The PPO plan is available to clients through the Blue Choice Network, one of the largest networks in Texas. Blue Choice provides: ... More than 800,000 doctors and 6,000 hospitals contracting with Blue Cross and Blue Shield plans nationwide; For health care services required outside of Texas, members have access to the BlueCard national network ...Step Therapy Program Criteria Summary and Fax Form List. If you have questions or concerns regarding these programs, please call Prime Therapeutics at 1-800-289-1525. Review the prior authorization/step therapy program overview list to help you determine which prior authorization form is used for the medication being prescribed.Medicaid is a state-run program that helps those in need get health insurance. It is meant for people with a low income or a disability. The state determines who qualifies for Medicaid based on federal guidelines. Once you qualify, you can pick a health plan. BCBSTX's Medicaid plans can help meet your health care needs.Blue Cross Medicare Advantage plans offer all-in-one options that provide medical and prescription drug coverage. Combine what’s covered by Part A and Part B, with added benefits. They Provide: Medicare Part A (hospital insurance) coverage. Medicare Part B (medical insurance) coverage. Limits on your out-of-pocket costs. These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and more These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and moreMedicaid is a state-run program that helps those in need get health insurance. It is meant for people with a low income or a disability. The state determines who qualifies for Medicaid based on federal guidelines. Once you qualify, you can pick a health plan. BCBSTX's Medicaid plans can help meet your health care needs.Blue Cross and Blue Shield of Texas. Attn: Complaints and Appeals Department. P.O. Box 660717. Dallas, Texas 75266-0717. Fax to 1-855-235-1055. Call BCBSTX at 1-888-657-6061 (TTY: 711) or email us at [email protected] if you have …Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, bcbstx.com an Independent Licensee of the Blue Cross and Blue Shield Association No-Cost Preventive Drug List Medication Covered at $0 Cost to You Effective July 1, 2021Basic Guest Search. Even if you're not a member, you can answer a few questions to find the right network to search for doctors. Search for Doctors as a Guest. In addition to staying in network, you or your doctor may need to get benefit approval or “prior authorization” before you get treatment for certain services for them to be covered.Telemedicine and Telehealth medical services – and procedures – are covered under some Blue Cross and Blue Shield of Texas (BCBSTX) PPO and HMO health …We are committed to maintaining an environment of Equal Opportunity and Affirmative Action. If you need accommodation to access the information provided on this web site, please call us at 1-866-977-7378. Please be aware of persons posing as Blue Cross and Blue Shield of Texas employees. These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and more Finding a Virtual Visits doctor is easy. You'll: Log in to Blue Access for Members SM. On the BAM homepage dashboard, select Find All Care under Find Care. Select the Virtual Visits link under the page's Find Care title 2. Click the Schedule a Virtual Visit button and sign up on MDLIVE's website. You can meet with the next available ...Blue Distinction® Specialty Care. Blue Distinction Centers. Bariatric Surgery; Cardiac Care; Cellular Immunotherapy; Fertility Care; Gene Therapy; Knee and Hip Replacement; ... Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue ... Member Services. These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider. Pay your bill. Review benefits, account balances, claims ... Our customer satisfaction ratings are consistently above 96 percent. Focus on the member's needs, not just the question, and consider it their job to answer the "unasked" questions that may ultimately provide better assistance for the member. Have a solid track record of achieving first call resolution of members' needs more than 90 …Prior Authorization Requests for Medical Care and Medications. Some medical services and medications may need a prior authorization (PA), sometimes called a “pre-authorization,” before care or medication can be covered as a benefit. Ask your provider to go to Prior Authorization Requests to get forms and information on services that may ...Blue Cross and Blue Shield of Texas. Attn: Complaints and Appeals Department. P.O. Box 660717. Dallas, Texas 75266-0717. Fax to 1-855-235-1055. Call BCBSTX at 1-888-657-6061 (TTY: 711) or email us at [email protected] if you have …Your member ID card is the fastest way to find your provider. Just type in the first three characters of your ID number. Then, select "Go." We'll immediately redirect you to your provider, where you can access your BCBS login. Find a BCBS Company by Prefix.Your Blue Cross and Blue Shield of Texas (BCBSTX) health insurance plan is ready for you. Get Started Using Your 2024 Health Plan Use these steps and make the most of …Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Find Texas vision and eye care providers near you that are in the Blue Cross and Blue Shield of Texas network. Blue Access for Members SM is a powerful tool for managing your Blue Cross and Blue Shield of Texas health plan benefits. You can opt in to receive your mail digitally, find a doctor and review your coverage. Our customer satisfaction ratings are consistently above 96 percent. Focus on the member's needs, not just the question, and consider it their job to answer the "unasked" questions that may ultimately provide better assistance for the member. Have a solid track record of achieving first call resolution of members' needs more than 90 …Your member ID card is the fastest way to find your provider. Just type in the first three characters of your ID number. Then, select "Go." We'll immediately redirect you to your provider, where you can access your BCBS login. Find a BCBS Company by Prefix.Forms & Documents. Last Updated: Aug. 31, 2023. This Information is a solicitation for insurance. Medicare Supplement Insurance Plan Notice: *Not connected with or endorsed by the U.S. Government or Federal Medicare Program. Medicare Supplement Insurance Plans are offered by Blue Cross and Blue Shield of Texas, a Division of …Blue Cross Blue Shield of Texas Claims Overpayments Dept. CH 14212 Palatine, IL 60055-4212; Courier Address: Blue Cross Blue Shield of Texas Claims Overpayments Box 14212 5505 North Cumberland Ave., Ste. 307 Chicago, IL 60656-1471; Claims Status Inquiries. Payer ID – HCSVC; Appeals. Blue Cross and Blue Shield of Texas es una aseguradora de salud estatal, propiedad de los clientes. Para nosotros, los consumidores y empleadores de Texas merecen lo mejor de ambos mundos: acceso accesible a cuidados de salud de excelente calidad y a servicios de primera categoría proporcionados por una compañía que se centra solamente en sus clientes, no en los accionistas. COVID-19 PHE Ends. We’re here to keep you informed about how the end of the COVID-19 public health emergency affects your benefit coverage. The Biden Administration ended the COVID-19 public health emergency on May 11, 2023. Some of your COVID-19 benefits have changed with the end of the public health emergency. Vaccines. Tests and Testing Sites.1. Go Through a Life Event That Qualifies. If you've gone through certain life events, you may be able to enroll in a health plan during Special Enrollment. 2. Understand Your Timeline. In most cases, you have 60 days (including weekends and holidays) from the date of your qualifying life event to buy a new health plan.BCBSTX Values LGBTQ Inclusion. BCBSTX stands by our core values of integrity, respect, commitment, caring and excellence. We work together with our LGBTQ employees to better understand the health care needs of our LGBTQ members. One of the many ways we support our LGBTQ employees and allies is through the Pride Alliance business … Blue Cross Medicare Advantage SM — 1-877-774-8592. Texas STAR, CHIP — 1-877-560-8055. STAR Kids — 1-877-784-6802. For out-of-state Blue Cross and Blue Shield members, call BlueCard® Eligibility at 1-800-676-BLUE (2583) for eligibility and benefit verifications. Learn more about BlueCard. Procedure Code Lists. Prior Authorization Procedure Codes List for Fully Insured Plans and Certain ASO Groups Effective 01/01/2024 (Includes changes effective 07/01/2024) Prior Authorization Procedure Codes List for Fully Insured Plans and Certain ASO Groups Effective 01/01/2023 -12/31/2023 (Includes changes effective 10/01/2023)With 24/7 access to doctors, psychiatrists, psychologists, therapists and other medical experts, care is always available, anytime and anywhere. Select and see your favorite providers again and again, right from your smartphone, tablet or computer. Because we work with health plans and employers, nearly 98 million Americans have covered care.In-Network Providers. Use our National Doctor and Hospital Finder tool to see if your doctor is in our network or to find a doctor, specialist or urgent care center near you. Our network includes over 1.7 million doctors and hospitals plus over 55,000 retail pharmacies in the U.S. You also never need a referral to see a specialist.Complete the Provider Onboarding Form. When filling out the Provider Onboarding form, use Google Chrome for best results. Providers who want to be in-network will have additional fields to complete on the form. Providers can select the question mark icon where available if they need assistance with those fields. Professional Providers must have:For more than 90 years, Blue Cross and Blue Shield of Texas (BCBSTX) has forged alliances with private and public organizations to honor our commitment to improve the health of all Texans. Our charitable contributions allow us to connect with not just our customers, but also community partners, local leaders and policymakers interested in … These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and more The Blue Cross and Blue Shield Association is a national federation of independent, community-based and locally operated Blue Cross and Blue Shield companies. Healthcare coverage is one of the most important decisions you make. Choose the card that opens doors in all 50 states. Protect yourself and your family with the compassion of the …These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and moreBlue Cross Blue Shield Association. / 41.8864516; -87.6239771. Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States -based federation with 34 independent and locally-operated BCBSA companies that provide health insurance in the United States to more than 115 million people as of 2022.Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, bcbstx.com an Independent Licensee of the Blue Cross and Blue Shield Association No-Cost Preventive Drug List Medication Covered at $0 Cost to You Effective July 1, 2021All Blue Cross and Blue Shield of Texas Silver plans offer the same set of health benefits, quality and amount of care. Your Silver plan options are different in how much you’ll pay each month, how much of your health care bill is covered for things like hospital visits and prescriptions and how much your out-of-pocket costs are: Silver plans have a monthly bill …BCBSTX Mobile App. Features: Find an in-network doctor, hospital or urgent care facility or search for Spanish-speaking doctors. Access your claims, coverage and deductible information. Access your temporary digital member ID card. Secure login with Face ID (iOS only) and Fingerprint ID.The Blue Cross Blue Shield System is made up of independent and locally operated companies. To access your member services, please visit your BCBS company. Find … These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and more Sales Questions and Additional Plan Information: 1-888-731-0406. Calls may or may not be answered inside the United States. Monday – Friday: 8 a.m. – 8 p.m. CT Here's How It Works. Using your digital member ID card at your doctor’s office is quick and easy: Step 1. Log in to the BCBSTX mobile app. Step 2. On the dashboard, tap the Member ID Card icon. Step 3. That’s it. You’re now looking at your digital member ID card. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Outside the United States. Select Blue Cross Blue Shield Global™ or GeoBlue if you have international coverage and need to find care outside the United States. Prenatal and Postpartum Care measures the percentage of deliveries in which members: Had a prenatal care visit in the first trimester, on or before the … Here's How It Works. Using your digital member ID card at your doctor’s office is quick and easy: Step 1. Log in to the BCBSTX mobile app. Step 2. On the dashboard, tap the Member ID Card icon. Step 3. That’s it. You’re now looking at your digital member ID card. Each of our 22 customer service centers offers a customized, personalized member experience. Blue Advantage HMO SM offers 4 Gold plans. Blue Advantage plans are lower-cost HMO plans available to residents across Texas. These plans include a network of over 370 hospitals and over 100,000 doctors. Blue Advantage Plus SM offers 3 Gold plans. Blue Advantage Plus is offered throughout the state of Texas. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 24/7 Bilingual Nurseline. Similar to virtual visits, the 24/7 Bilingual Nurseline is a quick and affordable way to get care in English or Spanish. Bilingual nurses are on call to answer your health questions or concerns. Call the 24/7 Bilingual Nurseline at 1-800-581-0368. Federal Employee Program | Blue Cross and Blue Shield of Texas This page may have documents that can’t be read by screen reader software. For help with these documents, please call 1-800-442-4607.Prior Authorizations Lists for Blue Cross Medicare Advantage (PPO) and Blue Cross Medicare Advantage (HMO) Prior Authorizations Lists for Designated Groups; Recommended Clinical Review Option; Prior Authorization Exemptions (Texas House Bill 3459) Claims Filing Tips. Claim Status; Claim Review Process; Interactive Voice …Jeff Russell named new president and CEO of Blue Cross and Blue Shield of Nebraska. May 2, 2022. Supporting mental health: Recognize the signs and know where to go for care. July 27, 2022. Blue Cross and Blue Shield of Nebraska to offer a new individual plan on the ACA Marketplace for 2023, increasing coverage choices across the state.Last Updated: Aug. 25, 2023. Need to find a doctor who is nearby and provides excellent care? Start your search with Provider Finder to make sure your doctor is in network.If you have coverage through Blue Cross and Blue Shield of Texas, vaccinations may be covered under the medical benefit or the prescription drug benefit, based on your plan. Select vaccines can be conveniently administered at a pharmacy near you. These vaccines can help protect you from illnesses such as the flu, pneumonia, shingles, hepatitis ...If available for your account, you can also visit Member Services for the following: Search for a doctor, hospital, pharmacy, urgent care, and more. Locate a form. View prescription drug lists. If you regularly pay your premium through BCBSXX, you also have the option to pay through Member Services.Based on the most recent