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Blue Cross and 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 and 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 and Blue Shield of Nebraska MA Secure (PPO) in 2026, please refer to our full plan details page.
Blue Cross and 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 3 out of 5 stars in 2026.
It's important to know that Blue Cross and 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 and 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 and 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 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 $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 and Blue Shield of Nebraska MA Secure (PPO)
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Drug Coverage
The Blue Cross and Blue Shield of Nebraska MA Secure (PPO) plan features a $400 drug deductible. For Tier 1 preferred generic drugs, you will pay no copay at standard pharmacies, and a three-month supply through preferred mail order also carries no copay. Tier 2 generic drugs cost $14 for a one-month supply at standard pharmacies, though a three-month supply through preferred mail order has no copay. Tier 3 preferred brand drugs require a $47 copay for a one-month supply, while Tier 4 non-preferred drugs have a $100 copay for a one-month supply. You can save on three-month supplies of Tier 3 and Tier 4 drugs by using preferred mail order, which costs $131 and $290 respectively. Specialty drugs in Tier 5 require a 28% coinsurance for a one-month supply across standard pharmacies and mail order options.
Additional Benefits
The Blue Cross and Blue Shield of Nebraska MA Secure (PPO) plan offers robust medical coverage with no copay or coinsurance for primary care visits and preventive screenings. Specialist visits require a $20 copay with no coinsurance, while emergency room visits carry a $115 copay. For hospital care, inpatient acute stays require a $250 daily copay for days one through four with no copay thereafter, and outpatient hospital services feature a $175 copay. This plan also includes strong supplemental benefits, featuring a $1,700 annual limit for dental care with no copay for routine services. Vision benefits include a $20 copay for routine exams and up to $300 annually for eyewear with no copay, while routine hearing exams have no copay. Additionally, members benefit from home health services with no copay and a $115 quarterly allowance for over-the-counter items.
Inpatient Hospital See details
Blue Cross and Blue Shield of Nebraska MA Secure (PPO) partially covers inpatient hospital services with no coinsurance, requiring a daily copay of $250 for days 1 through 4 of acute stays (no copay for days 5 and beyond) and a daily copay of $270 for days 1 through 4 of psychiatric stays (no copay for days 5 through 90). Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered under this plan.
Outpatient Services See details
Outpatient services are covered by Blue Cross and Blue Shield of Nebraska MA Secure (PPO) with no coinsurance, featuring a $175 copay for outpatient hospital and observation services and a $125 copay for ambulatory surgical center services. Additionally, outpatient substance abuse sessions carry a $20 copay with no coinsurance, while outpatient blood services are covered with no copay or coinsurance.
Partial Hospitalization See details
Blue Cross and Blue Shield of Nebraska MA Secure (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 Secure (PPO) covers Medicare-covered ground and air ambulance services with a $350 copay and no coinsurance, subject to prior authorization. Although some transportation services are covered, transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by Blue Cross and Blue Shield of Nebraska MA Secure (PPO) with a $115 copay and no coinsurance, which is waived if admitted to the hospital within three 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 maximum with a $115 copay and no coinsurance.
Primary Care See details
Primary care benefits under Blue Cross and Blue Shield of Nebraska MA Secure (PPO) are partially covered, as podiatry services are not covered. Covered primary care physician services require no copay and no coinsurance, while specialist visits, mental health, and therapy services require a $20 copay and no coinsurance. Telehealth benefits are also covered with a copay ranging from $0 to $50 and no coinsurance.
Preventive Services See details
Preventive services are covered by Blue Cross and Blue Shield of Nebraska MA Secure (PPO) with no copay and no coinsurance for annual physical exams, kidney disease education, and select screenings. Additional preventive benefits are partially covered with no copay and no coinsurance, excluding health education, 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/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, home safety devices, and counseling.
Hearing Services See details
Blue Cross and Blue Shield of Nebraska MA Secure (PPO) offers hearing services with no deductible, including one annual routine exam and fitting evaluation for no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $295.00 to $1,495.00 for up to two aids per year, but inner ear, outer ear, over the ear, and over-the-counter hearing aids are not covered.
Vision Services See details
Blue Cross and Blue Shield of Nebraska MA Secure (PPO) provides partially covered vision services, featuring one routine eye exam per year for a $20 copay and no coinsurance, while other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance, offering up to a $300 combined annual maximum for contacts, eyeglass lenses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by Blue Cross and Blue Shield of Nebraska MA Secure (PPO), which features a $1,700 combined annual maximum for both in-network and out-of-network care. Medicare-covered dental services require a $20 copay and no coinsurance, while other covered preventive and comprehensive dental services have no copay and no coinsurance, though adjunctive general services and orthodontics are not covered.
Home Infusion bundled Services See details
Blue Cross and Blue Shield of Nebraska MA Secure (PPO) covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs require a $35 copay and no coinsurance, while Medicare Part B chemotherapy and other Part B drugs have no copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under the Blue Cross and Blue Shield of Nebraska MA Secure (PPO) plan with no copay and a 20% coinsurance.
Medical Equipment See details
Blue Cross and Blue Shield of Nebraska MA Secure (PPO) covers medical equipment with no copay, though prior authorization may be required for certain items. Durable medical equipment, prosthetics, medical supplies, and diabetic shoes carry a 20% coinsurance, while diabetic supplies range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
Blue Cross and Blue Shield of Nebraska MA Secure (PPO) diagnostic services are partially covered, as lab services are not covered, with diagnostic procedures requiring no coinsurance and copays ranging from no copay up to $175. Covered radiological services require prior authorization and feature no copay for diagnostic radiology, a $20 copay for outpatient X-rays, and a 20% coinsurance for therapeutic radiology.
Home Health Services See details
Home Health Services are covered by Blue Cross and Blue Shield of Nebraska MA Secure (PPO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Blue Cross and Blue Shield of Nebraska MA Secure (PPO) covers cardiac rehabilitation services with no coinsurance. Copayments for these services are $35 for cardiac rehabilitation, $60 for intensive cardiac rehabilitation, $15 for pulmonary rehabilitation, and $25 for supervised exercise therapy (SET).
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Blue Cross and Blue Shield of Nebraska MA Secure (PPO) with no coinsurance, featuring no copay for days 1 to 20 and 61 to 100, and a $204 daily copay for days 21 to 60. Prior authorization is required, a prior three-day inpatient hospital stay is not required, and additional days beyond the 100-day Medicare limit are not covered.
Other Services See details
Blue Cross and Blue Shield of Nebraska MA Secure (PPO) provides partial coverage for other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Under this plan, acupuncture is not covered, but members receive a $115 quarterly OTC allowance that does not carry over to the next period.
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