2025 Qorshaha caafimaadka ee Blue Plus Metro MN

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

Isdiiwaangelinta gaarka ah

Is diiwaangelinta furan ee 2025 way dhammaatay.

Ma seegtay waqtiga is diiwaangelinta? Waxaa laga yaaba inaad u qalanto weli qorshaha iyadda oo lo marayo is diiwaangelinta gaar ah.

Dulmarka qorshaha

Shakhsiga & Qoyska: Blue Plus Metro MN

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.

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.

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 iyo Wright

Blue Plus Metro MN Network waxaa ka mid ah:*

  • 29 isbitaalada
  • 5,602 bixiyayaal daryeel aasaasi ah
  • 22,185 bixiyeyaasha daryeelka qaaska ah

Bixiyaasha Metro MN Key in-network:

  • Isbitaalka Abbott Northwestern
  • Children’s Minnesota
  • Glencoe Regional Health
  • Isbitaalka Mercy
  • Xarunta Caafimaadka ee St. Francis

Waxaan halkaan u joognaa inaan ku caawinno

Naga soo wac: 1-800-262-0823 (TTY 711)

Faahfaahinta Qorshaha

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

Waa dookh wanaagsan haddii aadan aadin dhakhtark ama farmashiye inta badan.

  • Hoos u dig khidmada caymiska
  • Kor u qaad lacag bixinta caymiska ee lagaa rabo
  • Koontada Keydka Caafimaadka KKC iyo qorshayaa la jaaqaadaya***

Silver

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

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

Gold

Doorasho wanaagsan haddii aad si joogto ah u tagto dhakhtarka ama farmashiye.

  • Kor u qaad khidmada caymiska ee bil kasta
  • Hoos u dig lacag bixinta caymiska ee lagaa rabo
  • Qorshayaasha isla jaan qaada qorshayaasha KKC**

Doorashooyin badan

Caymiska daawada dhakhtarka uu qoray

Mashruuca farmashiyaha

Qorshayaa caafimaadka qoyska iyo shakhsiga ee Blue Plus waxaa ka mid ah caymiska loogu daawada la qoray ee farmashiyaasha ee ku jira Essential Pharmacy Network.

Barnaamijyada caafimaadka iyo ladnaan

La taliyaha Blue Care

Isku xir wax walba oo aad baahan tahay inaad si fudud maareyso daryeelka caafimaadka. Hel macluumaadkaaga qorshaha shakhsiga ah, ilaha, iyo aaladaha online-ka ama adoo soo degsanaya barnaamijka Blue Care AdvisorSM ee dukaankaaga app-ka aad jeceshahay.

Online Care

Hel dhakhaatiirta shahaadada guddiga, dhakhaatiirta dhimirka iyo dhakhaatiirta cilmu-nafsiga adigoo adeegsanaya Doctor On Demand® iyada oo loo marayo taleefanada casriga ah, kiniiniga ama kombiyuutarka.

Taageerada hab nololeedka caafimaadka onalynka ee Omada

Omada waxay gaar u tahay inay caawiso inaad gaarto yoolalkaaga caafimaadka -haddii ay tahay inaad miisaanka iska dhinato, hesho tamar, ama kor u qaadida caafimaadkaaga guud.

Daaweynta caafimaadka habdhaqanka 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.

Joojinta tubaakada iyo khadka taageerada ee uumiga

Hagitaanka shakhsi ahaaneed ee horumarinta qorshaha joojinta iyo taageerada joogtada ah ee a Tababaraha fayoqabka.

Suuqa dhimista fayoqabka

Soo iibso badeecadaha iyo adeegyada caafimaadkaaga kaabaya oo ka hel qiimo dhimis Blue365 ®

Ilaha iyo Taageerada

Ka dukaamayso MNsure

MNsure waa meesha kaliya ee aad codsan karto kaalmada dhaqaale si hoos loogu dhigo qiimaha khidmada caymiska ee bilaha ah iyo kharashaadka laga-bixiyo jeebka

*Tirooyinka waa la beddeli karaa oo waxay ka tarjumayaan qandaraasyada la saxiixay laga bilaabo Juun 2025.

**Qorshayaasha qaarkood waxay la jaan qaadaan KKC ee maamulayaasha maalgashiga KKC sida HealthEquity.®

***Laga bilaabo Janaayo 1, 2026, qorshayaasha Bronze ayaa laga yaabaa inay la jaan qaadaan Koontada Keydka Caafimaadka (KKC). Macluumaadkan looguma talagalin inuu noqdo talo canshuureed, fadlan la tasho xirfadle canshuur haddii aad su'aalo qabto. Haddii aad u baahan tahay in laga caawiyo dejinta KKC, fadlan la xiriir maamulaha KKC ama hay'addaada maaliyadeed. Blue Plus ma ahan macahad dhaqaale, mana bixin karto talo canshuur.

Blue Care AdvisorSM wuxuu bixiya Blue Cross® iyo Blue Shield® of Minnesota, shasiga samo fal madax banaan ee Blue Cross iyo Blue Shield Association.

Doctor On Demand by Included Health waa shirkad madax banaan oo bixisa adeegyada caafimaadka.

Baro Nolosha, Inc, waa shirkadd madax badaan oo bixisa barnaamijyada daaweynta garashada dabeecadda iyo adeegyada.

Blue365® waa calaamad ka diiwaan gashan Ururka Blue Cross iyo Blue Shield, oo ah urur madax-banaan ee qorshooyinka Blue Cross iyo/ama Blue Shield.

Adeeg bixiye kasta oo ah daryeelka caafimaadka waa qandarasle madaxbanaan mana ahaan wakiilkeena.

HMO Minnesota, d.b.a. Blue Plus, oo xiriir la leh Blue Cross iyo Blue Shield ee Minnesota.

Aragg liiska wafdiyada ku filan shabakada ee Wasaaradda Caafimaadka Minnesota ay ansixisay qorshaha.

Barnaamijka Omada waxa uu ka socdaa Omada Health, Inc., oo ah shirkad madax-bannaan oo bixisa barnaamij la-talin dabeecadeed oo degdeg ah.