2024 Qorshaha caafimaadka ee Blue Plus Metro MN

Blue Plus® waxay ku siisaa shakhsi ahaaneed, isku xirida xuquuqdaada daryeelka caafimaadka bulshadaada.

Isdiiwaangelinta furan ee 2024 ayaa dhammaatay, laakiin waxaad u qalmi kartaa isdiiwaangelinta gaarka ah haddii aad leedahay noloshada xalaadda u qalanto.

Wixii faafaahin ah booqo bogga isdiiwaangelinta gaarka ah.

Qariirada ismaamulka MN ee BluePlus

Blue Plus Metro MN ayaa laga heli karaa degmooyinkan Minnesota:

Anoka

Brown

Carver

Chisago

Dakota

Hennepin

Isanti

Kanabec

McLeod

Nicollet

Ramsey

Scott

Sherburne

Sibley

Washington

Wright

Waa inaad ku nooshahay gudaha Blue Plus Metro MN si aad isku qorto oo aad u sii wadato mid ka mid ah qorshayaashan.

Ku dar caymis si aad u ilaaliso caafimaadkaaga guud

Way fududahay in lagu daro caymiska ilkaha, aragga ama caymiska safarka caalamiga ah wakhti kasta.

Qorshayaasha Ilkaha ee Blue Cross

Qorshayaasha araga ee Blue Cross

Caymiska safarka caalamiga ah

In badan oo ka mid ah shaqaalaha daryeelka caafimaadka ee tayada-sare

Shabakadda Blue Plus Metro MN waxay leedahay nidaam caafimaad oo heersare ah oo ku salaysan qanacsanaanta bukaanka iyo tayada daryeelka waxaana ku jira gelitaanka dhammaan cusbitaallada iyo rugaha caafimaadka Allina iyo bixiyeyaasha kale.

Blue Plus Metro MN Network waxaa ka mid ah:*

  • 29 isbitaalada
  • 5,316 daryeelka bixiyayaasha aasaasiga ah
  • 20,600 daryeelka bixiyayaasha khaaska ah

Bixiyeyaasha muhiimka ah ee mashruuca ku jira:

  • Isbitaalka Abbott Northwestern
  • Children’s Minnesota
  • Adeegyada Caafimaadka Gobolka Glencoe
  • Isbitaalka Mercy
  • Xarunta Caafimaadka ee Ridgeview
  • Xarunta Caafimaadka ee St. Francis

Ku jir shabakada oo kaydi

kharashaadka jeebka ka baxsan ee la soo celin way yaraan doontaa marka dhakhtarkaaga, rugta caafimaadka iyo isbitaalkaaga ay ku jiraan shabakadaada.

Dooro heerkaaga caymiska iyo qaybsiga kharashka

Waxaan bixinaa saddex heer oo caymis ah iyo dariiqooyin lagu bixiyo daryeelka. Mid kastaa wuxuu bixiyaa qaddar kala duwan oo ku saabsan caymiska caafimaadka iyo daawooyinka lagu qoray. Qorshaha saxda ah wuxuu ku xiran yahay inta jeer ee aad booqato dhakhtarka ama farmashiyaha, inta aad rabto inaad bixiso marka aad hesho daryeel, iyo inta aad rabto inaad bixiso ka hor inta uusan qorshahaaga caafimaad bilaabin inuu bixiyo. 

Bronze

  • Hoos u dig khidmada caymiska 
  • Kor u qaad lacag bixinta caymiska ee lagaa rabo 
  • Koontada Keydka Caafimaadka (KKC) qorshooyinka lala jaan qaadi kara ee la heli karo**

Doorasho wanaagsan haddiiaad inta badan aadin dhakhtarka ama farmashiyaha.

Silver

  • Isu-dheellitirka khidmada caymiska iyo lacag bixinta caymiska ee lagaa rabo ee bil kasta 
  • Qorshayaasha isla jaan qaada qorshayaasha KKC**

Doorasho wanaagsan haddii aanad hubin inta jeer ee aad aadi doonto dhakhtarka ama farmashiye

Gold

  • Kor u qaad khidmada caymiska ee bil kasta 
  • Hoos u dig lacag bixinta caymiska ee lagaa rabo

Doorasho wanaagsan haddiiaad u tagto dhakhtarka ama farmashiye si joogto ah

Caymiska daawada dhakhtarka uu qoray

Mashruuca farmashiyaha

Qorshahaaga waxa ku jira caymiska dawooyinka laguu qoray ee laga buuxiyey farmashiyeShabakadda Farmashiyaha Aasaasiga ah.

Ka raadi shabakada farmashiye

Liiska dawooyinka la caymiyay

Dawooyinka ku jiraBasicRxliiska daawada waxa daboolaya qorshahan.

Arag liiska daaooyinka la daboolay

Caymiska Insulin

Tier1 iyo Tier 2 (guud ahaan la door bidayo magaca heerka labaad iyo magaca astaanta) ikhtiyaaraadka insulinta ayaa lagu daboolaa lacag la'aan.