year of data, Blue Cross Blue Shield Medicare Supplement Insurance plans spend about 79.6% of premiums on member benefits. [6] …Blue Cross and BlueShield of Texas contracts with ModivCare to provide NEMT to STAR members as a covered benefit through Texas Medicaid. Call 1-866-824-1565 between 8 a.m. and 5 p.m. Central Time, Monday through Friday, for more information about NEMT or to schedule a ride. Rides are available 24 hours a day, 7 days a week.Complete the Provider Onboarding Form. When filling out the Provider Onboarding form, use Google Chrome for best results. Providers who want to be in-network will have additional fields to complete on the form. Providers can select the question mark icon where available if they need assistance with those fields. Professional Providers must have:Our Blue Cross and Blue Shield of Illinois member services can help you best use your health care plan. Blue Access for Members SM. With a BAM account, you'll have your health plan info, all in one place. Make a payment, find a doctor, check your claim status and get an overview of your coverage. If you no longer qualify for Medicaid, we can help you find the right health coverage. Anthem Individual and Family plans can be an affordable option for you and your family. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 am to 8 p.m. ET, 8 a.m. to 7 p.m. CT, 7 a.m. to 6 p.m. MT, 7 a.m. to 5 p.m. PT. Texas: 800-451-0287 877-774-8592 (Blue Cross Medicare Advantage Plans) 877-299-2377 (Blue Essential Plans) 800-676-2583 (Blue Card - Eligibility) ... 855-558-1443 (Anthem Blue Cross Blue Shield Medicaid Plan) Wyoming: 800-442-2376: CMS 1500 blocks instructions in Medical Billing; BCBS Federal Phone Number ;All Blue Cross and Blue Shield of Texas (BCBSTX) fully-funded standard small group Qualified Health Plans (QHP) for 2-50 employees offer features and benefits designed with members’ health and wellbeing in mind. Popular Plans …The three-character prefix at the beginning of the member’s identification number is the key element used to identify and correctly route out-of-state claims to the appropriate BCBS Plan. The three-character prefix identifies the Blue Cross and Blue Shield Plan to which the member belongs. Some member’s ID cards may not have an alpha prefix ... If you no longer qualify for Medicaid, we can help you find the right health coverage. Anthem Individual and Family plans can be an affordable option for you and your family. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 am to 8 p.m. ET, 8 a.m. to 7 p.m. CT, 7 a.m. to 6 p.m. MT, 7 a.m. to 5 p.m. PT. April 23, 2024. Blue Cross and Blue Shield of Texas has updated with minor revisions as part of its annual review, the CPCP005 Home Health Care/Private Duty …Blue Access for Employers. Blue Access for Employers is the simple and convenient way to manage your account online. Our secure producer portal provides you with instant … Your member ID card is the fastest way to find your provider. Just type in the first three characters of your ID number. Then, select "Go." We'll immediately redirect you to your provider, where you can access your BCBS login. Find a BCBS Company by Prefix. Blue Cross and Blue Shield of Texas (BCBSTX) gives health care benefits and access to care to help your child stay well. BCBSTX covers all medically necessary care that Medicaid covers. This includes: Visits to PCPs, specialists (with an OK ahead of time for out-of-network providers), or other providers. Routine physicals for children from ... Blue Cross and Blue Shield of Texas 4444 Corona, Suite 148 Corpus Christi, TX 78411-4375 1-361-878-1623 Fax: 361-852-0624 Email to submit provider inquiries and questions. Dallas and East Texas. See "North Texas" El Paso. Blue Cross and Blue Shield of Texas 114 Mesa Park Dr. Suite #300 El Paso, TX 79912 -6156 1-915-496-6600, press 2 Fax: 915 ... If you have coverage through Blue Cross and Blue Shield of Texas, vaccinations may be covered under the medical benefit or the prescription drug benefit, based on your plan. Select vaccines can be conveniently administered at a pharmacy near you. These vaccines can help protect you from illnesses such as the flu, pneumonia, shingles, hepatitis ... Find the phone numbers, addresses and hours of operation for different products and services offered by BCBSTX. Learn how to make a payment, register as a supplier, or get claims and correspondence information. Blue Access for Members SM is a powerful tool for managing your Blue Cross and Blue Shield of Texas health plan benefits. You can opt in to receive your mail digitally, find a doctor and review your coverage. You can choose or change your PCP by calling a BCBSTX Personal Health Assistant toll-free at (800) 252-8039 (TTY: 711) or by logging in to Blue Access for Members SM: Log in to Blue Access for Members. Click on the "Find Care" tab. On the Find Care page, see your current PCP on the right-hand side for each covered family member, if you already ...These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and more
