DePaul University Human Resources > Medicare Advantage

Medicare Q&A Center


BCBS Retiree Info Sessions

In March 2017, BCBS hosted on-campus retiree information sessions and an interactive webinar to provide retirees with additional details and clarifications on benefits under the Medicare Advantage Group Plan offered beginning 1/1/2017.

A copy of the presentation slides is available by clicking here.

A recording of the webinar (runs 1 hour) is available by clicking here.


We have partnered with Blue Cross Blue Shield to offer you a Medicare Advantage plan for retirees.

Please note: You recently received a letter dated February 17, 2017 from Blue Cross Blue Shield inviting you to attend one of four in-person information forums on the Medicare Advantage Plan.  Unfortunately, this letter also contained a paragraph indicating the enclosure of a benefits booklet.  This paragraph was inserted in error; there is no booklet.  We apologize for any confusion this may have caused. 

The list of Frequently Asked Questions (FAQs) below will answer initial questions you may have about this plan change.


Enrollment / Coverage

1. Is my spouse eligible for the Medicare Advantage plan?

Your spouse can be enrolled in the Medicare Advantage retiree medical plan if he/she is age 65 or over, eligible for Medicare and has Medicare Parts A and B.​

2. My spouse is not Medicare eligible. What happens to his/her medical insurance?

Your spouse will continue to stay on the Pre-65 PPO Plan until he/she is Medicare eligible. At that time, he/she will move to the Medicare Advantage Plan.​

3. How much will this new plan cost me?

The 2017 premium information is available on the Retiree Benefits page.​

4. Do I still need to be enrolled in Medicare Parts A and B if I enroll in the Medicare Advantage plan?

Yes. You will receive Medicare Part A, but you will need to continue to pay your Medicare Part B premium.​

5. Is this considered a Medicare Part C plan?

Yes. Medicare Advantage Plans are often referred to as “Medicare Part C.”​

6. Do I need to enroll in Medicare Part D?

No. Your Medicare Advantage Plan includes prescription drug coverage.​

7. Can I use the same doctors I used with my previous medical plan?

Yes. You are free to use physicians that accept Medicare. For example, if your doctor is affiliated with the Northwestern Memorial Healthcare network and accepts Medicare, you can continue to see him/her. To determine if a doctor accepts Medicare, you can access:

www.medicare.gov

Or you can call Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service: 1-877-299-1008 (TTY/TDD users should call 711) from 8:00 a.m. to 8:00 p.m. Monday-Sunday.​

8. Why am I being charged a Medicare Part D surcharge from the Social Security Administration?

At certain income levels, Medicare requires a surcharge to your monthly Medicare Part D (prescription drug coverage) premiums. Here is a link to information on the Social Security Administration webpage that provides information on the surcharge.

https://www.ssa.gov/pubs/EN-05-10536.pdf

9. I still have general questions about the Medicare Advantage Plan. Whom can I contact?

You may contact Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service: 1-877-299-1008 (TTY/TDD users should call 711) from 8:00 a.m. to 8:00 p.m. Monday-Sunday. If you are unable to reach and speak to Blue Cross and Blue Shield Customer Service, you may contact DePaul’s Human Resources Benefits Department at 1-312-362-8232 or at hrbenefits@depaul.edu.

10. Where is the group number on my ID card?

There is no group number on your Medicare Advantage ID card, as one is not necessary to receive services from providers under the Medicare Advantage plan. When seeking services, the alpha prefix “XOD” and your ID# are sufficient for providers to submit claims for processing.​

11. When will the bills for Medicare Advantage be sent out?

The bills are mailed on or around the 15th of the month, unless you have a credit linked to your account. Please call Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service: 1-877-299-1008 if you have any questions about your Medicare Advantage bill.​

12. Can I pre-pay my Medicare Advantage monthly premiums?

Yes. You can pay from one month to one year in advance by submitting the extra payment(s) with your monthly premium statement. The extra amount will show as a credit and be applied to your plan each month until the credit runs out. You can confirm receipt of the extra payments by contacting Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service at 1-877-299-1008 14 days after mailing in your payment. Blue Cross and Blue Shield of Illinois can also set-up an ACH monthly debit from your checking or savings account. Information on a monthly debit approach can be found in your BCBS welcome kit. Please click on the Automatic Premium Payment Form link; or contact Customer Service for assistance.

