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2024 BlueMedicare Classic Plus (HMO)

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

  • H1035-046 - Citrus

  • H1035-047 - Bay, Escambia, Okaloosa, Santa Rosa, Walton

2024 Comprehensive Formulary Last Updated
2024 Comprehensive Formulary - Bay, Citrus, Escambia, Okaloosa, Santa Rosa, Walton 10/1/2023

 

2024 Enrollment Form Last Updated
2024 Enrollment Form 8/24/2023

 

2024 Medicare Star Rating Last Updated
2024 Medicare Star Rating 10/22/2023

 

2024 Prescription Drug Transition Policy Last Updated
2024 Prescription Drug Transition Policy 9/20/2023

 

2024 Low-Income Subsidy - Extra Help Program Last Updated
2024 Low-Income Subsidy - Extra Help Program 9/11/2023

 

2023 BlueMedicare Classic Plus (HMO)

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

  • H1035-046 - Citrus

  • H1035-047 - Bay, Escambia, Okaloosa, Santa Rosa, Walton

Plan Document Last Updated
2023 Annual Notice of Changes - Citrus last updated 9/19/2022
2023 Annual Notice of Changes - Bay, Escambia, Okaloosa, Santa Rosa last updated 9/19/2022
Plan Document Last Updated
2023 Evidence of Coverage - Citrus last updated 9/20/2022
2023 Evidence of Coverage - Bay, Escambia, Okaloosa, Santa Rosa, Walton last updated 9/20/2022
Plan Document Last Updated
2023 Summary of Benefits - Bay, Escambia, Okaloosa, Santa Rosa, Walton last updated 8/23/2022
2023 Summary of Benefits - Citrus last updated 8/23/2022
Plan Document Last Updated
2023 Comprehensive Formulary last updated 11/20/2023
Plan Document Last Updated
2023 Enrollment Form last updated 8/5/2022
Plan Document Last Updated
2023 Medicare Star Rating last updated 10/12/2022
Plan Document Last Updated
2023 Prescription Drug Transition Policy last updated 7/1/2022
Plan Document Last Updated
2023 Low-Income Subsidy - Extra Help Program last updated 9/23/2022

Important 2023 benefit information, last updated 2/14/2023

FBM FORM NF
Disclaimers
Last Updated: 10.01.2023
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