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Blue365 Member Discount Program (PDF) do-not-filter Member Discount Program ALACHUA, BAKER, BAY, BRADFORD, BREVARD, BROWARD, CALHOUN, CHARLOTTE, CITRUS, CLAY, COLLIER, COLUMBIA, DE SOTO, DIXIE, DUVAL, ESCAMBIA, FLAGLER, FRANKLIN, GADSDEN, GILCHRIST, GLADES, GULF, HAMILTON, HARDEE, HENDRY, HERNANDO, HIGHLANDS, HILLSBOROUGH, HOLMES, INDIAN RIVER, JACKSON, JEFFERSON, LAFAYETTE, LAKE, LEE, LEON, LEVY, LIBERTY, MADISON, MANATEE, MARION, MARTIN, MIAMI-DADE, MONROE, NASSAU, OKALOOSA, OKEECHOBEE, ORANGE, OSCEOLA, PALM BEACH, PASCO, PINELLAS, POLK, PUTNAM, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SEMINOLE, SUMTER, SUWANNEE, TAYLOR, UNION, VOLUSIA, WAKULLA, WALTON, WASHINGTON Florida Blue 2017
Notice on Nondiscrimination and Foreign Language Assistance (PDF) do-not-filter Additional Documents do-not-filter Florida Blue 2017
2018 Annual Notice of Change-BlueMedicare Choice (Regional PPO) (PDF) BlueMedicare Regional PPO Annual Notice of Change ALACHUA, BAKER, BAY, BRADFORD, BREVARD, BROWARD, CALHOUN, CHARLOTTE, CITRUS, CLAY, COLLIER, COLUMBIA, DIXIE, DUVAL, ESCAMBIA, FLAGLER, FRANKLIN, GADSDEN, GILCHRIST, GLADES, GULF, HAMILTON, HARDEE, HENDRY, HERNANDO, HIGHLANDS, HILLSBOROUGH, HOLMES, INDIAN RIVER, JACKSON, JEFFERSON, LAFAYETTE, LAKE, LEE, LEON, LEVY, LIBERTY, MADISON, MANATEE, MARION, MARTIN, MIAMI-DADE, MONROE, NASSAU, OKALOOSA, OKEECHOBEE, ORANGE, OSCEOLA, PALM BEACH, PASCO, PINELLAS, POLK, PUTNAM, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SEMINOLE, SUMTER, SUWANNEE, TAYLOR, UNION, VOLUSIA, WAKULLA, WALTON, WASHINGTON Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Select (PPO) (PDF) BlueMedicare PPO Annual Notice of Change BAY, BROWARD, CHARLOTTE, COLLIER, DUVAL, ESCAMBIA, HIGHLANDS, HILLSBOROUGH, LEE, MANATEE, MARION, ORANGE, OSCEOLA, PALM BEACH, PINELLAS, SAINT LUCIE, SANTA ROSA Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Classic (HMO)-Orange, Osceola & Seminole (PDF)
BlueMedicare HMO Annual Notice of Change ORANGE, OSCEOLA, SEMINOLE Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Classic (HMO)-Hernando, Hillsborough, Pasco & Polk (PDF) BlueMedicare HMO Annual Notice of Change HERNANDO, HILLSBOROUGH, PASCO, POLK Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Classic (HMO) -Palm Beach (PDF) BlueMedicare HMO Annual Notice of Change PALM BEACH Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Classic Plus (HMO) -Polk (PDF) BlueMedicare HMO Annual Notice of Change POLK Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Classic (HMO) -Statewide (PDF) BlueMedicare HMO Annual Notice of Change BAY, BREVARD, BROWARD, CHARLOTTE, CITRUS, COLLIER, DUVAL, ESCAMBIA, LAKE, LEE, MARION, MARTIN, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SUMTER Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Classic (HMO) -Miami-Dade (PDF) BlueMedicare HMO Annual Notice of Change MIAMI-DADE Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Preferred (HMO) -Manatee & Sarasota (PDF) BlueMedicare Preferred HMO Annual Notice of Change MANATEE, SARASOTA Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Preferred (HMO) -Clay & Duval (PDF) BlueMedicare Preferred HMO Annual Notice of Change CLAY, DUVAL Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Preferred (HMO) -Pinellas (PDF) BlueMedicare Preferred HMO Annual Notice of Change PINELLAS Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Preferred HMO (HMO SNP) -Manatee & Sarasota (PDF) BlueMedicare Preferred HMO Annual Notice of Change MANATEE, SARASOTA Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Preferred HMO (HMO SNP) -Clay&Duval (PDF) BlueMedicare Preferred HMO Annual Notice of Change CLAY, DUVAL Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Premier (HMO)-Miami-Dade (PDF) BlueMedicare HMO Annual Notice of Change MIAMI-DADE Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Premier (HMO)-Broward (PDF) BlueMedicare HMO Annual Notice of Change BROWARD Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Premier (HMO)-Orange (PDF) BlueMedicare HMO Annual Notice of Change ORANGE Florida Blue 2018
