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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 Patriot (PPO)

2023 Service  Area

  • H5434-038 - Lake, Sumter, Marion

  • H5434-040 - Bay, Escambia, Okaloosa, Santa Rosa, Walton

  • H5434-041 - Clay, Duval, Nassau, St. Johns

  • H5434-042 - Hillsborough, Pasco, Pinellas

  • H5434-044 - Brevard, Orange

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

BlueMedicare Patriot (PPO)

2023 Plan Documents

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

2023 Summary of Benefits

Plan Document Last Updated
2023 Summary of Benefits - Pinellas last updated 9/12/2022
2023 Summary of Benefits - Pasco last updated 9/12/2022
2023 Summary of Benefits - Bay, Escambia, Okaloosa, Santa Rosa, Walton last updated 9/12/2022
2023 Summary of Benefits - Clay, Duval, Nassau, St. Johns last updated 9/12/2022
2023 Summary of Benefits - Brevard, Orange last updated 9/12/2022
2023 Summary of Benefits - Hillsborough last updated 9/12/2022
2023 Summary of Benefits - Lake, Marion, Sumter last updated 9/12/2022
   

2023 Enrollment Form

Plan Document Last Updated
2023 Enrollment Form last updated 8/11/2022
   

2023 Medicare Star Rating

Plan Document Last Updated
2023 Medicare Star Rating last updated 10/12/2022
   
FBM FORM NF
Last Updated: 10.01.2022
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