HMO Louisiana, Inc. offers Blue Advantage (HMO). Blue Cross and Blue Shield of Louisiana, incorporated as Louisiana Health Service & Indemnity Co., offers Blue Advantage (PPO). Both are independent licensees of the Blue Cross and Blue Shield Association. Blue Advantage from HMO Louisiana, Inc. is an HMO plan with a Medicare contract. Blue Advantage from Blue Cross and Blue Shield of Louisiana is a PPO plan with a Medicare contract. Enrollment in either Blue Advantage plan depends on contract renewal. All Blue Advantage plans include Part D drug coverage. To enroll in a Blue Advantage plan, you must have both Medicare Part A and B and reside in Louisiana.
Please note that as a Blue Advantage member, you must continue to pay your Medicare Part B premium. Enrollment in a Blue Advantage plan may be limited to specific times of the year.
This information is not a complete description of benefits. Call 1-866-508-7145 for more information.
Blue Advantage (HMO) members must use plan providers except in emergency or urgent care situations. If a member obtains routine care from an out-of-network provider without prior approval from Blue Advantage, neither Medicare nor Blue Advantage will be responsible for the costs. Blue Advantage (PPO) members may incur higher costs for care obtained out-of-network.
Every year, Medicare evaluates plans based on a 5-star rating system.