2018 Evidence of Coverage-BlueMedicare Choice (Regional PPO) (PDF) BlueMedicare Regional PPO Evidence of Coverage (PDF) ALACHUA, BAKER, BAY, BRADFORD, BREVARD, BROWARD, CALHOUN, CHARLOTTE, CITRUS, CLAY, COLLIER, COLUMBIA, DIXIE, DUVAL, ESCAMBIA, FLAGLER, FRANKLIN, GADSDEN, GILCHRIST, GLADES, GULF, HAMILTON, HARDEE, HENDRY, HERNANDO, HIGHLANDS, HILLSBOROUGH, HOLMES, INDIAN RIVER, JACKSON, JEFFERSON, LAFAYETTE, LAKE, LEE, LEON, LEVY, LIBERTY, MADISON, MANATEE, MARION, MARTIN, MIAMI-DADE, MONROE, NASSAU, OKALOOSA, OKEECHOBEE, ORANGE, OSCEOLA, PALM BEACH, PASCO, PINELLAS, POLK, PUTNAM, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SEMINOLE, SUMTER, SUWANNEE, TAYLOR, UNION, VOLUSIA, WAKULLA, WALTON, WASHINGTON Florida Blue 2018
2018 Evidence of Coverage-BlueMedicare Select (PPO) (PDF) BlueMedicare PPO Evidence of Coverage (PDF) BAY, BROWARD, CHARLOTTE, COLLIER, DUVAL, ESCAMBIA, HIGHLANDS, HILLSBOROUGH, LEE, MANATEE, MARION, ORANGE, OSCEOLA, PALM BEACH, PINELLAS, SAINT LUCIE, SANTA ROSA Florida Blue 2018
2018 Evidence of Coverage-BlueMedicare Classic (HMO)-Orange, Osceola & Seminole (PDF) BlueMedicare HMO Evidence of Coverage (PDF) ORANGE, OSCEOLA, SEMINOLE Florida Blue 2018
2018 Evidence of Coverage-BlueMedicare Classic (HMO)-Hernando, Hillsborough, Pasco & Polk (PDF) BlueMedicare HMO Evidence of Coverage (PDF) HERNANDO, HILLSBOROUGH, PASCO, POLK Florida Blue 2018
2018 EOC BlueMedicare Classic Plus (HMO)-Polk (PDF) BlueMedicare HMO Evidence of Coverage (PDF) POLK Florida Blue 2018
2018 EOC BlueMedicare Classic (HMO)-Statewide BlueMedicare HMO Evidence of Coverage (PDF) BAY, BREVARD, BROWARD, CHARLOTTE, CITRUS, COLLIER, DUVAL, ESCAMBIA, LAKE, LEE, MARION, MARTIN, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SUMTER Florida Blue 2018
2018 EOC BlueMedicare Classic (HMO)-Miami-Dade (PDF) BlueMedicare HMO Evidence of Coverage (PDF) MIAMI-DADE Florida Blue 2018
2018 EOC BlueMedicare Classic (HMO)- Palm Beach (PDF) BlueMedicare HMO Evidence of Coverage (PDF) PALM BEACH Florida Blue 2018
2018 EOC BlueMedicare Preferred (HMO)-Manatee and Sarasota (PDF) BlueMedicare Preferred HMO Evidence of Coverage (PDF) MANATEE, SARASOTA Florida Blue 2018
2018 EOC BlueMedicare Preferred (HMO)-Clay and Duval (PDF) BlueMedicare Preferred HMO Evidence of Coverage (PDF) CLAY, DUVAL Florida Blue 2018
2018 EOC BlueMedicare Preferred (HMO)-Pinellas (PDF) BlueMedicare Preferred HMO Evidence of Coverage (PDF) PINELLAS Florida Blue 2018
2018 EOC BlueMedicare Preferred HMO (SNP)-Manatee & Sarasota (PDF) BlueMedicare Preferred HMO Evidence of Coverage (PDF) MANATEE, SARASOTA Florida Blue 2018
2018 EOC BlueMedicare Preferred HMO (SNP)-Clay and Duval (PDF) BlueMedicare Preferred HMO Evidence of Coverage (PDF) CLAY, DUVAL Florida Blue 2018
2018 EOC BlueMedicare Premier (HMO)-Miami-Dade (PDF) BlueMedicare HMO Evidence of Coverage (PDF) MIAMI-DADE Florida Blue 2018
2018 EOC BlueMedicare Premier (HMO)-Broward (PDF) BlueMedicare HMO Evidence of Coverage (PDF) BROWARD Florida Blue 2018
2018 EOC BlueMedicare Premier (HMO)-Orange (PDF) BlueMedicare HMO Evidence of Coverage (PDF) ORANGE Florida Blue 2018
2018 EOC BlueMedicare Complete (HMO SNP)-Miami-Dade (PDF) BlueMedicare HMO Evidence of Coverage (PDF) MIAMI-DADE Florida Blue 2018
2018 EOC BlueMedicare Complete (HMO SNP)-Broward (PDF) BlueMedicare HMO Evidence of Coverage (PDF) BROWARD Florida Blue 2018
