendar year. Once YOUR out-of-pocket spending on prescriptions reaches $2,100, you pay $0 for the rest of the calendar year. Once YOUR out-of-pocket spending on prescriptions reaches $2,100, you pay $0 for the rest of the calendar year.

*Only Ascensia (Contour) and Abbott (Freestyle) products are preferred with a $0 copay for up to 204 diabetic test strips for 30 days and glucometers at the pharmacy and through mail-order home delivery.

Get Your Personalized Information Now!

Am I Eligible?

You may be eligible if you are:

  • A resident of Mississippi
  • Eligible for Medicare
County
*

 

Disclaimers SS and TH

*All content ©2025 TruHearing, Inc. All Rights Reserved. TruHearing® is a registered trademark of TruHearing, Inc. All other trademarks, product names, and company names are the property of their respective owners. Savings and retail pricing based on a survey of national average hearing aid prices of equivalent aids compared to pricing for TruHearing-branded aids. Actual savings may vary. Follow-up provider visits included for one year following hearing aid purchase. Free battery offer is not applicable to the purchase of rechargeable hearing aid models. Three-year warranty includes repairs and one-time loss and damage replacement. Hearing aid repairs and replacements are subject to provider and manufacturer fees. For questions regarding fees, contact a TruHearing Hearing Consultant.

** Air medical transport services are provided through a contract with AirMed International, LCC, an independent company that does not provide Patrius Health, Inc. products. Patrius Health is not responsible for any mistakes, errors or omissions that AirMed, its employees or staff members make. Air medical services terminate if coverage by your health plan ends.

Insulin Disclaimer

Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you haven't paid your deductible. Call Member Services for more information.
 
Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it's on.

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