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BlueCross Total Value (PPO)
BlueCross Total Value (PPO)
Blue Cross Blue Shield of South Carolina
PPO
SC
2025

Heading

Blue Cross Blue Shield of South Carolina

PPO

SC

2025

$

0

/mo

Monthly Premium

$

9250

Max Out-of-Pocket (MOOP)

4.0

Star Rating

Plan Costs at a Glance

Total Premium (incl. Part B)

$

0

/ month

Max Out-of-Pocket (MOOP)

$

9250

Drug Deductible

$

200

Contract ID

H8003

Plan ID

004

Included Benefits

Dental Coverage

Comprehensive dental coverage

Vision Coverage

Routine eye exams + eyewear (glasses/contacts) allowance

Hearing Benefits

Hearing exams + aid allowance

OTC Benefit

$5/quarterly OTC benefit for approved items

5

Transportation

"Non-emergency medical transportation"

Telehealth

24/7 virtual care visits

Fitness Benefit

SilverSneakers / gym access

What You Pay at the Doctor

Primary Care (PCP) Visit

$

35

copay

Specialist Visit

$

17

copay

Medicare Plans

Wellpoint Medicare Advantage (HMO)
Plan Too New To Be Measured
Wellcare Simple Open (PPO)
4.0
Wellcare Simple (HMO-POS)
4.0
Wellcare Patriot Giveback (HMO-POS)
4.0
Wellcare Giveback (HMO-POS)
4.0
Wellcare Assist Open (PPO)
4.0
Wellcare Assist (HMO-POS)
4.0
Wellcare Absolute Total Care Dual Align (HMO D-SNP)
Plan Too New To Be Measured
UHC Nursing Home Plan SC-F001 (PPO I-SNP)
4.5
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO)
4.0
UHC Dual Complete SC-V001 (PPO D-SNP)
4.5
UHC Dual Complete SC-S2 (PPO D-SNP)
4.5
UHC Dual Complete SC-S001 (PPO D-SNP)
4.5
UHC Complete Care Support SC-7 (PPO C-SNP)
4.5
UHC Complete Care Support GS-1A (Regional PPO C-SNP)
4.0
UHC Complete Care SC-1 (PPO C-SNP)
4.5
Senior Care (HMO I-SNP)
5.0
PruittHealth Premier (HMO I-SNP)
Not Enough Data Available
NHC Advantage (HMO I-SNP)
5.0
Molina Medicare Complete Care Plus (HMO D-SNP)
3.5
HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
3.5
HumanaChoice R0110-019 (Regional PPO)
3.5
HumanaChoice H7617-095 (PPO)
4.5
HumanaChoice H5525-049 (PPO)
3.5
HumanaChoice H5216-466 (PPO)
3.5
HumanaChoice H5216-423 (PPO)
3.5
HumanaChoice H5216-347 (PPO)
3.5
HumanaChoice H5216-280 (PPO)
3.5
HumanaChoice H5216-157 (PPO)
3.5
HumanaChoice Giveback H7617-094 (PPO)
4.5
HumanaChoice Giveback H5216-345 (PPO)
3.5
HumanaChoice Giveback H5216-154 (PPO)
3.5
HumanaChoice - Diabetes and Heart (PPO C-SNP)
3.5
Humana USAA Honor Giveback (PPO)
4.5
Humana USAA Honor Giveback (PPO)
3.5
Humana USAA Honor Giveback (PPO)
3.5
Humana Together in Health (PPO I-SNP)
3.5
Humana Gold Plus H5619-171 (HMO)
3.0
Humana Gold Plus H5619-152 (HMO)
3.0
Humana Gold Plus H5619-083 (HMO)
3.0
Humana Gold Plus Giveback H5619-169 (HMO)
3.0
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
3.0
Humana Gold Choice H8145-069 (PFFS)
3.5
Humana Full Access R0110-020 (Regional PPO)
3.5
Humana Dual Integrated (HMO D-SNP)
Plan Too New To Be Measured
HealthSpring True Choice Plus (PPO)