2018 EOC BlueMedicare Complete (HMO SNP)-Orange & Polk (PDF) BlueMedicare HMO Evidence of Coverage (PDF) ORANGE, POLK Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Choice (Regional PPO) (PDF) BlueMedicare Regional PPO Summary of Benefits (PDF) ALACHUA, BAKER, BAY, BRADFORD, BREVARD, BROWARD, CALHOUN, CHARLOTTE, CITRUS, CLAY, COLLIER, COLUMBIA, DIXIE, DUVAL, ESCAMBIA, FLAGLER, FRANKLIN, GADSDEN, GILCHRIST, GLADES, GULF, HAMILTON, HARDEE, HENDRY, HERNANDO, HIGHLANDS, HILLSBOROUGH, HOLMES, INDIAN RIVER, JACKSON, JEFFERSON, LAFAYETTE, LAKE, LEE, LEON, LEVY, LIBERTY, MADISON, MANATEE, MARION, MARTIN, MIAMI-DADE, MONROE, NASSAU, OKALOOSA, OKEECHOBEE, ORANGE, OSCEOLA, PALM BEACH, PASCO, PINELLAS, POLK, PUTNAM, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SEMINOLE, SUMTER, SUWANNEE, TAYLOR, UNION, VOLUSIA, WAKULLA, WALTON, WASHINGTON Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Select (PPO) (PDF) BlueMedicare PPO Summary of Benefits (PDF) BAY, BROWARD, CHARLOTTE, COLLIER, DUVAL, ESCAMBIA, HIGHLANDS, HILLSBOROUGH, LEE, MANATEE, MARION, ORANGE, OSCEOLA, PALM BEACH, PINELLAS, SAINT LUCIE, SANTA ROSA Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Classic (HMO) & BlueMedicare Premier (HMO)-Orange, Osceola, and Seminole (PDF) BlueMedicare HMO Summary of Benefits (PDF) ORANGE, OSCEOLA, SEMINOLE Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Classic (HMO) & BlueMedicare Classic Plus (HMO)-Palm Beach (PDF) BlueMedicare HMO Summary of Benefits (PDF) PALM BEACH Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Classic (HMO) & BlueMedicare Classic Plus (HMO)-Hernando, Hillsborough, Pasco and Polk (PDF) BlueMedicare HMO Summary of Benefits (PDF) POLK Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Classic (HMO) Statewide (PDF) BlueMedicare HMO Summary of Benefits (PDF) BAY, BREVARD, BROWARD, CHARLOTTE, CITRUS, COLLIER, DUVAL, ESCAMBIA, LAKE, LEE, MARION, MARTIN, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SUMTER Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Preferred (HMO)-Manatee and Sarasota (PDF) BlueMedicare Preferred HMO Summary of Benefits (PDF) MANATEE, SARASOTA Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Preferred (HMO)-Clay and Duval (PDF) BlueMedicare Preferred HMO Summary of Benefits (PDF) CLAY, DUVAL Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Preferred (HMO) & BlueMedicare Preferred POS (HMO-POS)-Manatee, Pinellas & Sarasota (PDF) BlueMedicare Preferred HMO Summary of Benefits (PDF) MANATEE, PINELLAS, SARASOTA Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Classic (HMO) & BlueMedicare Premier (HMO)-Miami-Dade (PDF) BlueMedicare HMO Summary of Benefits (PDF) MIAMI-DADE Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Classic (HMO) & BlueMedicare Premier (HMO)-Broward (PDF) BlueMedicare HMO Summary of Benefits (PDF) BROWARD Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Complete (HMO SNP)-Broward and Miami-Dade (PDF) BlueMedicare HMO Summary of Benefits (PDF) BROWARD Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Complete (HMO SNP)-Orange and Polk (PDF) BlueMedicare HMO Summary of Benefits (PDF) POLK Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Premier Rx (PDP) & BlueMedicare Complete Rx (PDP) (PDF) BlueMedicare RX(PDP) Summary of Benefits (PDF) do-not-filter Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Premier Rx (PDP)(PDF) BlueMedicare RX(PDP) Annual Notice of Change do-not-filter Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Complete Rx (PDP)(PDF) BlueMedicare RX(PDP) Annual Notice of Change do-not-filter Florida Blue 2018
2018 Formulary-BlueMedicare Premier Rx (PDP) (PDF) BlueMedicare RX(PDP) BlueMedicare RX (PDP) Comprehensive Formulary (PDF) do-not-filter Florida Blue 2018
2018 Low Income Subsidy Premium Summary Table (PDF) BlueMedicare RX(PDP) Low Income Subsidy Premium Table for Those Receiving Extra Help (PDF) do-not-filter Florida Blue 2018
2018 BlueMedicare HMO Classic Service Area Map BlueMedicare HMO Additional Documents do-not-filter Florida Blue 2018
2018 BlueMedicare HMO DSNP Service Area Map BlueMedicare HMO Additional Documents do-not-filter Florida Blue 2018
2018 BlueMedicare HMO HPN Service Area Map BlueMedicare HMO Additional Documents do-not-filter Florida Blue 2018
2018 BlueMedicare HMO Service Area Map All Products BlueMedicare HMO Additional Documents do-not-filter Florida Blue 2018
2018 BlueMedicare PPO Service Area Map All Products BlueMedicare PPO Additional Documents do-not-filter Florida Blue 2018
