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CareFirst BlueCross BlueShield Advantage Salute (PPO)

Health Insurance Company: CareFirst BlueCross BlueShield Medicare Advantage

Medicare Advantage Plan Details

CareFirst BlueCross BlueShield Medicare Advantage
$0 /mo
monthly premium
CareFirst BlueCross BlueShield Advantage Salute (PPO)
Additional Coverage
Overall Star Rating (2025)
  • Dental
  • Vision
  • Hearing
3.5
out of 5 stars

General Plan Details

Medical Deductible
$0
Out-of-Pocket Maximum
$5900
Rx Drug Coverage
No
Rx Deductible
$0
Primary Doctor Office Visit
$0 copay
Specialist Office Visit
$35 copay per visit

Additional Benefits

Dental Coverage
Yes
Vision Coverage
Yes
Mental Health Coverage
Yes
Transportation for non-emergency
No
Fitness Benefits
Yes
Worldwide emergency
Yes
Telehealth
Yes
Part B Give Back
No

Doctor & Hospital Coverage

Primary Doctor Office Visit
In-network: $0 copay
Out-of-network: 50% coinsurance per visit
Specialist Office Visit
In-network: $35 copay per visit
Out-of-network: 50% coinsurance per visit
Periodic Exam Coverage
In-network: $0 copay
Out-of-network: 50% coinsurance

Emergency Room

$100 copay per visit (always covered)

Ambulance Coverage

In-network: $240 copay
Out-of-network: 50% coinsurance

Lab, X-Ray, Radiology Coverage

Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: In-network: $50 copay
Out-of-network: 50% coinsurance
Medicare-covered lab services: In-network: $0 copay
Out-of-network: 50% coinsurance
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): In-network: $0-200 copay
Out-of-network: 50% coinsurance
Medicare-covered x-ray services: In-network: $20 copay
Out-of-network: 50% coinsurance

Outpatient Surgery Coverage

Outpatient hospital:
Medicare-covered outpatient hospital services: In-network: $0-250 copay per visit
Out-of-network: 50% coinsurance per visit

Hospitalization Coverage

Inpatient hospital-acute:
In-network: $345 per day for days 1 through 5
$0 per day for days 6 through 90
Out-of-network: 50% per stay
Inpatient hospital psychiatric:
In-network: $245 per day for days 1 through 5
$0 per day for days 6 through 90
Out-of-network: 50% per stay

Rehabilitation Coverage

Occupational therapy services:
In-network: $35 copay
Out-of-network: 50% coinsurance
Physical therapy and speech and language therapy services:
In-network: $35 copay
Out-of-network: 50% coinsurance

Urgent Care Coverage

$0-30 copay per visit (always covered)

Skilled Nursing Facility (SNF)

In-network: $0 per day for days 1 through 20
$200 per day for days 21 through 100
Out-of-network: 50% per stay

Mental Health Coverage

Medicare-covered individual sessions: In-network: $0-10 copay
Out-of-network: 50% coinsurance
Medicare-covered group sessions: In-network: $0-10 copay
Out-of-network: 50% coinsurance

Dental, Vision, Hearing Benefits

Dental Services

Oral exams:
In-network: $0 copay
Out-of-network: 50% coinsurance
Prophylaxis (cleaning):
In-network: $0 copay
Out-of-network: 50% coinsurance
Dental x-rays:
In-network: $0 copay
Out-of-network: 50% coinsurance

Vision Benefits

Eye exams:
Routine eye exams: In-network: $0-60 copay
Out-of-network: 50% coinsurance
Eyewear:
Contact Lenses: In-network: $0 copay
Out-of-network: 50% coinsurance
Eyeglasses: In-network: $10 copay
Out-of-network: 50% coinsurance

Hearing Benefits

Hearing exams:
Routine hearing exams: In-network: $30 copay
Out-of-network: 50% coinsurance
Hearing aids:
Hearing aids (all types): In-network: $0-1,475 copay
Out-of-network: $0-1,475 copay

More Additional Benefits

Annual physical exams
Yes
Chiropractic Coverage
Yes
Acupuncture
Yes
Massage Therapy
No
Health Education
No
Counseling Services
No
Support for Caregivers of Enrollees
No
Personal Emergency Response System (PERS)
No
In-home support services
No
Home and bathroom safety devices
No
Meals for short duration
No

Plan Links

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Where This Plan is Available

Additional Plan Info

Plan Year:
2025

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Anthem Blue Cross and Blue Shield
  • Aspire Health Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • HealthSun
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint