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Florida Blue is a PPO, RPPO and Rx (PDP) Plan with a Medicare contract. Florida Blue HMO and Florida Blue Preferred HMO are HMO Plans with a Medicare contract. Enrollment in Florida Blue, Florida Blue HMO or Florida Blue Preferred HMO depends on contract renewal.

For assistance, current BlueMedicare Classic (HMO), BlueMedicare Classic Plus (HMO), BlueMedicare Premier (HMO), BlueMedicare Complete (HMO SNP), BlueMedicare Select (PPO), BlueMedicare Choice (Regional PPO), BlueMedicare Premier Rx (PDP) and BlueMedicare Complete Rx (PDP) members should call our Member Services number at 1-800-926-6565. If you are not a Florida Blue Medicare member, please call 1-855-601-9465. Hours are 8 a.m. - 8 p.m. local time, seven days a week from October 1 to February 14, except for Thanksgiving and Christmas. From February 15th to September 30th, we are open Monday - Friday, 8 a.m. - 8 p.m., local time.

For assistance, current BlueMedicare Preferred (HMO), BlueMedicare Preferred HMO (HMO SNP) and BlueMedicare Preferred POS (HMO POS) Member Services number at 1-844-783-5189 for additional information. (TTY users should call 1-800-955-8770.) Hours are 8:00 a.m. - 8:00 p.m. local time, seven days a week.

Florida Blue Medicare Supplement Insurance policies are not connected with or endorsed by the U.S. Government or the Federal Medicare Program. These policies have limitations and exclusions. The amount of benefits provided depends upon the plan selected and the premium may vary with the amount of benefits selected.While medical cost increases and inflation could increase our premiums, your premium will always remain the lowest we offer, according to your age at enrollment. Medical Underwriting will apply to all BlueMedicare Supplement and BlueMedicare Supplement Select products unless the applicant is eligible for guaranteed issue. Networks are comprised of independent contracting healthcare providers.

Policy Numbers: BlueMedicare Supplement Plan K - 30154-1014 SU | BlueMedicare Supplement - Plan L - 30155-1014 SU | BlueMedicare Supplement Plan A - 30147-1014 SU | BlueMedicare Supplement Select Plan B - 30166-1014 SU | BlueMedicare Supplement Select Plan M - 30159-1014 SU | BlueMedicare Supplement Select Plan D - 30168-1014 SU | BlueMedicare Supplement Plan N - 30157-1014 SU | BlueMedicare Supplement Plan M - 30156-1014 SU | BlueMedicare Supplement Plan B - 30148-1014 SU | BlueMedicare Supplement Select Plan C - 30167-1014 SU | BlueMedicare Supplement Plan D - 30150- 1014 SU | BlueMedicare Supplement Plan G - 30152-1014 SU | BlueMedicare Supplement Plan C - 30149-1014 SU | BlueMedicare Supplement Plan F - 30151-1014 SU

If this policy is replacing current health insurance coverage that has been in effect for at least three months, there is no waiting period required for pre-existing conditions. However, if this policy does not replace current health insurance coverage, a condition treated three months before the effective date may not be covered until three months after the effective date of this policy. Additionally, coverage for this condition may not begin for patients in a hospital or skilled nursing facility the day before the effective date until they have been released, or six months passed the effective date of the policy. For special circumstances or questions, please call 1-855- 601-9465 or TTY 800-955-8770. BlueMedicare Supplement and BlueMedicare Supplement Select Plans are guaranteed renewable. Florida Blue will only terminate your coverage for nonpayment of premiums or material misrepresentation.

Florida Blue is a trade name of Blue Cross and Blue Shield of Florida, Inc., an Independent Licensee of the Blue Cross and Blue Shield Association.

FBM CART 001 032018

Last Updated: 10.23.2017

Y0011_34059 0917 W CMS Approved

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Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. However, where appropriate, the content may identify a particular company; there, any pronouns refer to that specific entity.

Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue. HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.

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