Medicare Tools and Resources | BCBS of Tennessee (2024)

FAQs

Does Tennessee have OTC benefits? ›

BlueAdvantage members get a quarterly allowance to spend on over-the-counter (OTC) items like cold medicine, vitamins and more.

BlueCare Plus members get $230 a month to use on over-the-counter (OTC) items, healthy food and housing utilities. BlueCare Plus Select members get $300 a month for OTC items, healthy food and housing utilities. BlueCare Plus Choice members get $280 for OTC items and healthy food and $100 a month for housing utilities.

If Zepbound has received FDA approval for your specific medical condition, it will likely be covered by BCBS.

What is the overall deductible? Network providers: $0/single, $0/employee + child(ren), and $0/family. Out-of-network providers: $200/single and $600/employee + child(ren) and $600/family. Doesn't apply to preventive care.

Use your $25 a month to get items like baby wipes, allergy products, pain relief medicine and more. You can also get everyday items like laundry detergent, soap and toothbrushes.

Examples of approved food items are fruits, vegetables, meats, poultry, seafood, eggs, dairy, rice, pasta, beans, and much more.

Over-the-counter (OTC) benefits help cover the cost of eligible OTC health and wellness products. This benefit is included in most Medicare Advantage plans, but not all.

Items that do not qualify include non-food and pet items, alcohol, baby formula, candy, chips, coffee shop items, desserts, fresh baked goods, soda, and tobacco. To check if an item is approved, members can download the Healthy Benefits Plus app, scan the product and it will advise if item is allowable.

How to get a Mounjaro Savings Card. The Mounjaro Savings Card is available through Eli Lilly. Depending on your eligibility, you may pay only $25 for a 1-month or 3-month supply of Mounjaro. Unfortunately, the Mounjaro Savings Card is only available to people with commercial health insurance.

How to get Zepbound for $25? ›

For patients with commercial drug insurance coverage for Zepbound: You must have commercial drug insurance that covers Zepbound ^®(tirzepatide) and a prescription consistent with FDA-approved product labeling to pay as little as $25 for a 1-month, 2-month, or 3-month prescription fill of Zepbound.

Wegovy is a prescription-only medication. This means you must get a prescription from a licensed healthcare professional, such as a doctor or nurse practitioner, to access it. Once you have a prescription for Wegovy, you can fill it at your local pharmacy or through a reputable online pharmacy.

Like many insurance companies, BlueCross BlueShield of Tennessee's product offerings include the following types of plans: PPO.

BlueCard — Wherever You Go, Your Health Care Coverage Goes With You. When you're a BlueCross BlueShield of Tennessee plan member, you take your health care benefits with you — across the country and around the world — through the BlueCard program.

A copay is a fixed out-of-pocket amount paid by an insured for covered services. It is a standard part of many health insurance plans. Insurance providers often charge co-pays for services such as doctor visits or prescription drugs.

Tennessee uses the federally run health insurance exchange (Marketplace), HealthCare.gov, for residents to purchase its ACA Marketplace plans.

An OTC benefit is a part of most Medicare Advantage plans. It gives you money to spend on eligible OTC products. This is typically a fixed allowance that comes every month or quarter.

You can also order by phone at 1-888-628-2770 (TTY: 711) Monday to Friday, from 9 AM to 8 PM local time or online at https://www.cvs.com/benefits. You order from a list of approved items, and it will be sent to your address. How much is my OTC benefit? You have $25 per month.