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Platinum Blue Complete Plan (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Platinum Blue Complete 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 Complete Plan (Cost) in 2026, please refer to our full plan details page.
Platinum Blue Complete 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 Complete 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 Complete 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 Complete 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 $3000.00 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 Complete Plan (Cost).
Additional Benefits
The Platinum Blue Complete Plan (Cost) offers robust coverage with no copays and no coinsurance for primary care, specialist visits, preventive services, and routine physical exams. For hospital stays, members pay a $200 copay per inpatient admission and up to a $50 copay for outpatient services, both with no coinsurance. Emergency care and ambulance services are also highly accessible, featuring a $50 copay for emergency room visits and a $200 copay for ambulance transportation. Ancillary benefits include routine eye and hearing exams with no copays, alongside dental coverage of up to $1,000 annually with no copays or coinsurance for covered preventive services. Prescription hearing aids are available with copays ranging from $499 to $799, while skilled nursing facility stays feature no copay for the first 20 days and a $109 daily copay for days 21 through 100. Additionally, members benefit from a $50 quarterly over-the-counter allowance and up to 12 acupuncture treatments per year with no copays.
Inpatient Hospital See details
Platinum Blue Complete Plan (Cost) covers inpatient acute and psychiatric hospital stays with a $200 copay per admission and no coinsurance. While unlimited additional acute stay days are covered with no copay, this plan does not cover additional psychiatric days, upgrades, or non-Medicare-covered stays.
Outpatient Services See details
Platinum Blue Complete Plan (Cost) covers outpatient hospital services with a $0 to $50 copay and no coinsurance, and observation services with a $50 copay per stay and no coinsurance. Ambulatory surgical center and outpatient blood services are fully covered with no copay and no coinsurance, while outpatient substance abuse services are not covered.
Partial Hospitalization See details
Partial hospitalization is covered by the Platinum Blue Complete Plan (Cost) with no copay and no coinsurance.
Ambulance and Transportation Services See details
Platinum Blue Complete Plan (Cost) covers ground and air ambulance services with a $200 copay and no coinsurance. While some transportation services are covered under this plan, transportation to plan-approved health-related locations and any other health-related locations is not covered.
Emergency Services See details
Emergency Services are covered by the Platinum Blue Complete Plan (Cost) with a $50 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay or coinsurance, while worldwide emergency services are partially covered with a $50 copay and no coinsurance for emergency care and transportation, though worldwide urgent coverage is not covered.
Primary Care See details
Primary Care benefits under the Platinum Blue Complete Plan (Cost) are covered with no copay and no coinsurance for primary care, specialist visits, physical, occupational, and speech therapies, and opioid treatment. Chiropractic, mental health, psychiatric, podiatry, and telehealth services are not covered.
Preventive Services See details
Platinum Blue Complete Plan (Cost) covers preventive services, including annual physical exams, kidney disease education, and screenings, with no copay and no coinsurance. Additional preventive services are partially covered with no copay and no coinsurance, but do not cover in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, home and bathroom safety devices, or counseling.
Hearing Services See details
Platinum Blue Complete Plan (Cost) provides partially covered hearing services, including diagnostic exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered with no coinsurance and a copay ranging from $499 to $799 for up to two devices per year, though OTC hearing aids and inner ear, outer ear, or over the ear prescription models are not covered.
Vision Services See details
Platinum Blue Complete Plan (Cost) partially covers vision services with no deductibles, as other eye exam services and eyewear upgrades are not covered. Covered services include one routine routine eye exam per year with no copay and no coinsurance, as well as eyewear with no copay and a 20% coinsurance for contact lenses up to a $150 annual maximum.
Dental Services See details
Dental services are partially covered by the Platinum Blue Complete Plan (Cost) with no copay and no coinsurance for covered benefits, up to a $1,000 maximum annual limit. Covered services include oral exams, cleanings, fluoride, x-rays, periodontics, and adjunctive general services, while restorative services, endodontics, prosthodontics, implants, oral surgery, orthodontics, and other diagnostic or preventive dental services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by the Platinum Blue Complete Plan (Cost) with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs have a $0 to $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs carry a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Platinum Blue Complete Plan (Cost) with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered by the Platinum Blue Complete Plan (Cost) with no copays, featuring a 20% to 40% coinsurance for durable medical equipment and a 20% coinsurance for prosthetics and medical supplies. This benefit is partially covered because diabetic therapeutic shoes and inserts are covered with a 20% coinsurance, but diabetic supplies are not covered.
Diagnostic and Radiological Services See details
Platinum Blue Complete Plan (Cost) covers diagnostic and radiological services with no copay and no coinsurance, although only some services are covered in practice. Diagnostic procedures and tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services are not covered under this benefit.
Home Health Services See details
Home health services are covered under the Platinum Blue Complete Plan (Cost) with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the Platinum Blue Complete Plan (Cost) with no copay and no coinsurance. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, 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 Complete Plan (Cost) with no coinsurance, featuring no copay for days 1 through 20 and a $109 daily copay for days 21 through 100. A three-day prior inpatient hospital stay is required for admission, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by the Platinum Blue Complete Plan (Cost) with no copay and no coinsurance for approved benefits, including up to 12 acupuncture treatments annually, additional telehealth, and a $50 quarterly over-the-counter allowance. Meal benefits are not covered under this plan.
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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.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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