2018 BlueMedicare Preferred HMO Service Area Map BlueMedicare Preferred HMO, BlueMedicare Preferred HMO Additional Documents do-not-filter Florida Blue 2018
2018 BlueMedicare PDP Service Area Map do-not-filter Additional Documents do-not-filter Florida Blue 2018
2018 BluePrint for Health do-not-filter BluePrint for Health do-not-filter Florida Blue 2018
2018 Enrollment Form Instructions do-not-filter Enrollment Form Instructions do-not-filter Florida Blue 2018
2018 Enrollment Forms - BlueMedicare HMO BlueMedicare HMO Enrollment Form do-not-filter Florida Blue 2018
2018 Enrollment Forms - BlueMedicare Choice and Select do-not-filter Enrollment Form do-not-filter Florida Blue 2018
2018 Enrollment Forms - BlueMedicare Complete BlueMedicare Complete Enrollment Form do-not-filter Florida Blue 2018
2018 Enrollment Forms - BlueMedicare Preferred HMO BlueMedicare Preferred HMO, BlueMedicare Preferred HMO Enrollment Form do-not-filter Florida Blue 2018
2018 Enrollment Forms - BlueMedicare Premier and Complete (PDP) BlueMedicare Complete Rx (PDP), BlueMedicare Premier Rx (PDP) Enrollment Form do-not-filter Florida Blue 2018
2018 Preventive Care Guidelines do-not-filter Preventive Care Guidelines do-not-filter Florida Blue 2018
2018 Formulary-BlueMedicare Complete Rx (PDP) (PDF) BlueMedicare RX(PDP) BlueMedicare RX (PDP) Comprehensive Formulary (PDF) do-not-filter Florida Blue 2018
2018 BlueMedicare Comprehensive Formulary - BlueMedicare Classic (HMO)/ BlueMedicare Classic Plus (HMO)/ BlueMedicare Select (PPO) BlueMedicare HMO, BlueMedicare Select Comprehensive Formulary (PDF) MIAMI-DADE, PALM BEACH Florida Blue 2018
2018 BlueMedicare Comprehensive Formulary - BlueMedicare Classic Plus (HMO)/ BlueMedicare Premier (HMO) BlueMedicare Classic Plus Comprehensive Formulary (PDF) BROWARD, MIAMI-DADE, ORANGE, POLK Florida Blue 2018
2018 BlueMedicare Comprehensive Formulary - BlueMedicare Complete (HMO SNP) BlueMedicare Complete Comprehensive Formulary (PDF) BROWARD, MIAMI-DADE, ORANGE, POLK Florida Blue 2018
2018 BlueMedicare Comprehensive Formulary - BlueMedicare Classic (HMO) /BlueMedicare Choice (Regional PPO) BlueMedicare Choice, BlueMedicare Classic Comprehensive Formulary (PDF) BAY, BREVARD, BROWARD, CHARLOTTE, CITRUS, COLLIER, DUVAL, ESCAMBIA, LAKE, LEE, MANATEE, MARION, MARTIN, ORANGE, OSCEOLA, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SEMINOLE, SUMTER Florida Blue 2018
2018 BlueMedicare Comprehensive Formulary - BlueMedicare Preferred (HMO) /BlueMedicare Preferred POS (HMO POS) /BlueMedicare Preferred HMO (HMO SNP) BlueMedicare Preferred HMO Comprehensive Formulary (PDF) BROWARD, MIAMI-DADE, ORANGE Florida Blue 2018
2018 Annual Notice of Change-BlueMedicare Classic Plus (HMO) -Palm Beach (PDF) BlueMedicare HMO Annual Notice of Change PALM BEACH Florida Blue 2018
2018 Evidence of Coverage-BlueMedicare Classic Plus (HMO) -Palm Beach (PDF) BlueMedicare HMO Evidence of Coverage (PDF) do-not-filter Florida Blue 2018
2018 Over-the-Counter (OTC) Preferred (HMO) for Manatee and Sarasota and Preferred HMO (HMO SNP) Benefit Catalog do-not-filter Additional Documents do-not-filter Florida Blue 2018
2018 Annual Notice of Change Preferred HMO POS -Manatee, Pinellas and Sarasota (PDF) BlueMedicare Preferred HMO, BlueMedicare Preferred HMO Annual Notice of Change MANATEE, PINELLAS, SARASOTA Florida Blue 2018
2018 EOC Preferred POS (HMO POS) -Sarasota, Pinellas & Manatee (PDF) BlueMedicare Preferred HMO, BlueMedicare Preferred HMO Evidence of Coverage (PDF) MANATEE, PINELLAS, SARASOTA Florida Blue 2018
2018 EOC - BlueMedicare Complete Rx (PDP)(PDF) BlueMedicare RX(PDP) Evidence of Coverage (PDF) do-not-filter Florida Blue 2018
2018 EOC - BlueMedicare Premier Rx (PDP)(PDF) BlueMedicare RX(PDP) Evidence of Coverage (PDF) do-not-filter Florida Blue 2018
2018 Summary of Benefits-BlueMedicare Preferred HMO (HMO SNP)-Clay and Duval (PDF) BlueMedicare Preferred HMO, BlueMedicare Preferred HMO Summary of Benefits (PDF) CLAY, DUVAL Florida Blue 2018
2018 Medicare Part D Transition Policy do-not-filter General Transition Notice (PDF) do-not-filter Florida Blue 2018