With Blue Access for Producers (BAP), you can: Obtain an instant preliminary quote whenever customers call. View, download, or print the information you need. View product information. View your commission statements. For questions about BAP, contact the Blue Access® Internet Help Desk: 888-706-0583. Mon – Fri: 7 a.m. – 10 p.m. Central Time.. Ubersetzung
Your HealthSelect plan includes comprehensive medical, mental health and prescription drug benefits. Plan Year 2023 Benefits. Medical ID Card. Explanation of Benefits. …Decatur, TX. Decatur’s Blue Cross and Blue Shield of Texas Fitness Court officially launched in November 2022 at Kenny Renshaw Park. The Fitness Court is the perfect addition to a city committed to providing healthy infrastructure with six active parks equipped with playgrounds, walking trails, a skate park, a disc golf park and many more hiking and … Your member ID card is the fastest way to find your provider. Just type in the first three characters of your ID number. Then, select "Go." We'll immediately redirect you to your provider, where you can access your BCBS login. Find a BCBS Company by Prefix. Mar 22, 2024 · Last Updated: March 22, 2024. Get answers to common questions about Blue Cross Blue Shield of Texas health plans, benefits, and services. Empower yourself with knowledge. Learn more now. These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and moreAll Blue Cross and Blue Shield of Texas Silver plans offer the same set of health benefits, quality and amount of care. Your Silver plan options are different in how much you’ll pay each month, how much of your health care bill is covered for things like hospital visits and prescriptions and how much your out-of-pocket costs are: Silver plans have a monthly bill …Complete the Provider Onboarding Form. When filling out the Provider Onboarding form, use Google Chrome for best results. Providers who want to be in-network will have additional fields to complete on the form. Providers can select the question mark icon where available if they need assistance with those fields. Professional Providers must have: COVID-19 PHE Ends. We’re here to keep you informed about how the end of the COVID-19 public health emergency affects your benefit coverage. The Biden Administration ended the COVID-19 public health emergency on May 11, 2023. Some of your COVID-19 benefits have changed with the end of the public health emergency. Vaccines. Tests and Testing Sites. Telemedicine and Telehealth medical services – and procedures – are covered under some Blue Cross and Blue Shield of Texas (BCBSTX) PPO and HMO health …PPO plans let you choose where you go for care, without needing a referral from a primary care provider (PCP) or relying only on providers in your plan's network. They typically have higher monthly premiums and out-of-pocket costs like copays, coinsurance and deductibles. With Blue Cross and Blue Shield of Texas you have different levels of a ...These tools and services can help you use your Blue Cross and Blue Shield of Texas (BCBSTX) membership. Log in to Blue Access for Members SM (BAM SM) Log in to your account to access your health plan information: Find an in-network doctor, hospital or other provider; Pay your bill; Review benefits, account balances, claims status and moreFind a Pharmacy. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes prescription drug coverage, select from the links below to search for a pharmacy: BCBSTX Prescription Drug Plans *. Medicare Plans *. Medicaid Plan: State of Texas Access Reform, STAR *. Medicaid Plan: Children’s Health Insurance Program, CHIP *.Our customer satisfaction ratings are consistently above 96 percent. Focus on the member's needs, not just the question, and consider it their job to answer the "unasked" questions that may ultimately provide better assistance for the member. Have a solid track record of achieving first call resolution of members' needs more than 90 …Blue Cross and Blue Shield of Texas (BCBSTX) gives health care benefits and access to care to help your child stay well. BCBSTX covers all medically necessary care that Medicaid covers. This includes: Visits to PCPs, specialists (with an OK ahead of time for out-of-network providers), or other providers. Routine physicals for children from ...• Mail inquiries to: Blue Cross and Blue Shield of Texas P.O. Box 660044 Dallas, TX 75266-0044 • Additional Information requests – If you received an Additional Information request from BCBSTX, follow the instructions provided …The PPO plan is available to clients through the Blue Choice Network, one of the largest networks in Texas. Blue Choice provides: ... More than 800,000 doctors and 6,000 hospitals contracting with Blue Cross and Blue Shield plans nationwide; For health care services required outside of Texas, members have access to the BlueCard national network ... Here are some plan highlights. Get a Quote & Apply. Blue Cross Medicare Advantage (HMO) SM. Blue Cross Medicare Advantage (PPO) SM. Typically have lower or $0 monthly premiums. Your care is handled by one primary care provider (PCP) who knows your health history. Your costs will be as low as possible when you see a provider in the network. .