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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 Saver (HMO)

2023 Service  Area

  • H1035-035 - Broward, Palm Beach

  • H1035-037 - Hillsborough, Pinellas, Polk

  • H1035-038 - Orange, Osceola

  • H1035-039 - Miami-Dade

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

BlueMedicare Saver (HMO)

2023 Plan Documents

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

2023 Annual Notice of Changes

Plan Document Last Updated
2023 Annual Notice of Changes - Broward, Palm Beach last updated 9/19/2022
2023 Annual Notice of Changes - Hillsborough, Pinellas, Polk last updated 9/19/2022
2023 Annual Notice of Changes - Orange, Osceola last updated 9/19/2022
2023 Annual Notice of Changes - Miami-Dade last updated 9/19/2022
   

2023 Evidence of Coverage

Plan Document Last Updated
2023 Evidence of Coverage - Broward, Palm Beach last updated 9/20/2022
2023 Evidence of Coverage - Hillsborough, Pinellas, Polk last updated 9/20/2022
2023 Evidence of Coverage - Orange, Osceola last updated 9/20/2022
2023 Evidence of Coverage - Miami-Dade last updated 9/20/2022
   

2023 Summary of Benefits

Plan Document Last Updated
2023 Summary of Benefits - Broward, Palm Beach, Miami-Dade last updated 8/23/2022
2023 Summary of Benefits - Hillsborough, Pinellas, Polk, Orange, Osceola last updated 8/23/2022
   

2023 Comprehensive Formulary

Plan Document Last Updated
2023 Comprehensive Formulary - Miami-Dade last updated 5/18/2023
2023 Comprehensive Formulary - Broward, Hillsborough, Orange, Osceola, Palm Beach, Pinellas, Polk last updated 5/18/2023
   

2023 Enrollment Form

Plan Document Last Updated
2023 Enrollment Form last updated 08/11/2022
   

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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