2025 BlueMedicare Premier Rx
• S5904-001 - BlueMedicare Premier Rx (PDP) - Florida Statewide
• 2025 Annual Notice of Changes - BlueMedicare Premier Rx - last updated 8/23/24
• 2025 Evidence of Coverage - BlueMedicare Premier Rx - last updated 9/3/24
• 2025 Summary of Benefits - BlueMedicare Premier Rx - Statewide (Florida) - last updated 8/22/24
• 2025 Enrollment Form - BlueMedicare Premier Rx - Statewide (Florida) - last updated 8/5/24
• 2025 Medicare Star Rating - BlueMedicare Premier Rx - Statewide (Florida) - last updated 10/17/23
• 2025 Formulary - BlueMedicare Premier Rx - Statewide (Florida) - 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 Rx
View and download important forms and documents about your BlueMedicare plan from Florida Blue.
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S5904-001 - Florida Statewide
2024 Annual Notice of Changes | Last Updated |
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2024 Annual Notice of Changes - Florida Statewide | 9/18/2023 |
2024 Evidence of Coverage | Last Updated |
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2024 Evidence of Coverage - Florida Statewide | 7/26/2024 |
2024 Summary of Benefits | Last Updated |
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2024 Summary of Benefits - Florida Statewide | 9/18/2023 |
2024 Comprehensive Formulary | Last Updated |
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2024 Comprehensive Formulary - Florida Statewide | 9/20/2024 |
2024 Enrollment Form | Last Updated |
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2024 Enrollment Form | 9/8/2023 |
2024 Medicare Star Rating | Last Updated |
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2024 Medicare Star Rating | 10/22/2023 |
2024 Prescription Drug Transition Policy | Last Updated |
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2024 Prescription Drug Transition Policy | 09/20/2023 |
2024 Low-Income Subsidy - Extra Help Program | Last Updated |
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2024 Low-Income Subsidy - Extra Help Program | 09/11/2023 |