2024 BlueMedicare Select (PPO)
View and download important forms and documents about your BlueMedicare plan from Florida Blue.
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H5434-002 - Broward, Palm Beach, St. Lucie, Charlotte, Collier, Highlands, Hillsborough, Lee, Manatee, Pinellas, Orange, Osceola, Bay, Duval, Escambia, Marion, Santa Rosa
2024 Annual Notice of Changes | Last Updated |
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2024 Annual Notice of Changes - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie and Santa Rosa | 9/18/2023 |
2024 Evidence of Coverage | Last Updated |
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2024 Evidence of Coverage - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie and Santa Rosa | 9/18/2023 |
2024 Summary of Benefits | Last Updated |
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2024 Summary of Benefits - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie and Santa Rosa | 9/18/2023 |
2024 Comprehensive Formulary | Last Updated |
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2024 Comprehensive Formulary - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie and Santa Rosa | 10/1/2023 |
2024 Enrollment Form | Last Updated |
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2024 Enrollment Form | 9/8/2023 |
2024 Medicare Star Rating | Last Updated |
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2024 Medicare Star Rating | 10/12/2022 |
2024 Prescription Drug Transition Policy | Last Updated |
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2024 Prescription Drug Transition Policy | 9/20/2023 |
2024 Low-Income Subsidy - Extra Help Program | Last Updated |
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2024 Low-Income Subsidy - Extra Help Program | 9/11/2023 |
2023 BlueMedicare Select (PPO)
View and download important forms and documents about your BlueMedicare plan from Florida Blue.
-
H5434-002 - Broward, Palm Beach, St. Lucie, Charlotte, Collier, Highlands, Hillsborough, Lee, Manatee, Pinellas, Orange, Osceola, Bay, Duval, Escambia, Marion, Santa Rosa
Plan Document | Last Updated |
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2023 Annual Notice of Changes - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, St. Lucie, Santa Rosa | last updated 12/22/2022 |
Plan Document | Last Updated |
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2023 Evidence of Coverage - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, Santa Rosa, St. Lucie | last updated 12/22/2022 |
Plan Document | Last Updated |
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2023 Summary of Benefits - Bay, Broward, Charlotte, Collier, Duval, Escambia, Highlands, Hillsborough, Lee, Manatee, Marion, Orange, Osceola, Palm Beach, Pinellas, Santa Rosa, St. Lucie | last updated 12/22/2022 |
Plan Document | Last Updated |
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2023 Comprehensive Formulary | last updated 9/20/2023 |
Plan Document | Last Updated |
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2023 Enrollment Form | last updated 8/11/2022 |
Plan Document | Last Updated |
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2023 Medicare Star Rating | last updated 10/12/2022 |
Plan Document | Last Updated |
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2023 Prescription Drug Transition Policy | last updated 7/1/2022 |
Plan Document | Last Updated |
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2023 Low-Income Subsidy - Extra Help Program | last updated 9/23/2022 |