Welcome | Medicare Members | Excellus BlueCross BlueShield (2024)

At Excellus BlueCross BlueShield, our plans go beyond the basics to make sure members get the care they need, when and where they need it. Let's get started!

Benefits included in all Medicare Advantage plans:

Welcome | Medicare Members | Excellus BlueCross BlueShield (1)

Dental

What's Covered

  • Preventive dental with no copay for routine care such as cleanings, X-rays, and oral exams
  • Comprehensive dental with a $1,000 annual allowance for care like select crowns, root canals, fillings, and extractions

See the Dental HighlightsOpen a PDF for details.

To use your dental benefits, schedule an appointment with an in-network dentist or Find a Dentist near you.

Welcome | Medicare Members | Excellus BlueCross BlueShield (2)

Vision

What's Covered

  • Annual eyewear allowance of at least $120 towards contact lenses and eyeglasses (frames & lenses)

To use your vision benefits, schedule an appointment with any licensed provider or Find a Provider near you.

Welcome | Medicare Members | Excellus BlueCross BlueShield (3)

Hearing

What's Covered

  • Free annual routine hearingexam and reduced hearing aid costs with TruHearing®
  • Advanced hearing aid: $499, premium hearing aid: $799

To use your hearing benefits, schedule an appointment by calling 1-855-205-5519 (TTY 711) Monday – Friday, 8 a.m. to 9 p.m. ET.

Welcome | Medicare Members | Excellus BlueCross BlueShield (4)

Over-the-Counter (OTC) benefit of at least $120/year

What's Covered

  • At least $30/quarter ($120/year) for common items such as aspirin, vitamins, cold and cough medications, bandages, and more

See the OTC HighlightsOpen a PDF for details. You’ll receive a catalog of covered items by mail.

To use your OTC benefits, choose one of the following ordering methods:

  • Online: Visit the OTC Benefits website (powered by Convey Health) – registration required
  • Phone: Call 1-855-657-7543 (TTY 711), Monday – Friday, 8 a.m. to 11 p.m. ET
  • Mail: Use the mail order form in the product catalog that was mailed to you
  • App: Download and use the OTC Anywhere mobile app
Welcome | Medicare Members | Excellus BlueCross BlueShield (5)

Silver&Fit®

What's Covered

  • No membership fee when you join a participating fitness center
  • Receive a $150 reimbursem*nt annually to join a qualified, out-of-network fitness center

To use your fitness benefit, learn more about the program and then visit the (login required) for a list of participating facilities.

Welcome | Medicare Members | Excellus BlueCross BlueShield (6)

$0 preventive care

What's Covered

  • Health screenings, including mammograms, colorectal cancer screening, bone density tests, and more
  • $0 preventive vaccines (on most plans)

To use your preventive care benefits, visit an in-network provider for recommended care. You can also download a preventive care checklist to make sure you’re getting the care you need.

Welcome | Medicare Members | Excellus BlueCross BlueShield (7)

$0 and low-cost Tier 1 generic drugs

What's Covered

  • $0 and low-cost Tier 1 generic drugs on all Medicare Advantage prescription drug plans

To learn more about your prescription drug benefits, choose from the following options:

  • Check drug prices for your plan
  • Learn how to lower your out-of-pocket prescription costs
  • Ask our pharmacist a question or see if you qualify for a full medication review

Some plans also have:

Welcome | Medicare Members | Excellus BlueCross BlueShield (8)

Transportation for health-related trips

What's Covered

  • 12 one-way non-emergency trips per calendar year with SafeRide® (50-mile limit per ride)

See the SafeRide Transportation Highlights for details.

To schedule a ride, call SafeRide at 1-888-617-0270 (TTY 711), Monday - Saturday, 8 a.m. to 8 p.m. ET.

Welcome | Medicare Members | Excellus BlueCross BlueShield (9)

Mom’s Meals® delivery service

What's Covered

  • 2 home-delivered meals per day for 7 days after an observation, inpatient, or skilled nursing stay

See the Mom’s Meals Highlights for details.

To use your Mom’s Meals benefit, call 1-877-222-1240 (TTY 711), Monday – Friday, 8:30 a.m. to 4:30 p.m. ET. Keep in mind that this benefit must be used within 30 days of discharge.

Welcome | Medicare Members | Excellus BlueCross BlueShield (10)

$500 Flex Card (for eligible PPO plans)

What's Covered

  • $500 for use on dental, hearing and vision expenses not already covered
  • Earn up to $100 in additional funds when you complete certain activities

See the PPO Highlights for details.

To use your flex card benefit, simply pay for expenses with the card that was mailed to you. The full $500 balance will be loaded on the card and ready to use on your plan start date. To check your balance, log in to your member account or call 1-833-655-1780 (TTY 711).

Tip: Use your plan benefits first and then use your flex card to pick up any remaining balance. If you forget your card, you can submit a claim and get reimbursed with your flex card balance. Your card is good for a few years so once you use it, don’t throw it away – it will be reloaded next plan year.

