HMO and PPO Plan Options Available
With Medicare Advantage plans from Blue Cross and Blue Shield of Nebraska you'll have predictable, easy-to-budget costs for doctor office visits, prescription drugs and more. Each plan offers a different level of benefits and out-of-pocket cost, so you can choose the one that is best suited to your needs.
Hospital & Medical Benefits
Prescription Drug Benefits
Medicare Advantage Core (HMO) | Medicare Advantage Access (PPO) | Medicare Advantage Choice (HMO-POS) | |||||||
30-day Retail Supply | 90-day Mail Order | 30-day Retail Supply | 90-day Mail Order | 30-day Retail Supply | 90-day Mail Order | ||||
Preferred Cost Sharing | Standard Cost Sharing | Preferred Cost Sharing | Standard Cost Sharing | Preferred Cost Sharing | Standard Cost Sharing | ||||
Tier 1: Preferred Generic Drugs | $3 | $14 | $0 | $0 | $12 | $0 | $2 | $12 | $0 |
Tier 2: Generic Drugs | $8 | $18 | $0 | $8 | $18 | $0 | $8 | $18 | $0 |
Tier 3: Preferred Brand Drugs | $37 | $47 | $111 | $37 | $47 | $111 | $37 | $47 | $111 |
Tier 4: Non-Preferred Drugs | $100 | $100 | $300 | $100 | $100 | $300 | $100 | $100 | $300 |
Tier 5: Specialty Drugs | 28% | 28% | N/A | 31% | 31% | N/A | 30% | 30% | N/A |
Individual Plan Information
- 2021 Medicare Advantage Plan Overview HMO-POS
- 2021 Medicare Advantage Plan Overview HMO and PPO
- 2021 Summary of Benefits HMO Core and PPO Access
- 2021 Summary of Benefits Choice
- 2021 Evidence of Coverage Core and Choice
- 2021 Evidence of Coverage Access
- 2021 PPO Star Rating
- 2021 HMO Star Rating
- 2021 ANOC Core 001
- 2021 ANOC Core 002
- 2021 ANOC Choice
- 2021 ANOC Access
Group Plan Information
Have Questions?
Already a Member?
Toll Free:
888-488-9850 (TTY 711)
Already a Member?
Toll Free:
888-488-9850 (TTY 711)
Toll Free:
888-488-9850 (TTY 711)
Request your Medicare Options Guide
Understanding all the coverage options available may feel confusing. Download our Blue Cross and Blue Shield of Nebraska Medicare options guide to review different products that are available and learn more about important dates to remember.