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Platinum Blue Core Plan (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Platinum Blue Core Plan (Cost). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Platinum Blue Core Plan (Cost) in 2026, please refer to our full plan details page.
Platinum Blue Core Plan (Cost) is a Cost plan offered by Aware Integrated, Inc. available for enrollment in 2025 to people living in 21 County region. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Platinum Blue Core Plan (Cost) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Platinum Blue Core Plan (Cost).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Platinum Blue Core Plan (Cost), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6000.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
Prescription drugs are not covered by Platinum Blue Core Plan (Cost).
Additional Benefits
The Platinum Blue Core Plan (Cost) offers comprehensive coverage for essential medical services, featuring no copay and no coinsurance for preventive care, home health services, and routine hearing exams. For primary care and specialist visits, members will pay a $20 and $45 copay respectively with no coinsurance, while inpatient hospital stays require a $300 copay for the first five days. Outpatient hospital services and emergency ambulance transport carry a 20% coinsurance with no copay, and emergency room visits require a $130 copay that is waived if the patient is admitted. Specialty care benefits under the plan include select coverage for dental and vision services, which both feature no copay but require a 20% coinsurance for Medicare-covered dental procedures and eyewear. Prescription hearing aids are covered with no coinsurance and copays ranging from $699 to $999 per device, while over-the-counter items are fully covered with no copay and no coinsurance. Skilled nursing facility care is also available with no copay for the first 20 days, followed by a $218 daily copay up to day 100.
Inpatient Hospital See details
Platinum Blue Core Plan (Cost) partially covers inpatient hospital acute and psychiatric services with no coinsurance, requiring a $300 copay for days 1 to 5 and no copay for days 6 to 90 per stay. Additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services under the Platinum Blue Core Plan (Cost) are covered with no copay and a 20% coinsurance for outpatient hospital and ambulatory surgical center services. Outpatient substance abuse services carry a $20 copay per individual or group session with no coinsurance, while outpatient blood services are provided with no copay or coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the Platinum Blue Core Plan (Cost) with a $60.00 copay and no coinsurance.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered under the Platinum Blue Core Plan (Cost), requiring a 20% coinsurance and no copay for both ground and air ambulance services. Transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
Platinum Blue Core Plan (Cost) partially covers emergency services, as worldwide urgent care is not covered. Covered emergency services require a $130 copay (waived if admitted to the hospital within 24 hours) and no coinsurance, urgently needed services have a $50 copay and no coinsurance, and worldwide emergency transportation incurs a 20% coinsurance with no copay.
Primary Care See details
Primary care services under the Platinum Blue Core Plan (Cost) are partially covered, with no coverage for podiatry and additional telehealth, and while chiropractic services are technically covered, routine and other chiropractic services are not. Covered primary care visits require a $20 copay, specialist visits require a $45 copay, therapy and mental health sessions carry a $20 to $40 copay (all with no coinsurance), and opioid treatment has no copay with 20% coinsurance.
Preventive Services See details
Preventive Services are partially covered under the Platinum Blue Core Plan (Cost) with no copay and no coinsurance for covered services like annual physical exams and kidney disease education. However, several services are not covered, including in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, home safety modifications, and counseling.
Hearing Services See details
Platinum Blue Core Plan (Cost) covers hearing exams with no copay, no coinsurance, and no deductible, including two routine exams per year and unlimited fitting evaluations. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $699.00 to $999.00 for up to two devices per year, while OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Platinum Blue Core Plan (Cost) offers vision services with no copay and no coinsurance for eye exams, and no copay with a 20% coinsurance for eyewear. While some services are covered, routine eye exams, other eye exam services, contact lenses, eyeglasses, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Platinum Blue Core Plan (Cost) partially covers dental services, offering coverage only for Medicare-covered dental services with no copay and a 20% coinsurance, requiring prior authorization. Other dental services, including preventive cleanings, oral exams, x-rays, restorative care, and orthodontics, are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by the Platinum Blue Core Plan (Cost) with no copay and require prior authorization. Under this benefit, Medicare Part B insulin is covered with a copay of $0 to $35 and no coinsurance, while chemotherapy and other Part B drugs have a coinsurance of 0% to 20%.
Dialysis Services See details
Dialysis Services are covered under the Platinum Blue Core Plan (Cost) with no copay and a 20% coinsurance.
Medical Equipment See details
Platinum Blue Core Plan (Cost) partially covers medical equipment with no copay, though coinsurance ranges from 20% to 40% for durable medical equipment (prior authorization required) and is 20% for prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are not covered under this benefit.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered by the Platinum Blue Core Plan (Cost), as lab services are not covered. Covered diagnostic procedures and tests carry no coinsurance and a copay ranging from no copay to $25, while radiological services require a $60 copay for X-rays, 20% coinsurance for therapeutic services, and a copay with no coinsurance for diagnostic radiology.
Home Health Services See details
Home Health Services are covered under the Platinum Blue Core Plan (Cost) with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered with no copay and no coinsurance under the Platinum Blue Core Plan (Cost), though only some services are covered in practice since cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Platinum Blue Core Plan (Cost) with no coinsurance, requiring a prior three-day inpatient hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with no coverage provided for additional days beyond the standard Medicare-covered limit.
Other Services See details
Other services are partially covered under the Platinum Blue Core Plan (Cost), which does not cover meal benefits. Covered benefits include acupuncture with a $15 copay and no coinsurance, over-the-counter items with no copay and no coinsurance, and additional telehealth services with a $0 to $50 copay and 20% coinsurance.
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