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Blue Cross and Blue Shield of Nebraska MA Connect (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Blue Cross and Blue Shield of Nebraska MA Connect (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Blue Cross and Blue Shield of Nebraska MA Connect (PPO) in 2026, please refer to our full plan details page.
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) is a PPO plan offered by Blue Cross Blue Shield of Nebraska available for enrollment in 2025 to people living in Omaha/ Lincoln Metro Area and Central Nebraska. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Blue Cross and Blue Shield of Nebraska MA Connect (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Blue Cross and Blue Shield of Nebraska MA Connect (PPO).
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 Blue Cross and Blue Shield of Nebraska MA Connect (PPO), 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.
This plan has a $400.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $8000.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $8000.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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:
Sign up for Blue Cross and Blue Shield of Nebraska MA Connect (PPO)
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Drug Coverage
The Blue Cross and Blue Shield of Nebraska MA Connect (PPO) plan features an annual drug deductible of $400. For Tier 1 preferred generic drugs, you pay no copay at standard pharmacies, and you can also receive a 3-month supply with no copay through preferred mail order. Tier 2 generic drugs carry a $14.00 copay for a 1-month supply at standard retail pharmacies, but you can avoid this cost entirely with no copay on a 3-month supply filled via preferred mail order. For brand-name and specialty medications, costs vary depending on the drug tier and how you fill your prescription. Tier 3 preferred brand drugs require a $47.00 copay for a 1-month supply, while Tier 4 non-preferred drugs cost $100.00 per month at standard pharmacies. Specialty medications in Tier 5 require a 28% coinsurance for a 1-month supply through standard retail pharmacies and mail order services.
Additional Benefits
The Blue Cross and Blue Shield of Nebraska MA Connect (PPO) plan provides comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay a daily copay of $400 for days 1 to 4 and no copay for days 5 to 90, while emergency room visits carry a $125 copay. Outpatient services and specialist visits are also covered with fixed copays ranging from $15 to $350 and no coinsurance. Additionally, the plan offers robust dental, vision, and hearing benefits, including preventive dental care up to $1,200 annually and routine hearing exams with no copay. Vision care includes routine eye exams for a $35 copay and up to $300 annually for eyewear with no copay. Members also benefit from a 20% coinsurance for durable medical equipment and a quarterly $50 allowance for over-the-counter items with no copay.
Inpatient Hospital See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) offers partially covered inpatient hospital services with no coinsurance, requiring a $400 copay for days 1 to 4 of acute stays and a $420 copay for days 1 to 4 of psychiatric stays, followed by no copay for days 5 to 90. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) covers outpatient services with no coinsurance, featuring a $350 copay for outpatient hospital and observation services and a $300 copay for ambulatory surgical center services. Outpatient substance abuse services require a $35 copay per session with no coinsurance, while outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) covers partial hospitalization services with a $60.00 copay and no coinsurance.
Ambulance and Transportation Services See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) partially covers Ambulance and Transportation Services, though transportation to plan-approved or health-related locations is not covered. Covered ground and air ambulance services require prior authorization and have a $350 copay with no coinsurance.
Emergency Services See details
Emergency services are covered by Blue Cross and Blue Shield of Nebraska MA Connect (PPO) with a $125 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 3 days. Urgently needed services require a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $50,000 limit with a $125 copay and no coinsurance.
Primary Care See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) provides partially covered primary care benefits, featuring no copay and no coinsurance for primary care physician services. Specialty care, physical therapy, and mental health services require copays ranging from $15 to $35 with no coinsurance, while podiatry services are not covered.
Preventive Services See details
Preventive services under the Blue Cross and Blue Shield of Nebraska MA Connect (PPO) are covered with no copay and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. Additional preventive benefits are partially covered, offering a fitness benefit up to $300 annually and remote access technologies, while excluding services such as health education, in-home safety assessments, and nutritional benefits.
Hearing Services See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) covers hearing services with no copay and no coinsurance for one routine hearing exam and fitting evaluation per year. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $495.00 to $1,695.00 for up to two aids yearly, though inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) covers annual routine eye exams with a $35 copay, no coinsurance, and no deductible, though other eye exam services are not covered. Eyewear is covered with no copay, no coinsurance, and no deductible, featuring a combined maximum benefit of $300 per year for contacts, frames, lenses, and upgrades.
Dental Services See details
Dental services are partially covered by Blue Cross and Blue Shield of Nebraska MA Connect (PPO), offering most preventive and comprehensive dental care with no copay and no coinsurance up to a $1,200 annual limit. Medicare-covered dental services require a $35 copay and no coinsurance, while adjunctive general services and orthodontics are not covered.
Home Infusion bundled Services See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) covers Home Infusion bundled Services with no copay, though prior authorization is required. Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance, while chemotherapy and other Part B drugs require a coinsurance of 0% to 20%.
Dialysis Services See details
Dialysis Services are covered under the Blue Cross and Blue Shield of Nebraska MA Connect (PPO) plan with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered by Blue Cross and Blue Shield of Nebraska MA Connect (PPO) with no copay and a 20% coinsurance for durable medical equipment (DME), prosthetics, medical supplies, and diabetic shoes. Diabetic supplies are also covered with no copay and a coinsurance ranging from no coinsurance to 20%.
Diagnostic and Radiological Services See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) partially covers diagnostic and radiological services, as lab services are not covered. Covered diagnostic procedures have no coinsurance and a copay of up to $350, diagnostic radiological services have no copay or coinsurance, therapeutic radiological services require a 20% coinsurance, and outpatient X-rays have a $25 copay and coinsurance.
Home Health Services See details
Home Health Services are covered under the Blue Cross and Blue Shield of Nebraska MA Connect (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered under the Blue Cross and Blue Shield of Nebraska MA Connect (PPO) plan with no coinsurance, though copayments apply depending on the specific therapy. Members will pay a $35 copay for standard cardiac rehabilitation, $50 for intensive cardiac rehabilitation, $15 for pulmonary rehabilitation, and $25 for supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD).
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Blue Cross and Blue Shield of Nebraska MA Connect (PPO) with no coinsurance, requiring no copay for days 1 to 20 and 71 to 100, and a $214 daily copay for days 21 to 70. Prior authorization is required, and additional days beyond the standard Medicare-covered 100 days are not covered.
Other Services See details
Blue Cross and Blue Shield of Nebraska MA Connect (PPO) partially covers other services, offering a meal benefit for chronic illness and a $50 allowance every three months for over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture is not covered under this benefit.
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