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Blue Cross Medicare Advantage Freedom Blue (PPO)

H5959 - 018 - 0
4 out of 5 stars (4 / 5)

Blue Cross Medicare Advantage Freedom Blue (PPO) is a Medicare Advantage Plan by Blue Cross and Blue Shield of Minnesota.

This page features plan details for 2025 Blue Cross Medicare Advantage Freedom Blue (PPO) H5959 – 018 – 0 available in 66 County Region.

Locations

Blue Cross Medicare Advantage Freedom Blue (PPO) is offered in the following locations.

Anoka County, Minnesota
Becker County, Minnesota
Beltrami County, Minnesota

Click to see more locations

Plan Overview

Blue Cross Medicare Advantage Freedom Blue (PPO) offers the following coverage and cost-sharing.

Insurer:Blue Cross and Blue Shield of Minnesota
Health Plan Deductible:$0
MOOP:$7,500 In and Out-of-network
$4,200 In-network
Drugs Covered:No

Ready to sign up for Blue Cross Medicare Advantage Freedom Blue (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Medicare Part B Give Back Benefit

The Part B Premium Reduction (Medicare Part B Give Back Benefit) lowers the cost of some Medicare Advantage plans. 

Blue Cross Medicare Advantage Freedom Blue (PPO) qualifies for a monthly Medicare Give Back Benefit of $100.00.

Premium Reduction:$100.00

Premium Breakdown

Blue Cross Medicare Advantage Freedom Blue (PPO) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.
Part B Part C Part B Give Back Total
$185.00 $0.00 $100.00 $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

Blue Cross Medicare Advantage Freedom Blue (PPO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: Yes, contact plan for further details

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: 0-20 Coins – No Co pay (Limits Apply, Authorization Required)
  • Endodontics
    • In-Network: 20 Coins – No Co pay (Limits Apply, Authorization Required)
  • Implant Services
    • In-Network: 20 Coins – No Co pay (Limits Apply, Authorization Required)
  • Oral and Maxillofacial Surgery
    • In-Network: 20 Coins – No Co pay (Limits Apply, Authorization Required)
  • Periodontics
    • In-Network: 0-20 Coins – No Co pay (Limits Apply, Authorization Required)
  • Prosthodontics, fixed
    • In-Network: 20 Coins – No Co pay (Limits Apply, Authorization Required)
  • Prosthodontics, removable
    • In-Network: 20 Coins – No Co pay (Limits Apply, Authorization Required)
  • Restorative Services
    • In-Network: 20 Coins – No Co pay (Limits Apply, Authorization Required)

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – No Copay (Authorization Required)
    • Out-of-Network: No Coins – No Copay (Authorization Required)
  • Fluoride Treatment
    • In-Network: No Coins – No Copay (Authorization Required)
    • Out-of-Network: No Coins – No Copay (Authorization Required)
  • Oral Exams
    • In-Network: No Coins – No Copay (Authorization Required)
    • Out-of-Network: No Coins – No Copay (Authorization Required)
  • Prophylaxis (cleaning)
    • In-Network: No Coins – No Copay (Authorization Required)
    • Out-of-Network: No Coins – No Copay (Authorization Required)

Diagnostic procedures/lab services/imaging

  • Diagnostic radiology services (e.g., MRI)
    • In-Network: $0-70 copay (Authorization Required)
    • Out-of-Network: 40% coinsurance (Authorization Required)
  • Lab services
    • In-Network: $0 copay (Authorization Required)
  • Outpatient x-rays
    • Out-of-Network: 40% coinsurance (Authorization Required)
  • Lab services
    • Out-of-Network: $0 copay (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $0-20 copay (Authorization Required)
  • Outpatient x-rays
    • In-Network: $0 copay (Authorization Required)
  • Diagnostic tests and procedures
    • Out-of-Network: 40% coinsurance (Authorization Required)

Doctor visits

  • Specialist
    • In-Network: $30 copay per visit (Authorization Required)
  • Primary
    • In-Network: $0 copay
    • Out-of-Network: 40% coinsurance per visit
  • Specialist
    • Out-of-Network: 40% coinsurance per visit (Authorization Required)

Emergency care/Urgent care

  • Emergency
    • $125 copay per visit (always covered)
  • Urgent care
    • $35 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • In-Network: $30 copay (Authorization Required)
    • Out-of-Network: 40% coinsurance (Authorization Required)
  • Routine foot care
    • Not covered

