HR and Benefits: Pensioner Handbook

BlueAdvantage PLUS  Plan

BlueAdvantage Plus plan is offered by BlueCross BlueShield of Tennessee and is a Medicare Advantage Private Fee-For-Service organization. This is not a Medicare Supplement plan. BlueAdvantage Plus is only available to pensioners and their covered dependents that have Medicare Part A and Part B coverage.

Selecting a Health Care Provider
With BlueAdvantage Plus, you are free to seek care from any health care provider that accepts Medicare payments and the terms, conditions and payment rates of the BlueAdvantage Plus plan. There is no limited provider network. However, you must present your BlueAdvantage Plus ID card before you receive services. Check with your doctors to see if they accept BlueAdvantage Plus.

Provider Accepts BlueAdvantage Plus
If your provider decides to accept BlueAdvantage Plus, the provider must bill BlueCross BlueShield of Tennessee for those services. As stated above. If your provider does not accept the Medicare payment in full from Original Medicare, you may be charged more for Medicare-covered services, up to the Medicare Limiting Charge. You will be responsible for these excess charges.

Provider Does Not Accept BlueAdvantage Plus
If your provider does not accept BlueAdvantage Plus, you must select another provider. 

Pharmacy Coverage
This plan has a drug formulary and covers most drugs. Please check BlueCross BlueShield to find out if your drugs are covered.