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From April 1 - September 30, from 8 a.m. - 8 p.m. local time, we are open Monday to Friday.

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BlueMedicare Complete (HMO D-SNP)

2023 Service  Area

  • H1035-027 - Miami-Dade

  • H1035-028 - Broward, Palm Beach, St. Lucie

  • H1035-029 - Brevard, Lake, Orange, Osceola, Seminole, Sumter

  • H1035-030 - Hillsborough, Polk

  • H1035-031 - Clay, Duval, Marion

  • H1035-032 - Charlotte, Collier, Hernando, Lee, Manatee, Pasco, Pinellas, Sarasota

  • H1035-050 - Escambia, Okaloosa, Santa Rosa, Walton 

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

BlueMedicare Complete (HMO D-SNP)

2023 Plan Documents

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

2023 Comprehensive Formulary

Plan Document Last Updated
2023 Comprehensive Formulary last updated 5/18/2023
   

2023 Enrollment Form

Plan Document Last Updated
2023 Enrollment Form last updated 8/15/2022
   

2023 Medicare Star Rating

Plan Document Last Updated
2023 Medicare Star Rating last updated 10/12/2022
   

2023 Prescription Drug Transition Policy

Plan Document Last Updated
2023 Prescription Drug Transition Policy last updated 7/1/2022
   

2023 Low-Income Subsidy - Extra Help Program

Plan Document Last Updated
2023 Low-Income Subsidy - Extra Help Program last updated 9/23/2022
   
FBM FORM NF
Last Updated: 10.01.2022
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