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

Hours: 8:00 a.m. to 8:00 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, our hours are 8:00 a.m. to 8:00 p.m. local time, Monday through Friday, except for major holidays.

2025 BlueMedicare Premier (HMO)

•    H1035-022 - BlueMedicare Premier (HMO) - Palm Beach
•    H1035-025 - BlueMedicare Premier (HMO) - Broward
•    H1035-026 - BlueMedicare Premier (HMO) - Orange, Osceola
•    H1035-033 - BlueMedicare Premier (HMO) - Clay, Duval
•    H1035-034 - BlueMedicare Premier (HMO) - Hernando, Pinellas
•    H1035-043 - BlueMedicare Premier (HMO) - Lake, Sumter, Marion
•    H1035-045 - BlueMedicare Premier (HMO) - Charlotte, Collier, Lee, Manatee, Sarasota
•    H1035-048 - BlueMedicare Premier (HMO) - Brevard, St. Lucie

•    2025 Enrollment Form - BlueMedicare Premier (HMO) - last updated 7/12/24

•    2025 Medicare Star Rating - BlueMedicare Premier (HMO) - last updated 10/16/24

•    2025 Formulary - BlueMedicare Premier (HMO) - last updated 10/15/2024

•    2025 Low Income Subsidy (LIS) - Extra Help Program - last updated 10/1/24

•    2025 Prescription Drug Transition Policy - last updated 8/14/24

2024 BlueMedicare Premier (HMO)

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

  • H1035-022 - Palm Beach

  • H1035-023 - Hillsborough, Polk

  • H1035-024 - Miami-Dade

  • H1035-025 - Broward

  • H1035-026 - Orange, Osceola, Seminole

  • H1035-033 - Clay, Duval

  • H1035-034 - Hernando, Pasco, Pinellas

  • H1035-043 - Lake, Marion, Sumter

  • H1035-045 - Charlotte, Collier, Lee, Manatee, Sarasota

  • H1035-048 - Brevard, St. Lucie

2024 Enrollment Form Last Updated
2024 Enrollment Form 01/24/2024

 

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

 

FBM FORM NF
Last Updated: 10.01.2024
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