CHI Joins BCBSNE Medicare Advantage Network

Blue Cross and Blue Shield of Nebraska (BCBSNE) is adding CHI Health facilities and their affiliated doctors to the provider network available to members covered under BCBSNE’s Medicare Advantage plans.  The addition of CHI Health through UniNet (their clinically integrated network) to the BCBSNE Medicare Advantage network will go into effect April 1, 2017. 

“Expanding the network of medical providers for our Medicare Advantage plans gives Nebraska’s growing senior population more options and affordable solutions for their health care needs,” Steve Grandfield, BCBSNE executive vice president said.  “That’s been our commitment all along, to improve the quality of life for retirees and enable more good years.”

BCBSNE’s Medicare Advantage plans are available to residents in six Nebraska counties:  Cass, Douglas, Dodge, Lancaster, Sarpy and Saunders. BCBSNE began offering Medicare Advantage plans in the fall of 2016.

"We are pleased that Blue Cross and Blue Shield of Nebraska has chosen to partner with CHI Health to bring value to health care," said Cliff Robertson, MD, Chief Executive Officer of CHI Health. "As we promised our community three years ago, CHI Health is committed to delivering the highest quality of care at the lowest cost. This partnership is a reflection of that commitment - a commitment that extends to people of all ages."

Medicare Advantage plans combine all the benefits available under Original Medicare:  Part A (hospital), Part B (medical) and Part D (prescription drugs), into one package, with one ID card. BCBSNE Medicare Advantage plans also include extra benefits such as vision, hearing and gym membership.  The Medicare Advantage Core Plan features a $0 monthly premium. Get details on our Medicare Advantage insurance plans.

The annual enrollment period for Medicare is October 15 to December 7 each year.  Outside of that period, those becoming eligible for Medicare, or those who have a special qualifying event are eligible to sign up for a Medicare Advantage plan.


HEALTH INSURANCE TERMS


COINSURANCE

The percentage of the bill you pay after your deductible has been met.

COPAY

A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 

DEDUCTIBLE

The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.

SUBSTANCE ABUSE DISORDER SERVICES

Includes behavioral health treatment, counseling, and psychotherapy


in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)

out-of-pocket

Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.

penalty

If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.

premium

The amount you pay to your health insurance company each month. 


Preventive services

Health care services that focus on the prevention of disease and health maintenance.

rehab SERVICES

Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).

specialist

A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.