2018 BlueMedicare Choice (RPPO) Plan Rating (PDF) BlueMedicare Regional PPO Plan Rating (PDF) do-not-filter Florida Blue 2018
2018 BlueMedicare Rx (PDP) Plan Rating (PDF) BlueMedicare RX (PDP), BlueMedicare RX(PDP) Plan Rating (PDF) do-not-filter Florida Blue 2018
2018 BlueMedicare Preferred (HMO), BlueMedicare Preferred HMO (HMO SNP) and BlueMedicare Preferred POS (HMO POS) Plan Rating (PDF) BlueMedicare Preferred HMO Plan Rating (PDF) do-not-filter Florida Blue 2018
2018 BlueMedicare Classic (HMO), BlueMedicare Classic Plus (HMO), BlueMedicare Premier (HMO), BlueMedicare Complete (HMO SNP) Plan Rating (PDF) BlueMedicare HMO Plan Rating (PDF) do-not-filter Florida Blue 2018
2018 BlueMedicare Select (PPO) Plan Rating (PDF) BlueMedicare PPO Plan Rating (PDF) do-not-filter Florida Blue 2018
HMO Member Rights and More BlueMedicare HMO Additional Documents do-not-filter Florida Blue 2018
Medicare Supplement APO do-not-filter Automatic Payment Option(APO)/Electronic Fund Transfer (EFT) do-not-filter Florida Blue 2018
2018 Over-the-Counter (OTC) Florida Blue HMO for Palm Beach, Polk, Miami-Dade, Broward, Orange Benefit Catalog do-not-filter Additional Documents do-not-filter Florida Blue 2018
Medicare Advantage APO do-not-filter Automatic Payment Option(APO)/Electronic Fund Transfer (EFT) do-not-filter Florida Blue 2018
2019 Summary of Benefits-BlueMedicare Select (PPO)(PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 BlueMedicare Comprehensive Formulary-Premier Rx (PDP) (PDF) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Classic (HMO) Statewide(PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Classic (HMO) & BlueMedicare Premier (HMO)-Orange, Osceola and Seminole(PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Classic (HMO) & BlueMedicare Classic Plus (HMO)-Hernando, Hillsborough, Pasco and Polk (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of BenefitsBlueMedicare Complete (HMO SNP)-Miami-Dade, Broward and Palm Beach (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Complete (HMO SNP)-Orange, Hillsborough and Polk (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Preferred (HMO)-Clay and Duval (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Preferred (HMO) & BlueMedicare Preferred POS (HMO-POS)-Manatee, Pinellas and Sarasota (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Choice (Regional PPO)(PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Value (PPO)-Pinellas, Manatee & Sarasota (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Value (PPO)-Escambia and Santa Rosa (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Premier Rx & 2019 Summary of Benefits-BlueMedicare Complete Rx (PDP)(PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Value Rx (PDP)(PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 ANOC- BlueMedicare Classic (HMO)-Miami-Dade(PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Classic (HMO)-Palm Beach (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Classic (HMO)-Statewide(PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Classic (HMO)-Orange, Osceola and Seminole (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Classic (HMO)-Hernando, Hillsborough, Pasco and Polk (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Classic Plus (HMO)-Palm Beach (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Classic Plus (HMO)-Hillsborough and Polk (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Premier (HMO)-Miami-Dade (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Premier (HMO)-Broward (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Premier (HMO)-Orange (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Complete (HMO SNP)-Miami-Dade (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Complete (HMO SNP)-Broward and Palm Beach (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Complete (HMO SNP)-Orange, Hillsborough and Polk(PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Preferred (HMO)-Manatee