3.0
HealthSpring True Choice (PPO)
3.0
HealthSpring Preferred Savings (HMO)
4.0
HealthSpring Preferred (HMO)
4.0
HealthSpring Courage (HMO)
4.0
First Choice VIP Care (HMO D-SNP)
Not Enough Data Available
DEVOTED PREMIUM 003 SC (HMO)
Not Enough Data Available
DEVOTED CORE 001 SC (HMO)
Not Enough Data Available
DEVOTED CHOICE MA ONLY 003 SC (PPO)
4.5
DEVOTED CHOICE GIVEBACK 002 SC (PPO)
4.5
DEVOTED CHOICE 001 SC (PPO)
4.5
DEVOTED C-SNP CHOICE PREMIUM 005 SC (PPO C-SNP)
4.5
DEVOTED C-SNP CHOICE PLUS 006 SC (PPO C-SNP)
4.5
DEVOTED C-SNP CHOICE 004 SC (PPO C-SNP)
4.5
Clover Health Valor (PPO)
3.5
Clover Health LiveHealthy Giveback (PPO)
3.5
Clover Health LiveHealthy (PPO)
3.5
BlueCross Total (PPO)
4.0
BlueCross Total (PPO)
4.0
BlueCross Total (PPO)
4.0
BlueCross Blue Basic (PPO)
4.0
Aetna Medicare Value Plus (HMO)
4.0
Aetna Medicare Signature Giveback (PPO)
4.5
Aetna Medicare Signature Care (PPO)
4.5
Aetna Medicare Signature (PPO)
4.5
Aetna Medicare Signature (PPO)
4.5
Aetna Medicare Signature (PPO)
4.5
Aetna Medicare Signature (HMO)
4.0
Aetna Medicare Full Dual Care (HMO D-SNP)
4.0
Aetna Medicare Full Dual (HMO D-SNP)
4.0
Aetna Medicare Enhanced (PPO)
4.5
Aetna Medicare Enhanced (HMO)
4.0
Aetna Medicare Enhanced (HMO)
4.0
Aetna Medicare Eagle Giveback (PPO)
4.5
Aetna Medicare Chronic Care Total (HMO C-SNP)
4.0
Aetna Medicare Chronic Care (HMO C-SNP)
4.0
AARP Medicare Advantage from UHC SC-0006 (HMO-POS)
3.5
AARP Medicare Advantage from UHC SC-0005 (HMO-POS)
3.5
AARP Medicare Advantage from UHC SC-0004 (PPO)
4.5
AARP Medicare Advantage Patriot No Rx SC-MA01 (HMO-POS)
3.5
Wellcare Simple Open (PPO)
3.5
Wellcare Simple (HMO-POS)
3.5
Wellcare Patriot Giveback Open (PPO)
3.5
Wellcare Giveback Open (PPO)
3.5
Wellcare Dual Reserve (HMO-POS D-SNP)
3.5
Wellcare Dual Liberty Open (PPO D-SNP)
3.5
Wellcare Dual Liberty (HMO-POS D-SNP)
3.5
Wellcare Dual Access (HMO-POS D-SNP)
3.5
Wellcare Assist Open (PPO)
3.5
UHC Nursing Home Plan NC-F001 (PPO I-SNP)
4.5
UHC Dual Complete NC-V001 (HMO-POS D-SNP)
4.0
UHC Dual Complete NC-S3 (HMO-POS D-SNP)
4.0
UHC Dual Complete NC-S2 (PPO D-SNP)
4.0
UHC Dual Complete NC-S001 (PPO D-SNP)
4.0
UHC Dual Complete NC-D001 (HMO-POS D-SNP)
4.0

Is

BlueCross Total Value (PPO)

Right for You?

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About

Blue Cross Blue Shield of South Carolina

BlueCross BlueShield of South Carolina offers Medicare Advantage plans (Blue Medicare) statewide with access to South Carolina's largest provider network. Blue Medicare SC plans include HMO and PPO options, typically featuring dental, vision, hearing, fitness, and OTC benefits backed by the state's most recognized health insurance brand.

Phone:

1-888-410-2227

Website:

https://www.southcarolinablues.com/web/member/plans/medicare

Parent company:

BlueCross BlueShield of South Carolina
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