Eligibility Questionnaire for Vermont Medigap Blue℠
Ask yourself the following questions to determine if Vermont Medigap Blue is right for you:
Do I qualify for Medicare Part A?
Contact Medicare for details at:
(800) 633-4227 / TTY: (877) 486-2048
Should I sign up for Part B now?
Sign up when you are eligible to ensure that you have coverage and avoid extra costs. If you wait, you will pay 10 percent more for each year that you qualified and didn't enroll. There are few exceptions (for example, if you recently had group health insurance through a current or former employer).
Do I want to pay the health care costs that Medicare doesn't cover out-of-pocket?
Every year, you will likely pay:
- Part A deductible ($1,288 per hospital visit in 2016)
- Part B deductible before coverage begins ($166 in 2016)
- Part B premium (In 2016, the monthly amount is $104.90 or $121.80--depending on your circumstances)
- 20 percent of the Medicare-allowed amount
- 100 percent of the cost for services not covered by Medicare
When am I eligible to enroll in Vermont Medigap Blue?
You may apply for Vermont Medigap Blue coverage during your initial Medicare open enrollment period (or as otherwise required by law). The open enrollment period is the six-month period that begins on the first day of the month that you are both 65 years of age or older and enrolled for benefits under Medicare Part B. If you are eligible for Medicare because of a disability, you may only enroll in Vermont Medigap Blue during the six months following the date you become eligible for Medicare. Your coverage takes effect on the first day of the month after we receive your application. Please note, to be eligible for Vermont Medigap Blue, you must be enrolled under both Parts A and B of Medicare.
Do I want prescription coverage?
Add Medicare Part D coverage. Blue Cross and Blue Shield of Vermont, in a joint venture with three other New England plans, contracts with the Federal Government to provide Part D benefits. You can learn more about our plans and eligibility requirements at www.rxmedicareplans.com. You may also call the Blue MedicareRx℠(PDP) team at (888) 496-4178, TTY: 711 (24 hours a day, 7 days a week).
Do I need coverage for traveling abroad?
Think about purchasing Vermont Medigap Blue plans C, D, F or N, which include foreign travel emergency benefits.
S2893_15176 Accepted 01212016
Vermont Medigap Blue Policy Documents
Apply for Coverage
Online Application(complete and submit electronically)