and Sarasota (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Preferred (HMO)-Clay and Duval(PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Preferred (HMO)-Pinellas (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Preferred POS (HMO-POS)-Manatee Pinellas and Sarasota (PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Choice (Regional PPO)(PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Select (PPO)(PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Premier Rx (PDP)(PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 ANOC-BlueMedicare Complete Rx (PDP)(PDF) MedAdv Annual Notice of Change do-not-filter Florida Blue 2019
2019 Enrollment Forms- BlueMedicare Choice (Regioal PPO), BlueMedicare Select (PPO) and BlueMedicare Value (PPO) (PDF) MedAdv Enrollment Form do-not-filter Florida Blue 2019
2019 Enrollment Forms-BlueMedicare Complete Rx (PDP), BlueMedicare Premier Rx (PDP) and BlueMedicare Value Rx (PDP) (PDF) MedAdv Enrollment Form do-not-filter Florida Blue 2019
2019 Enrollment Forms-BlueMedicare Classic (HMO), Classic Plus (HMO) and BlueMedicare Premeir (HMO) (PDF) MedAdv Enrollment Form do-not-filter Florida Blue 2019
2019 Enrollment Forms-BlueMedicare Preferred (HMO) and BlueMedicare Preferred POS (HMO POS) (PDF) MedAdv Enrollment Form do-not-filter Florida Blue 2019
2019 Enrollment Forms-BlueMedicare Complete (HMO SNP) (PDF) MedAdv Enrollment Form do-not-filter Florida Blue 2019
2019 Enrollment Form Instructions MedAdv Enrollment Form Instructions do-not-filter Florida Blue 2019
2019 BlueMedicare Comprehensive Formulary-BlueMedicare Classic (HMO)/BlueMedicare Choice (Regional PPO)/BlueMedicare Value Rx (PDP) (PDF) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Comprehensive Formulary-BlueMedicare Preferred (HMO)/BlueMedicare Preferred HMO (HMO POS) (PDF) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Comprehensive Formulary-BlueMedicare Classic Plus (HMO)/BlueMedicare Premier (HMO) (PDF) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Comprehensive Formulary-BlueMedicare Complete (HMO SNP) (PDF) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Comprehensive Formulary-Complete Rx (PDP) (PDF) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Comprehensive Formulary-BlueMedicare Classic (HMO)/BlueMedicare Classic Plus (HMO)/BlueMedicare Select (PPO) (PDF) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Comprehensive Formulary-BlueMedicare Value (PPO) (PDF) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic (HMO) Service Area Map do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 BlueMedicare Complete (HMO SNP) Service Area Map do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 BlueMedicare Classic Plus (HMO) and BlueMedicare Premier (HMO) Service Area Map do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 BlueMedicare HMO Service Area Map All Products do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 BlueMedicare PDP Service Area Map do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 BlueMedicare PPO Service Area Map All Products do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 Summary of Benefits- BlueMedicare Classic (HMO) & Premier (HMO)-Miami-Dade (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Classic (HMO) & BlueMedicare Classic Plus (HMO)-Palm Beach (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Summary of Benefits-BlueMedicare Preferred (HMO) & BlueMedicare Preferred POS (HMO POS)-Pinellas, Manatee and Sarasota (PDF) MedAdv Summary of Benefits do-not-filter Florida Blue 2019
2019 Annual Notice of Change FHCP Savings Rx (HMO) FHCP's Medvantage Rx Plan (HMO) Annual Notice of Change do-not-filter FHCP 2019
2019 Annual Notice of Change FHCP Medicare Rx (HMO) MedAdv Annual Notice of Change do-not-filter FHCP 2019
2019 Comprehensive Formulary FHCP MedAdv Comprehensive Formulary (PDF) do-not-filter FHCP 2019
2019 Evidence of Coverage FHCP Medicare Rx (HMO) MedAdv Evidence of Coverage (PDF) do-not-filter FHCP 2019
