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Questions? Call Member Services at 1-800-926-6565 (TTY 1-800-955-8770)

From October 1 - March 31, from 8 a.m. - 8 p.m. local time, 7 days a week, except Thanksgiving and Christmas. From April 1 - September 30, from 8 a.m. - 8 p.m. local time, we are open Monday to Friday, except for major holidays.

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2024 BlueMedicare Choice (Regional PPO)

View and download important forms and documents about your BlueMedicare plan from Florida Blue.

  • R3332-001 - Florida Statewide

2024 Annual Notice of Changes Last Updated
2024 Annual Notice of Changes - Florida Statewide 9/18/2023

 

2024 Evidence of Coverage Last Updated
2024 Evidence of Coverage - Florida Statewide 9/18/2023

 

2024 Summary of Benefits Last Updated
2024 Summary of Benefits - Florida Statewide 9/18/2023

 

2024 Comprehensive Formulary Last Updated
2024 Comprehensive Formulary - Florida Statewide 10/1/2023

 

2024 Enrollment Form Last Updated
2024 Enrollment Form 9/8/2023

 

2024 Medicare Star Rating Last Updated
2024 Medicare Star Rating  10/12/2022

 

2024 Prescription Drug Transition Policy Last Updated
2024 Prescription Drug Transition Policy 9/20/2023

 

2024 Low-Income Subsidy - Extra Help Program Last Updated
2024 Low-Income Subsidy - Extra Help Program 9/11/2023

 

2023 BlueMedicare Choice (Regional PPO)

View and download important forms and documents about your BlueMedicare plan from Florida Blue.

  • R3332-001 - Statewide

Plan Document Last Updated
2023 Annual Notice of Changes - Statewide last updated 9/19/2022
Plan Document Last Updated
2023 Evidence of Coverage - Statewide last updated 9/20/2022
Plan Document Last Updated
2023 Summary of Benefits - Statewide last updated 8/23/2022
Plan Document Last Updated
2023 Comprehensive Formulary last updated 9/20/2023
Plan Document Last Updated
2023 Enrollment Form  last updated 8/11/2022
Plan Document Last Updated
2023 Medicare Star Rating last updated 10/12/2022
Plan Document Last Updated
2023 Prescription Drug Transition Policy last updated 7/1/2022
Plan Document Last Updated
2023 Low-Income Subsidy - Extra Help Program last updated 9/23/2022

Important 2023 benefit information, last updated 2/14/2023

FBM FORM NF
Disclaimers
Last Updated: 10.01.2023
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