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Blue Cross Blue Shield of Nebraska MA Secure (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Blue Cross Blue Shield of Nebraska MA Secure (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Blue Cross Blue Shield of Nebraska MA Secure (PPO) in 2025, please refer to our full plan details page.
Blue Cross Blue Shield of Nebraska MA Secure (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 4 out of 5 stars in 2025.
It's important to know that Blue Cross Blue Shield of Nebraska MA Secure (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 Blue Shield of Nebraska MA Secure (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 Blue Shield of Nebraska MA Secure (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $91.00. 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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $4500.00 (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 $4500.00 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 Blue Shield of Nebraska MA Secure (PPO)
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Drug Coverage
The Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan has an enhanced alternative drug benefit. There is no deductible for prescription drugs. During the initial coverage phase, you'll pay a copay for your prescriptions depending on the drug tier and pharmacy. For example, you'll pay a $14 copay for preferred generic drugs at standard, preferred mail, or standard mail pharmacies. After your yearly out-of-pocket drug costs reach $2000, you will enter the catastrophic coverage phase, where you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan offers a variety of benefits with varying costs. You can expect no copay for primary care, routine hearing exams, and home health services. Other services include copays, such as $20 for vision exams and chiropractic services, $175 for outpatient services, and $250 for inpatient hospital stays. The plan also covers a range of services with either copays or coinsurance, including outpatient services, ambulance, emergency services, and dental. The plan provides coverage for preventive services, hearing, vision, and dental. It also offers home infusion bundled services, dialysis services, and medical equipment.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you pay a $250 copay for days 1-4, and no copay for days 5-90; and for Inpatient Hospital Psychiatric, you pay a $270 copay for days 1-4, and no copay for days 5-90. Additional days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services for the Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan covers all outpatient hospital services, with a $175 copay, observation services with a $175 copay, and ambulatory surgical center services with a $125 copay. Individual and group sessions for outpatient substance abuse have a copay between $20.00 and $20.00. Outpatient blood services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered with a $60 copay.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan. Ground and Air Ambulance Services have a $350 copay, and there is no coinsurance. Transportation Services to health-related locations are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have a $115 copay, while Urgently Needed Services have a $50 copay.
Primary Care See details
The Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan covers primary care physician services with no copay, and chiropractic services with a $20 copay. The plan also covers occupational therapy services, physical therapy and speech-language pathology services, physician specialist services, mental health specialty services, psychiatric services, and opioid treatment program services, all with a $20 copay.
Preventive Services See details
The Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan covers preventive services, including Medicare-covered zero-dollar services, annual physical exams, and additional preventive services. Fitness benefits and remote access technologies are covered, while health education, in-home safety assessments, and other services are not covered.
Hearing Services See details
Hearing Services include routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids (all types) are covered with a copay between $295 and $1495.
Vision Services See details
Vision Services includes coverage for eye exams with a $20 copay, and eyewear, including contact lenses, eyeglasses, and upgrades. Contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames are limited to one per year, with a combined maximum of $300 for eyewear.
Dental Services See details
The Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan covers dental services, including oral exams with a $20 copay, dental x-rays, other diagnostic dental services, prophylaxis (cleaning) with a $20 copay, fluoride treatment with a $20 copay, other preventive dental services, restorative services, endodontics, periodontics, prosthodontics (removable), maxillofacial prosthetics, implant services, prosthodontics (fixed), and oral and maxillofacial surgery, with a maximum benefit of $2,050 per year. Adjunctive general services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and require prior authorization. Medicare Part B Insulin Drugs have a $35 copay. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan. You will pay a coinsurance of 20% for dialysis services.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment, is covered. Durable Medical Equipment has a 20% coinsurance, and requires authorization. Prosthetic Devices and Medical Supplies have a 20% coinsurance, while Diabetic Supplies have a 0-20% coinsurance, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, but Lab Services are not covered. Diagnostic Procedures/Tests have a copay between $30 and $175, while Diagnostic Radiological Services have a copay of $195. Therapeutic Radiological Services have a 20% coinsurance, and Outpatient X-Ray Services have a $20 copay.
Home Health Services See details
Home Health Services are covered by Blue Cross Blue Shield of Nebraska MA Secure (PPO) with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan. The plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Blue Cross Blue Shield of Nebraska MA Secure (PPO) plan, but require prior authorization. For days 1-20, there is no copay, days 21-50 have a $196 copay, and days 51-100 have no copay. Additional days beyond Medicare-covered for SNF, and Non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include coverage for Over-the-Counter (OTC) Items and a Meal Benefit. Acupuncture and several other services are not covered, and OTC items have a maximum benefit of $115 every three months.
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