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From October 1 - March 31, from 8 a.m. - 8 p.m. local time, 7 days a week, except Thanksgiving and Christmas. From April 1 - September 30, from 8 a.m. - 8 p.m. local time, we are open Monday to Friday, except for major holidays.

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2024 BlueMedicare Value (PPO)

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

  • H5434-023 - Pinellas

  • H5434-024 - Highlands, Manatee, Sarasota

  • H5434-025 - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton

  • H5434-026 - Broward, Indian River, Martin, Palm Beach, St. Lucie

  • H5434-030 - Charlotte, Collier, Lee

  • H5434-031 - Clay, Duval,  Nassau, St. Johns, Flagler, Volusia

  • H5434-032 - Miami-Dade

  • H5434-033 - Brevard, Orange, Osceola, Seminole

  • H5434-034 - Polk, Hillsborough

  • H5434-035 - Hernando, Pasco

  • H5434-036 - Lake, Sumter, Marion 

  • H5434-039 - Alachua, Citrus

2024 Enrollment Form Last Updated
2024 Enrollment Form 9/8/2023

 

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

 

2023 BlueMedicare Value (PPO)

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

  • H5434-023 - Pinellas

  • H5434-024 - Highlands, Manatee, Sarasota

  • H5434-025 - Bay, Calhoun, Escambia, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Santa Rosa, Wakulla, Walton

  • H5434-026 - Broward, Indian River, Martin, Palm Beach, St. Lucie 

  • H5434-030 - Charlotte, Collier, Lee

  • H5434-031 - Clay, Duval,  Nassau, St. Johns, Flagler, Volusia

  • H5434-032 - Miami-Dade

  • H5434-033 - Brevard, Orange, Osceola, Seminole

  • H5434-034 - Polk, Hillsborough

  • H5434-035 - Hernando, Pasco

  • H5434-036 - Lake, Sumter, Marion

  • H5434-039 - Alachua, Citrus

Plan Document Last Updated
2023 Comprehensive Formulary last updated 11/20/2023
Plan Document Last Updated
2023 Enrollment Form last updated 8/11/2022
Plan Document Last Updated
2023 Medicare Star Rating last updated 10/12/2022
Plan Document Last Updated
2023 Prescription Drug Transition Policy last updated 7/1/2022
Plan Document Last Updated
2023 Low-Income Subsidy - Extra Help Program last updated 9/23/2022

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

FBM FORM NF
Last Updated: 10.01.2023
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