BlueMedicare Classic (HMO)
2021 Summary of Benefits
2021 Summary of Benefits
Summary of Benefits - Hernando, Hillsborough, Pasco, Polk (PDF)
Summary of Benefits - Miami-Dade (PDF)
Summary of Benefits - Orange, Osceola, Seminole (PDF)
Summary of Benefits - Palm Beach (PDF)
2021 Evidence of Coverage
Evidence of Coverage - Miami-Dade (PDF)
Evidence of Coverage - Palm Beach (PDF)
Evidence of Coverage - Orange, Osceola, Seminole (PDF)
Evidence of Coverage - Hernando, Hillsborough, Pasco, Polk (PDF)
2021 Annual Notice of Change
Annual Notice of Change - Miami-Dade (PDF)
Annual Notice of Change - Palm Beach (PDF)
Annual Notice of Change - Orange, Osceola, Seminole (PDF)
Annual Notice of Change - Hernando, Hillsborough, Pasco, Polk (PDF)
2021 Comprehensive Formulary
Comprehensive Formulary - Miami-Dade (PDF)
Comprehensive Formulary - Palm Beach (PDF)
2021 Other Information and Documents
Low-Income Subsidy - Medicare Extra Help Program (PDF)
Prescription Drug Transition Policy (PDF)