2019 Evidence of Coverage FHCP Medicare Rx Plus POS (HMO-POS) 466 465 MedAdv Evidence of Coverage (PDF) do-not-filter FHCP 2019
2019 Evidence of Coverage FHCP Medicare Rx Savings (HMO) MedAdv Evidence of Coverage (PDF) do-not-filter FHCP 2019
2019 Evidence of Coverage FHCP Medicare Premier Plus (HMO) MedAdv Evidence of Coverage (PDF) do-not-filter FHCP 2019
2019 Evidence of Coverage FHCP Medicare Flagler Advantage (HMO) MedAdv Evidence of Coverage (PDF) do-not-filter FHCP 2019
2019 General Transition Notice FHCP's Medicare MedAdv General Transition Notice (PDF) do-not-filter FHCP 2019
2019 Income Subsidy Table FHCP Medicare Rx (HMO) MedAdv Low Income Subsidy Premium Summary Table for Those Receiving Extra Help (PDF) do-not-filter FHCP 2019
2019 Income Subsidy Table FHCP Medicare Rx Plus POS (HMO-POS) 466 465 MedAdv Low Income Subsidy Premium Summary Table for Those Receiving Extra Help (PDF) do-not-filter FHCP 2019
2019 Income Subsidy Table FHCP Medicare Rx Savings (HMO) MedAdv Low Income Subsidy Premium Summary Table for Those Receiving Extra Help (PDF) do-not-filter FHCP 2019
2019 Income Subsidy Table FHCP Medicare Premier Plus (HMO) MedAdv Low Income Subsidy Premium Summary Table for Those Receiving Extra Help (PDF) do-not-filter FHCP 2019
Low Income Subsidy Premium Summary Table for Those Receiving Extra Help (PDF) MedAdv Low Income Subsidy Premium Summary Table for Those Receiving Extra Help (PDF) do-not-filter FHCP 2019
2019 Plan Rating FHCP MedAdv Plan Rating (PDF) do-not-filter FHCP 2019
2019 Request for PHI Form FHCP MedAdv Request for PHI Form do-not-filter FHCP 2019
2019 Annual Notice of Change FHCP Medicare Premier Plus (HMO) MedAdv Annual Notice of Change do-not-filter FHCP 2019
2019 Summary of Benefits FHCP 465 466 467 MedAdv Summary of Benefits (PDF) do-not-filter FHCP 2019
2019 Summary of Benefits FHCP 468 MedAdv Summary of Benefits (PDF) do-not-filter FHCP 2019
2019 Summary of Benefits FHCP Medicare Premier Plus (HMO) MedAdv Summary of Benefits (PDF) do-not-filter FHCP 2019
2019 Summary of Benefits FHCP Medicare Flagler Advantage (HMO) MedAdv Summary of Benefits (PDF) do-not-filter FHCP 2019
2019 BlueMedicare HMO DSNP Service Area Map do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 BlueMedicare HMO HPN Service Area Map do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 BlueMedicare Preferred HMO Service Area Map do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 Medicare Part D Transition Policy MedAdv Transition Policy do-not-filter Florida Blue 2019
Preferred HMO 2019 Medicare Part D Transition Policy MedAdv Transition Policy do-not-filter Florida Blue 2019
2019 BlueMedicare Complete Evidence of Coverage - MIAMI-DADE MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Complete Evidence of Coverage - ORANGE, HILLSBOROUGH, POLK MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic Evidence of Coverage - BAY, BREVARD, BROWARD, CHARLOTTE, CITRUS, COLLIER, DUVAL, ESCAMBIA, LAKE, LEE, MANATEE, MARION, MARTIN, SAINT JOHNS, SAINT LUCIE, SANTA ROSA, SARASOTA, SUMTER MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic Plus Evidence of Coverage - HILLSBOROUGH, POLK MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Complete Evidence of Coverage - BROWARD, PALM BEACH MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Premier Rx Evidence of Coverage Rx Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Preferred POS Evidence of Coverage - MANATEE, PINELLAS, SARASOTA MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic Evidence of Coverage - MIAMI-DADE MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic Evidence of Coverage - PALM BEACH MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic Evidence of Coverage - ORANGE, OSCEOLA, SEMINOLE MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic Evidence of Coverage - HERNANDO, HILLSBOROUGH, PASCO, POLK MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic Plus Evidence of Coverage - PALM BEACH MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Premier Evidence