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Medicare Advantage (Part C)

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BlueMedicare Choice (Regional PPO)

2022 Plan Documents

View and download important forms and documents about your BlueMedicare plan from Florida Blue.

2022 Annual Notice of Changes

2022 Annual Notice of Changes - Statewide (PDF), last updated 08/25/2021

2022 Evidence of Coverage

2022 Evidence of Coverage - Statewide (PDF), last updated 09/01/2021

2022 Summary of Benefits

2022 Summary of Benefits - Statewide (PDF), last updated 08/23/2021

2022 Comprehensive Formulary

2022 Comprehensive Formulary - Statewide (PDF), last updated 09/15/2022

2022 Enrollment Form

2022 Enrollment Form (PDF), last updated 08/24/2021

2022 Medicare Star Ratings

2022 Medicare Star Rating (PDF), last updated 10/16/2021

2022 Prescription Drug Transition Policy

2022 Prescription Drug Transition Policy (PDF), last updated 07/01/2021

2022 Low-Income Subsidy - Extra Help Program

2022 ow-Income Subsidy - Medicare Extra Help Program (PDF), last updated 09/01/2021

Call Florida Blue for help with your Medicare plan.

Call Member Services
1-800-926-6565 (TTY 1-800-955-8770)

8 a.m. - 8 p.m. local time, 7 days a week, from Oct. 1 - Mar. 31, except for Thanksgiving and Christmas.

From Apr. 1 - Sept. 30, we are open Monday to Friday, 8 a.m. - 8 p.m. local time.

FBM FORM NF

Last Updated: 10.01.2022
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