2025 BlueMedicare Classic (HMO)
2025 Plan Mapping
• H1035-017 - BlueMedicare Classic (HMO) - Miami-Dade
• H1035-019 - BlueMedicare Classic (HMO) - Broward, Martin, St. Lucie, Bay, Citrus, Clay, Duval, Escambia, Marion, Okaloosa, Santa Rosa, St. Johns, Walton, Charlotte, Collier, Lee, Manatee, Sarasota, Brevard, Lake, Sumter
• H1035-020 - BlueMedicare Classic (HMO) - Orange, Osceola, Seminole
• H1035-021 - BlueMedicare Classic (HMO) - Hernando, Hillsborough, Pasco, Polk
• 2025 Annual Notice of Changes - BlueMedicare Classic (HMO) - Miami-Dade - last updated 8/23/24
• 2025 Annual Notice of Changes - BlueMedicare Classic (HMO) - Palm Beach - last updated 8/23/24
• 2025 Annual Notice of Changes - BlueMedicare Classic (HMO) - Bay, Brevard, Broward, Charlotte, Citrus, Clay, Collier, Duval, Escambia, Lake, Lee, Manatee, Marion, Martin, Okaloosa, Santa Rosa, Sarasota, St. Johns, St. Lucie, Sumter - last updated 8/23/24
• 2025 Annual Notice of Changes - BlueMedicare Classic (HMO) - Orange, Osceola, Seminole - last updated 8/23/24
• 2025 Annual Notice of Changes - BlueMedicare Classic (HMO) - Hernando, Hillsborough, Pasco, Polk - last updated 8/23/24
• 2025 Evidence of Coverage - BlueMedicare Classic (HMO) - Miami-Dade - last updated 9/3/24
• 2025 Evidence of Coverage - BlueMedicare Classic (HMO) - Bay, Brevard, Broward, Charlotte, Citrus, Clay, Collier, Duval, Escambia, Lake, Lee, Manatee, Marion, Martin, Okaloosa, Santa Rosa, Sarasota, St. Johns, St. Lucie, Sumter, Walton - last updated 9/3/24
• 2025 Evidence of Coverage - BlueMedicare Classic (HMO) - Orange, Osceola, Seminole - last updated 9/3/24
• 2025 Evidence of Coverage - BlueMedicare Classic (HMO) - Hernando, Hillsborough, Pasco, Polk - last updated 9/3/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Miami-Dade - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Bay, Citrus, Escambia, Martin, Okaloosa, Santa Rosa, St. Johns, Walton - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Broward - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Clay and Duval - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Charlotte, Collier, Lee, Manatee, Sarasota - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Brevard, St. Lucie - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Orange, Osceola, Seminole - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Hillsborough, Polk - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Hernando, Pasco - last updated 8/22/24
• 2025 Summary of Benefits - BlueMedicare Classic (HMO) - Lake, Marion, Sumter - last updated 8/22/24
• 2025 Enrollment Form - BlueMedicare Classic (HMO) - last updated 7/12/24
• 2025 Medicare Star Rating - BlueMedicare Classic (HMO) - last updated 10/17/23
• 2025 Formulary - BlueMedicare Classic HMO - Miami Dade - last updated 10/15/2024
• 2025 Formulary - BlueMedicare Classic HMO - Bay, Brevard, Broward, Charlotte, Citrus, Clay, Collier, Duval, Escambia, Hernando, Hillsborough, Lake, Lee, Manatee, Marion, Martin, Okaloosa, Orange, Osceola, Pasco, Polk, Santa Rosa, Sarasota, Seminole, St. Johns, St. Lucie, Sumter, Walton - last updated 10/15/2024
• 2025 Low Income Subsidy (LIS) - Extra Help Program - last updated 10/1/24
• 2025 Prescription Drug Transition Policy - last updated 8/14/24
2024 BlueMedicare Classic (HMO)
View and download important forms and documents about your BlueMedicare plan from Florida Blue.
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H1035-017 - Miami-Dade
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H1035-018 - Palm Beach
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H1035-019 - Broward, Martin, St. Lucie, Bay, Citrus, Clay, Duval, Escambia, Marion, Okaloosa, Santa Rosa, St. Johns, Charlotte, Collier, Lee, Manatee, Sarasota, Brevard, Lake, Sumter
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H1035-020 - Orange, Osceola, Seminole
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H1035-021 - Hernando, Hillsborough, Pasco, Polk
2024 Summary of Benefits | Last Updated |
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2024 Summary of Benefits - Miami-Dade | 9/18/2023 |
2024 Summary of Benefits - Palm Beach | 9/18/2023 |
2024 Summary of Benefits - Bay, Escambia, Lake, Marion, Martin, Okaloosa, Santa Rosa, St. Johns and Sumter | 9/18/2023 |
2024 Summary of Benefits - Citrus | 9/18/2023 |
2024 Summary of Benefits - Orange, Osceola and Seminole | 9/18/2023 |
2024 Summary of Benefits - Broward | 9/26/2023 |
2024 Summary of Benefits - Clay and Duval | 9/18/2023 |
2024 Summary of Benefits - Hillsborough and Polk | 9/18/2023 |
2024 Summary of Benefits - Hernando and Pasco | 9/18/2023 |
2024 Summary of Benefits - Charlotte, Collier, Lee, Manatee and Sarasota | 9/18/2023 |
2024 Summary of Benefits - Brevard and St. Lucie | 9/18/2023 |
2024 Enrollment Form | Last Updated |
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2024 Enrollment Form | 8/24/2023 |
2024 Medicare Star Rating | Last Updated |
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2024 Medicare Star Rating | 10/22/2023 |
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 |