of Coverage - MIAMI-DADE MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Premier Evidence of Coverage - BROWARD MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Premier Evidence of Coverage - ORANGE MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Preferred Evidence of Coverage - MANATEE, SARASOTA MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Complete Rx Evidence of Coverage Rx Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Value Rx Evidence of Coverage Rx Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Preferred Evidence of Coverage - CLAY, DUVAL MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Preferred Evidence of Coverage - PINELLAS MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Select Evidence of Coverage - BAY, BROWARD, CHARLOTTE, COLLIER, DUVAL, ESCAMBIA, HIGHLANDS, HILLSBOROUGH, LEE, MANATEE, MARION, ORANGE, OSCEOLA, PALM BEACH, PINELLAS, SAINT LUCIE, SANTA ROSA MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Value Evidence of Coverage - PINELLAS MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Value Evidence of Coverage - MANATEE, SARASOTA MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Value Evidence of Coverage - ESCAMBIA, SANTA ROSA MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Choice Evidence of Coverage MedAdv Evidence of Coverage (PDF) do-not-filter Florida Blue 2019
2019 Low Income Subsidy Premium Summary Table for Those Receiving Extra Help (PDF) do-not-filter Low Income Subsidy Premium Table for Those Receiving Extra Help (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Classic (HMO), BlueMedicare Classic Plus (HMO), BlueMedicare Premier (HMO), BlueMedicare Complete (HMO SNP) Plan Rating (PDF) BlueMedicare HMO Plan Rating (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Select (PPO) Plan Rating (PDF) BlueMedicare PPO Plan Rating (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Choice (RPPO) Plan Rating (PDF) BlueMedicare Regional PPO Plan Rating (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Rx (PDP) Plan Rating (PDF) BlueMedicare RX (PDP) Plan Rating (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Preferred (HMO), BlueMedicare Preferred HMO (HMO SNP) and BlueMedicare Preferred POS (HMO POS) Plan Rating (PDF) BlueMedicare Preferred HMO Plan Rating (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Complete Rx Comprehensive Formulary (PDP) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare Premier Rx Comprehensive Formulary (PDP) MedAdv Comprehensive Formulary (PDF) do-not-filter Florida Blue 2019
2019 Annual Notice of Change FHCP Medicare Rx Plus (HMO-POS) MedAdv Annual Notice of Change do-not-filter FHCP 2019
2019 Summary of Benefits-BlueMedicare Classic & BlueMedicare Premier (PDF) MedAdv Summary of Benefits (PDF) do-not-filter Florida Blue 2019
2019 BlueMedicare HMO Over-the-Counter (OTC) Benefit Catalog do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 BlueMedicare Preferred HMO Over-the-Counter (OTC) Benefit Catalog do-not-filter Additional Documents do-not-filter Florida Blue 2019
2019 FHCP Medicare Over-the Counter (OTC) Benefit Catalog do-not-filter Additional Documents do-not-filter FHCP 2019

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 Value (PPO) , BlueMedicare Value Rx (PDP), BlueMedicare Premier Rx (PDP) and BlueMedicare Complete Rx (PDP) members should call our Member Services number at 1-800-926-6565 (TTY: 1-800-955-8770). Florida Blue Medicare member, please call 1-855-601-9465 (TTY: 1-800-955-8770). Hours are 8 a.m. - 8 p.m. local time, seven days a week from October 1 to March 31, except for Thanksgiving and Christmas. From April 1 to September 30, 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.

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 FRM 001  062018

 

Last Updated: 10.01.2018

Y0011_34455 1018 CMS Accepted

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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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