We’re here to help:

Welcome | Medicare Members | Excellus BlueCross BlueShield (11)

Find the care you need

Check to see if your doctor participates with your plan:

  • Find a Doctor
  • Find a Dentist

Additional ways to get help:

  • Try telehealth for care by telephone, email, or chat
  • Call our 24/7 Nurse Line for quick answers to medical questions

Remember to complete the Authorization Release Form on the Caregiver Support page so we can share protected health information (PHI) with a spouse, child, or caregiver. You can also submit this form online.

Welcome | Medicare Members | Excellus BlueCross BlueShield (12)

Not sure what your plan covers?

Log in to your member account to view your benefits and coverage, member card, claims, and more.

Please note: some actions associated with your account, such as paying a bill online, may not be available until after your plan starts. if you need help before your effective date, please call our Customer Care Advocates.

Welcome | Medicare Members | Excellus BlueCross BlueShield (13)

Still have questions? We’ve got answers.

View your Medicare plan information online or call our Customer Care Advocates. You can also visit us in person at our Resource Center.

Excellus BlueCross BlueShield is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_9775_C.

This page last updated 12-15-2023.

Welcome | Medicare Members | Excellus BlueCross BlueShield (2024)

FAQs

Is Excellus an HMO or PPO? ›

Excellus BlueCross BlueShield is an HMO plan and PPO plan with a Medicare contract.

What state is BCBS Excellus in? ›

Excellus BlueCross BlueShield, headquartered in Rochester, NY, is part of a $6 billion family of companies that finances and delivers health care services across upstate New York and long term care insurance nationwide.

Is Anthem the same as Excellus? ›

Anthem, which owns Blues plans in several states, and Excellus (whose parent is Lifetime Healthcare Co.) are separate entities but linked through the Blues network.

Is Univera part of Excellus? ›

The Medicare Supplement plans described are underwritten by Excellus Health Plan, Inc., which does business as Univera Healthcare.

Is Blue Shield PPO or HMO better? ›

HMO plans are generally less expensive than PPO plans, with lower monthly payments, making them ideal if your favorite doctors are already in the network, or if you receive most of your care close to home.

What does PPO mean in healthcare? ›

Preferred provider organization (PPO) A type of medical plan in which coverage is provided to participants through a network of selected health care providers, such as hospitals and physicians.

What is the difference between Blue Cross and Blue Shield? ›

Blue Cross and Blue Shield developed separately, with Blue Cross providing coverage for hospital services and Blue Shield covering physicians' services. Blue Cross is a name used by an association of health insurance plans throughout the United States.

Who owns Excellus insurance? ›

What is Blue Cross Blue Shield called in NY? ›

Insurance: Anthem BCBS (formerly known as Empire Blue Cross Blue Shield [BCBS]) - NYC Health + Hospitals.

What is better, Blue Shield or Anthem Blue Cross? ›

What we're seeing is that when comparing apples and apples, the Blue Shield of California formulary is broader than Anthem Blue Cross for Individual/Family and maybe even Small Business. Anthem made the move to a more limited drug list for their group business which was unprecedented.

What is the difference between blue cross home plan and local plan? ›

The local Plan applies pricing and reimbursem*nt rules consistent with provider contractual agreements. The member's Home Plan adjudicates the claim based on eligibility and contractual benefits.

Where is Excellus BCBS headquarters? ›

How many members does Excellus BCBS have? ›

Excellus BlueCross BlueShield, a nonprofit independent licensee of the BlueCross BlueShield Association, is part of a family of companies that finances and delivers vital health care services to about 1.5 million people across upstate New York.

Is excellus part of Medicare? ›

IMPORTANT NOTICE - A CONSUMER'S GUIDE TO HEALTH INSURANCE FOR PEOPLE ELIGIBLE FOR MEDICARE MAY BE OBTAINED FROM YOUR LOCAL SOCIAL SECURITY OFFICE OR FROM THIS INSURER. Excellus BlueCross BlueShield is not connected with or endorsed by the State of New York, the federal government or the federal Medicare program.

Who is the parent company of Univera Healthcare? ›

Univera Healthcare is part of The Lifetime Healthcare Companies, a family of companies that now provides health insurance coverage to about 1.5 million people across 39 counties of New York state.

How do I know if my plan is HMO or PPO? ›

However, if you've already got a health plan and don't know which plan type you have, you can check your insurance card or contact your insurance provider directly. If you have an online account through your provider that allows you to access plan details, you can also start there.

Is a PPO the same as an HMO? ›

Preferred provider organizations (PPO) offer a network of healthcare providers to use for your medical care at a certain rate. Unlike HMO, a PPO offers you the freedom to receive care from any healthcare provider—in or out of your network.

What is the difference between HMO and PPO United Healthcare? ›

HMO PlansFor most plans, you're required to use health care facilities or doctors that are in the HMO network. Out-of-network care is typically allowed in emergency cases only. PPO PlansWhen you choose a provider in the network, you may have lower out-of-pocket costs than if you choose out-of-network providers.

What does HMO mean in medical terms? ›

A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage.

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