Eeg liiska insulin-ta daboolan

Barnaamijyada caafimaadka iyo ladnaan ayaa kujira

  • La taliyaha Blue CareSM. Isku xir wax walba oo aad baahan tahay inaad si fudud maareyso daryeelka caafimaadka. Helida macluumaadka qorshaha shakhsiga, ilaha iyo onlaynka qalabyadda ama adiga soo degsanaya app-ka La taliyaha Blue Care adiga oo kala soo degaya app store. Baro wax badan oo ku saabsan La taliyaha Daryeelka Blue.
  • Daryeelka Onlaynka Kaga arag dhakhtar isla markiiba talefankaaga casriga ah, tablet-kaaga ama kombayutarka Doctor On Demand®. Dhakhaatiirta shahaadada haysta ee guddiga, dhakhaatiirta dhimirka iyo cilmi-nafsiga waxay daaweeyaan xaalado badan oo caadi ah. Wax badan ka baro daryeelka khadka.
  • Daaweynta caafimaadka dabeecadda ee khadka tooska ah. Ma ka walacsan tahay wax ku saabsan isticmaalka maandoriyaha, walaca, walbahaarka, hurdo la'aanta, niyad-jabka ama adkeysiga? Baro Barnaamijka Tooska ah ee online-ka kaas oo marwalba laga helayo si uu kaga caawiyo shaqada. Wax badan ka baro si aad u Noolaato.
  • Joojinta tubaakada iyo taageerada cabida. Hagitaanka shakhsi ahaaneed ee horumarinta qorshaha joojinta iyo taageerada joogtada ah ee a Tababaraha fayoqabka. Baro wax badan oo ku saabsan joojinta taageerada tubaakada.
  • Suuqa dhimista fayoqabka. Iibso alaabada iyo adeegyada caafimaadkaaga kaaba oo qiimo dhimis ka hel Blue365®. Wax badan ka baro Blue365.

Ku dar koontada kaydka caafimaadka

Qaar ka mid ah bukaanada la jaan qaadi karo maamulayaasha maalgelinta KKC sida Further℠  by HealthEquity. Wax badan ka baro KKC-yada iyo Further.

2024 Dukumintiyada qorshaha

Arag oo soo degso dukumentiyada loogu talo galay qorshaha caafimaadka kas oo ah Blue Plus Metro.

Qorshayaasha Blue Plus Metro MN Network Soo koobida faa'iidooyinka & caymiska (SBC) Buug-yaraha faa'iidada
Blue Plus Metro MN qorshayaasha isdhaafsiga
$8050 Qorshaha258Blue Plus Metro MN KKC Bronze 258 SBC 258 Buug yar oo faa'iidada
Qorshaha Blue Plus Metro MN Bronze $7750 Qorshaha 259b 259 SBC 259 Buug yar oo faa'iidada
$3200 Qorshaha 253 Blue Plus Metro MN KKC Silver 253 SBC 253 Buug yar oo faa'iidada
Blue Plus Metro MN Gold warqada dawada ee dhakhtar qoray ee $1100 Qorshaha wadaaga lacag bixinta254 254 SBC 254 Buug yar oo faa'iidada
Qorshayaasha Blue Plus Metro MN MNsure
$8050 Qorshaha458Blue Plus Metro MN KKC Bronze 458 SBC 458 Buug yar oo faa'iidada
Qorshaha Blue Plus Metro MN Bronze $7750 Qorshaha 459b 459 SBC 459 Buug yar oo faa'iidada
$3200 Qorshaha 453 Blue Plus Metro MN KKC Silver 453 SBC 453 Buug yar oo faa'iidada
Blue Plus Metro MN Gold warqada dawada ee dhakhtar qoray ee $1100 Qorshaha wadaaga lacag bixinta455 455 SBC 455 Buug yar oo faa'iidada
Qorshayaasha kala duwan ee Blue Plus Metro MN MNsure
Blue Plus Metro MN Bronze AI/AN Qorshaha Dhimista Kharash Wadaaga Eber 458a 458a SBC 458a buug yaraha faa'iidada
Blue Plus Metro MN Bronze $8050 AI/AN Blue Plus Metro MN Bronze AI/AN Qorshaha Dhimista Kharash Wadaaga Cayiman 458b 458b SBC 458 buug yar oo faa'iido leh
Blue Plus Metro MN Bronze AI/AN Qorshaha Dhimista Kharash Wadaaga Eber 459a 459a SBC 459a buug yaraha faa'iidada
Blue Plus Metro MN Bronze $7750 AI/AN Blue Plus Metro MN Bronze AI/AN Qorshaha Dhimista Kharash Wadaaga Cayiman 459b 459b SBC 459 buug yar oo faa'iido leh
Blue Plus Metro MN Silver AI/AN Qorshaha Dhimista Kharash Wadaaga Eber 453a 453a SBC 453a buug yaraha faa'iidada
Blue Plus Metro MN Silver3200 AI/AN Qorshaha Dhimista Kharash Wadaaga Cayiman 453b 453b SBC 453 buug yar oo faa'iido leh
Qorshaha Blue Plus Metro MN Silver $2000 Dhimista qaybsiga qiimaha 453c 453c SBC 453 buug yar oo faa'iido leh
Blue Plus Metro MN Silver $300 Qorshaha Dhimista Wadaaga Qiimaha 453 d 453d SBC 453 (PDF)
Blue Plus Metro MN Silver Qorshe Dhimista Qiimaha Lacag bixinta caymiska ee lagaa rabo 453 e 453e SBC 453e buug-yaraha faa'iidada
Blue Plus Metro MN Gold AI/AN Qorshaha Dhimista Kharash Wadaaga Ebear 455a 455a SBC 455a buug yaraha faa'iidada
Blue Plus Metro MN Gold warqada dawada ee dhakhtar qoray ee Qorshaha wadaaga lacag bixinta 1100 AI/AN Qorshaha Dhimista Kharashka La wadaagay ee Xadidan455b 455b SBC 455 buug yar oo faa'iido leh