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View and download important forms and documents about your BlueMedicare plan from Florida Blue.
2022 Evidence of Coverage - Lake, Marion, Sumter (PDF), last updated 09/06/2021
2022 Evidence of Coverage - Bay, Escambia, Okaloosa, Santa Rosa, Walton (PDF), last updated 09/06/2021
2022 Evidence of Coverage - Clay, Duval, Nassau, St. Johns (PDF), last updated 09/06/2021
2022 Evidence of Coverage - Hillsborough, Pasco, Pinellas (PDF), last updated 09/06/2021
2022 Evidence of Coverage - Brevard, Orange (PDF), last updated 09/06/2021
2022 Summary of Benefits - Hillsborough, Pasco, Pinellas (PDF), last updated 08/24/2021
2022 Summary of Benefits - Bay, Escambia, Okaloosa, Santa Rosa, Walton (PDF), last updated 08/24/2021
2022 Summary of Benefits - Clay, Duval, Nassau, St. Johns (PDF), last updated 08/24/2021
2022 Summary of Benefits - Brevard, Orange (PDF), last updated 08/24/2021
2022 Summary of Benefits - Lake, Marion, Sumter (PDF), last updated 08/24/2021
2022 Enrollment Form (PDF), last updated 08/24/2021
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From Apr. 1 - Sept. 30, we are open Monday to Friday, 8 a.m. - 8 p.m. local time.