CareFirst BlueCross BlueShield Advantage Salute (PPO)

H7379 - 003 - 0
3.5 out of 5 stars (3.5 / 5)

CareFirst BlueCross BlueShield Advantage Salute (PPO) is a Medicare Advantage Plan by CareFirst BlueCross BlueShield Medicare Advantage.

This page features plan details for 2025 CareFirst BlueCross BlueShield Advantage Salute (PPO) H7379 – 003 – 0 available in Maryland and District of Columbia.

Locations

CareFirst BlueCross BlueShield Advantage Salute (PPO) is offered in the following locations.

Plan Overview

CareFirst BlueCross BlueShield Advantage Salute (PPO) offers the following coverage and cost-sharing.

Insurer:CareFirst BlueCross BlueShield Medicare Advantage
Health Plan Deductible:$0
MOOP:$8,950 In and Out-of-network
$5,900 In-network
$8,950 Out-of-network
Drugs Covered:No

Ready to sign up for CareFirst BlueCross BlueShield Advantage Salute (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. 

CareFirst BlueCross BlueShield Advantage Salute (PPO) qualifies for a monthly Medicare Give Back Benefit of $100.00.

Premium Reduction:$100.00

Premium Breakdown

CareFirst BlueCross BlueShield Advantage Salute (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

CareFirst BlueCross BlueShield Advantage Salute (PPO) also provides the following benefits.

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

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: No Coins – 15.00-30.00 Copay
  • Endodontics
    • In-Network: No Coins – 100.00-200.00 Copay (Authorization Required)
  • Implant Services
    • In-Network: No Coins – 70.00-500.00 Copay (Authorization Required)
  • Oral and Maxillofacial Surgery
    • In-Network: No Coins – 40.00-100.00 Copay (Authorization Required)
  • Periodontics
    • In-Network: No Coins – 50.00-300.00 Copay (Authorization Required)
  • Prosthodontics, fixed
    • In-Network: No Coins – 40.00-400.00 Copay (Authorization Required)
  • Prosthodontics, removable
    • In-Network: No Coins – 30.00-700.00 Copay (Authorization Required)
  • Restorative Services
    • In-Network: No Coins – 15.00-400.00 Copay (Authorization Required)

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: 50% Coins – No Copay
  • Fluoride Treatment
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: 50% Coins – No Copay
  • Oral Exams
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: 50% Coins – No Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: 50% Coins – No Copay

Diagnostic procedures/lab services/imaging

  • Diagnostic tests and procedures
    • Out-of-Network: 50% coinsurance (Authorization Required)
  • Lab services
    • Out-of-Network: 50% coinsurance (Authorization Required)
  • Outpatient x-rays
    • In-Network: $20 copay (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • In-Network: $0-200 copay (Authorization Required)
  • Lab services
    • In-Network: $0 copay (Authorization Required)
  • Outpatient x-rays
    • Out-of-Network: 50% coinsurance (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • Out-of-Network: 50% coinsurance (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $50 copay (Authorization Required)

Doctor visits

  • Primary
    • In-Network: $0 copay
    • Out-of-Network: 50% coinsurance per visit
  • Specialist
    • In-Network: $35 copay per visit (Authorization Required)
    • Out-of-Network: 50% coinsurance per visit (Authorization Required)

Emergency care/Urgent care

  • Urgent care
    • $0-30 copay per visit (always covered)
  • Emergency
    • $100 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • In-Network: $10 copay (Authorization Required)
  • Routine foot care
    • In-Network: $10 copay (Limits Apply, Authorization Required)
  • Foot exams and treatment
    • Out-of-Network: 50% coinsurance (Authorization Required)

Ground ambulance

    • In-Network: $240 copay
    • Out-of-Network: 50% coinsurance

Health plan deductible

    • $0

Hearing

  • Fitting/evaluation
    • In-Network: $0 copay (Limits Apply)
    • Out-of-Network: $0 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • In-Network: $30 copay
  • Hearing aids
    • In-Network: $0-1,475 copay (Limits Apply)
    • Out-of-Network: $0-1,475 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • Out-of-Network: 50% coinsurance
  • Hearing aids OTC
    • Not covered

Inpatient hospital coverage

    • In-Network: $345 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
    • Out-of-Network: 50% per stay (Authorization Required)

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

    • $8,950 In and Out-of-network
      $5,900 In-network
      $8,950 Out-of-network

Medical equipment/supplies

  • Diabetes supplies
    • Out-of-Network: 50% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • In-Network: 15% coinsurance per item (Authorization Required)
  • Diabetes supplies
    • In-Network: $0 copay per item (Authorization Required)
  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • In-Network: 15% coinsurance per item (Authorization Required)
    • Out-of-Network: 50% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • Out-of-Network: 50% coinsurance per item (Authorization Required)

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: 50% coinsurance (Authorization Required)
  • Other Part B drugs
    • Out-of-Network: 50% coinsurance (Authorization Required)

Mental health services

  • Inpatient hospital – psychiatric
    • Out-of-Network: 50% per stay (Authorization Required)
  • Outpatient group therapy visit
    • In-Network: $0-10 copay
  • Outpatient individual therapy visit
    • In-Network: $0-10 copay
    • Out-of-Network: 50% coinsurance
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $0-10 copay
    • Out-of-Network: 50% coinsurance
  • Inpatient hospital – psychiatric
    • In-Network: $245 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
  • Outpatient group therapy visit
    • Out-of-Network: 50% coinsurance
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $0-10 copay
    • Out-of-Network: 50% coinsurance

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • In-Network: $0-250 copay per visit (Authorization Required)
    • Out-of-Network: 50% coinsurance per visit (Authorization Required)

Preventive care

    • In-Network: $0 copay
    • Out-of-Network: 50% coinsurance

Rehabilitation services

  • Occupational therapy visit
    • Out-of-Network: 50% coinsurance (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • In-Network: $35 copay (Authorization Required)
  • Occupational therapy visit
    • In-Network: $35 copay (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • Out-of-Network: 50% coinsurance (Authorization Required)

Skilled Nursing Facility

    • In-Network: $0 per day for days 1 through 20
      $200 per day for days 21 through 100 (Authorization Required)
    • Out-of-Network: 50% per stay (Authorization Required)

Transportation

    • In-Network: $0 copay (Limits Apply)
    • Out-of-Network: $0 copay (Limits Apply)

Vision

  • Eyeglasses (frames and lenses)
    • In-Network: $10 copay (Limits Apply, Authorization Required)
    • Out-of-Network: 50% coinsurance (Limits Apply, Authorization Required)
  • Eyeglass frames
    • Not covered
  • Other
    • Not covered
  • Routine eye exam
    • Out-of-Network: 50% coinsurance (Limits Apply)
  • Contact lenses
    • In-Network: $0 copay (Limits Apply, Authorization Required)
    • Out-of-Network: 50% coinsurance (Limits Apply, Authorization Required)
  • Eyeglass lenses
    • Not covered
  • Routine eye exam
    • In-Network: $0-60 copay (Limits Apply)
  • Upgrades
    • Not covered

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

    • Covered

Ready to sign up for CareFirst BlueCross BlueShield Advantage Salute (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 CareFirst BlueCross BlueShield Advantage Salute (PPO)? See 2025 CareFirst BlueCross BlueShield Advantage Salute (PPO) at MedicareAdvantageRX.com.

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