13. For the monthly premiums for the pre-65 or HMO Illinois plans, can I set up automatic payments?

For payments made directly to DePaul for the pre-65 PPO or HMO Illinois plans, only checks are accepted.​

14. How do I register for the Healthy Incentives Program?

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Prescription Drug Coverage

15. Will my prescriptions be covered?

The Medicare Advantage Plan includes prescription drug coverage and has a specific Medicare approved formulary. Please contact Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service at 1-877-299-1008 for specific questions about coverage for your particular medication(s), and to confirm the most up-to-date listing and prescription drug alternatives.​

16. Who is the prescription mail order vendor?

Effective January 1, 2017, DePaul retirees should be using Walgreen’s Mail Order Services. As of January 1, 2017, active mail order prescriptions have been transitioned from PrimeMail to Walgreens. To request a refill, please call Walgreens mail order services directly at 1-877-277-7895.

Please be advised that if your mail order prescription is for a Specialty medication, you should continue using Prime Specialty. Please call Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service at 1-877-299-1008 for more information on Specialty mail order medication processing.

17. What are “Specialty” medications?

Specialty medications are used to treat more complex and/or rare conditions. They usually require unique handling and administration, and are generally classified as “Tier 5.” Medications are assigned to different categories, or “tiers,” in plan formularies, which may mean different costs to you. Medications in a lower tier will generally cost you less than medications in a higher tier. Click here for a link to the tier chart for an overview of the costs for each tier. Please contact Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service at 1-877-299-1008 for specific questions about coverage for your particular specialty medication(s).

18. What can I do if my medication is not on the Medicare formulary list?

For medications that are not on the formulary list, there is an “exception request” process. You can receive more information regarding this process by calling Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service at 1-877-299-1008. Click here for link to the Exception Form website that includes documents to give to your prescription provider.

19. Do I need to receive a new prescription from my doctor to submit to Walgreens for mail order processing?

All active mail order prescriptions (other than specialty scripts) prior to January 1, 2017 have already been transferred to Walgreens, so new prescriptions will not be necessary. For any first time prescriptions, your provider will need to fax or send the script directly to Walgreens’ mail order service. They can be reached at 1-877-277-7895 for more information about this process.​

20. For non-mail order and non-specialty drugs, can I go to any pharmacy? What about the pharmacy I was using on my old plan?

You can use any contracted pharmacy for regular prescription drug services that is listed in the Blue Cross and Blue Shield of Illinois Medicare Advantage Pharmacy Directory. Contracted pharmacies can be found on the BCBS website or by calling Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service at 1-877-299-1008.

21. Can I order 90-day supplies of medication from a contracted pharmacy?

Yes, for most medications. Please call Blue Cross and Blue Shield of Illinois’ Medicare Advantage Customer Service at 1-877-299-1008 to confirm in regards to your specific medication.​

22. Is there a price difference based on which retail pharmacy I choose?

Since some of the DePaul prescription benefits include a coinsurance, the price of the drug will be dependent upon the contracted pharmacy rate which may be different by pharmacy. Please review the prescription chart for applicable coinsurance and copay amounts.

Blue Access for Members ("BAM")

23. How can I access Blue Access for Members?

Blue Access for Members can be accessed via a link from Blue Cross and Blue Shield of Illinois’ home page: www.bcbsil.com.

24. Can I use my previous Blue Access log-in for the new Medicare Advantage?

No, you would need to create a new log-in using the new group ID number for Medicare Advantage, DP813G. You will not be able to see prior years’ claims.

If you wish to review claims information from 2016 under the retiree carve out program, you should use your previous user name and password.​


This information is available for free in other languages. Please call our Customer Service number at 1-877-774-8592 (TTY/TDD users should call 711). We are open between 8:00 a.m. and 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.

Esta información está disponible en otros idiomas de forma gratuita. Comuníquese a nuestro número de Servicio al cliente al 1-877-774-8592 (los usuarios de TTY/TDD deben llamar al 711). Nuestro horario es de 8:00 a.m. a 8:00 p.m., hora local, los 7 días de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías alternas (por ejemplo, correo de voz).

You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

HMO, HMO-POS and PPO plans are available in Cook, DuPage, Kane and Will counties. HMO, HMO-POS and PPO plans are provided by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association. HCSC is a Medicare Advantage organization with a Medicare contract. Enrollment in HCSC’s plans depends on contract renewal.

Out-of-network/non-contracted providers are under no obligation to treat our Medicare Advantage members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Prime Therapeutics LLC, a separate company, provides pharmacy benefit management services for [Client].

Prime Therapeutics has contracted with Walgreens, a company independent from Prime Therapeutics and Blue Cross and Blue Shield of Illinois, to provide mail pharmacy services through the PrimeMail by Walgreens Mail Service.

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