Ground ambulance

    • Out-of-Network: $200 copay
    • In-Network: $200 copay

Health plan deductible

    • $0

Hearing

  • Hearing aids OTC
    • Not covered
  • Medicare-Covered Hearing Exam
    • In-Network: $0 copay
  • Fitting/evaluation
    • In-Network: $0 copay
    • Out-of-Network: $0 copay
  • Hearing aids
    • In-Network: $599-899 copay (Limits Apply)
    • Out-of-Network: $599-899 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • Out-of-Network: 40% coinsurance

Inpatient hospital coverage

    • In-Network: $200 per stay (Authorization Required)
    • Out-of-Network: 40% per stay (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $7,500 In and Out-of-network
      $4,200 In-network

Medical equipment/supplies

  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • Out-of-Network: 40% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • In-Network: 20% coinsurance per item (Authorization Required)
    • Out-of-Network: 40% coinsurance per item (Authorization Required)
  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • In-Network: 20-30% coinsurance per item (Authorization Required)
  • Diabetes supplies
    • Out-of-Network: 40% coinsurance per item
    • In-Network: $0 copay

Medicare Part B drugs

  • Other Part B drugs
    • In-Network: 0-20% coinsurance (Authorization Required)
  • Chemotherapy
    • In-Network: 0-20% coinsurance (Authorization Required)
    • Out-of-Network: 40% coinsurance (Authorization Required)
  • Other Part B drugs
    • Out-of-Network: 40% coinsurance (Authorization Required)

Mental health services

  • Outpatient group therapy visit
    • Out-of-Network: 40% coinsurance (Authorization Required)
  • Outpatient individual therapy visit
    • In-Network: $0 copay (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $0 copay (Authorization Required)
  • Outpatient individual therapy visit
    • Out-of-Network: 40% coinsurance (Authorization Required)
  • Outpatient group therapy visit
    • In-Network: $0 copay (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • Out-of-Network: 40% coinsurance (Authorization Required)
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $0 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • In-Network: $200 per stay (Authorization Required)
    • Out-of-Network: 40% per stay (Authorization Required)
  • Outpatient individual therapy visit with a psychiatrist
    • Out-of-Network: 40% coinsurance (Authorization Required)

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • Out-of-Network: 40% coinsurance per visit (Authorization Required)
    • In-Network: $10-150 copay per visit (Authorization Required)

Preventive care

    • In-Network: $0 copay
    • Out-of-Network: 40% coinsurance

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • In-Network: $30 copay (Authorization Required)
    • Out-of-Network: 40% coinsurance (Authorization Required)
  • Occupational therapy visit
    • In-Network: $30 copay (Authorization Required)
    • Out-of-Network: 40% coinsurance (Authorization Required)

Skilled Nursing Facility

    • Out-of-Network: 40% per stay (Authorization Required)
    • In-Network: $0 per day for days 1 through 20
      $214 per day for days 21 through 100 (Authorization Required)

Transportation

    • Not covered

Vision

  • Eyeglass lenses
    • In-Network: $0 copay (Limits Apply)
  • Eyeglasses (frames and lenses)
    • In-Network: $0 copay (Limits Apply)
  • Routine eye exam
    • In-Network: $0 copay (Limits Apply)
  • Contact lenses
    • In-Network: $0 copay (Limits Apply)
  • Eyeglass frames
    • In-Network: $0 copay (Limits Apply)
  • Eyeglass lenses
    • Out-of-Network: $0 copay (Limits Apply)
  • Routine eye exam
    • Out-of-Network: 40% coinsurance (Limits Apply)
  • Eyeglasses (frames and lenses)
    • Out-of-Network: $0 copay (Limits Apply)
  • Other
    • Not covered
  • Contact lenses
    • Out-of-Network: $0 copay (Limits Apply)
  • Eyeglass frames
    • Out-of-Network: $0 copay (Limits Apply)
  • Upgrades
    • Not covered

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Ready to sign up for Blue Cross Medicare Advantage Freedom Blue (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on Blue Cross Medicare Advantage Freedom Blue (PPO)? See 2025 Blue Cross Medicare Advantage Freedom Blue (PPO) at MedicareAdvantageRX.com.

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Get Help Enrolling

Get help enrolling in a Medicare Advantage or Medicare Prescription Drug Plan by calling a licensed insurance agent today.

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint

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Every year, Medicare evaluates plans based on a 5-star rating system.

Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

All plan-related information on this site is from CMS.gov and Medicare.gov. We only use data released publicly each year. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Contact a plan for a Summary of Benefits.

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We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.

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